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Older Patients, Stroke Risk and Manipulation
The first population-based study in the United States to evaluate stroke risk following spinal manipulation – and the first involving older adults – suggests that "[c]hiropractic cervical spine manipulation is unlikely to cause stroke in patients aged 66 to 99 years with neck pain.
News in Brief
ACA Exec. Vice President Out, Acting EVP In; F4CP Executive Director Retires; New ED Named.
Joint Supplements for Athletes (Part 2)
A fairly recent discovery in nutrition supplemental medicine has proven to be a breakthrough in maintaining athletic joint health. Research suggests a combination of undenatured type-II collagen and tetrahydro-iso-alpha acids helps revitalize joint function and performance in athletes.
Pain Is Only a Piece of the Puzzle
More often than not, when a patient presents to the office, it is for a pain complaint: headache, neck pain, low back pain, sciatica, carpal tunnel, etc.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
What Do You Know About Physician Compare?
Physician Compare is a website that allows consumers to search for and obtain information about physicians and other health care professionals who provide Medicare services.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
Keep Seniors Safe: Age-Proofing the Home
I want to give Dr. Claudia Anrig kudos for her Dec. 1, 2014 column, which highlighted safety issues youngsters might encounter in the home.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Treating GERD and Incontinence: Focus on Trigger Points
Gastroesophageal reflux disease (GERD) is defined as the regurgitation of stomach acid in the esophagus. Previously, it was thought that GERD was caused by a hiatal hernia, but recent trials suggest the cause is an inability of the hiatal sphincter to contract normally.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
Viewpoints: Massage Reduces Nonspecific Shoulder Pain, Improves Function
While seemingly universal, pain and stiffness in the shoulders can be a significant cause of disability. Often a pain that does not go away on its own, shoulder complaints tend to linger, sometimes for 12 months or longer.
God and the Chiropractor
My wife went to church last Wednesday night and brought home a CD of the pastor's message. As she handed it to me, she said, "You should listen to this; you'll like it." Our family regularly goes to church and our faith plays a major role in our lives.
Managing Tibialis Posterior Tendon Injuries
The tibialis posterior is the deepest, strongest and most central muscle of the leg, with fibers originating from the tibia, fibula and interosseous membrane.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
How We Can Help the Injured Brain
The majority of patients with mild traumatic brain injuries recover within seven to 10 days. If concussion signs and symptoms continue beyond seven days, the diagnosis changes from acute concussion to post-concussion syndrome.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
April, 2012, Vol. 12, Issue 04
Looking Beyond the Stereotypes of Old Age
By Ann Catlin, LMT, NCTMB, OTR
There's a little quip that I've heard in senior communities that goes something like this: "I'm looking for Mrs. B., can you tell me what she looks like? "Yes, she's the one with gray hair and glasses!" Not that original, really, but you get the picture.I've often been struck with profound awareness when I enter the dining room of a nursing home. At first glance it looks like a sea of gray heads and everyone sort of blends together. The quip suggests these old folks all look alike so they are alike and have morphed into some other kind of creature. At what point do we become one of "them"?
I have a psychologist friend who counsels young children. She once told me that she's effective because she doesn't talk down to the kids or treat them as "pre-people." Something about her comment rings true and, by comparison, I think we live in a society that views old people as "former people." But, when do we lose our individual identity and become a former person?
Since none of us are immune from cultural influence, perhaps it falls to each of us to question the collective attitude and see beyond the stereotypes of old age. Common language and images are a good place to start. We can pay attention to the words we use. Ever call someone a "cute little old lady?" We may as well pat her on the head! Media today is laced with messages that reinforce the idea of a monolithic group of older persons. I've used the phrase "Silver Tsunami." This term was coined in 2002 by Mary Maples to describe the aging baby boom generation that began turning 65 in 2011. But think about it. A tsunami is a force of nature that leaves destruction in its path. I went online to see how people defined the "Silver Tsunami" and on a blog I found this (sort-of humorous) explanation: "It means there are so many old people they're going to pile up in huge masses of wrinkled bodies, and they'll roll ashore, crashing into buildings and nuclear power plants." Perhaps "Silver Tsunami" isn't my best choice of words!
I can think of other times when my words really underscored the idea of an elder being a former person. I remember telling someone about a man in his nineties who "used to be a doctor!" Why are we surprised when an older adult continues to pursue activities of younger years? "Wow, she still rides a bike!" Self-reflection about our personal views of aging is important because we tend to internalize society's dialogue. Aging has become medicalized. Medicalization is when a normal human condition becomes seen as a problem in need of medical treatment. You don't have to look far to see evidence of this. Just turn on the TV or open a magazine. Aging is portrayed as something to fix, cover up, smooth out, and take (lots) of pills for. I've met many elders whose social lives revolve around going to the doctor and visits to the pharmacy. But something deeper happens in our psyche. As a society, we fiercely value autonomy, productivity and independence. But with aging sometimes comes the need to ask for help and physical decline, which we equate with a flawed existence. Feelings of failure and shame arise and we loathe the body that once served us so well. We begin to see ourselves as helpless and unworthy. We become former people even in our own minds.
Don't Touch-You Might Catch It!
Touch deprivation in old age is real. It occurs, in part, because of separation from loved ones, but mostly because of fear on the part of younger people. Fear of looking at old age up close and personal. I think that if old people are thought of as former people, the assumption is they no longer have the same needs as when they were younger. When it comes to touch, this idea really misses the mark! I'm always on the lookout for other experts who validate my convictions about the impact of massage for our elders. Jane A. Simington, RN, PhD, conducted a literature review and her findings were published in the Humane Medicine Journal. She reports that older persons report that touch conveys fondness, security, closeness, warmth, concern and encouragement, and makes them feel an increased sense of trust and well-being. They report that touch helps them to develop close, trusting relationships with staff and other residents. As tactile sensitivity decreases, the need to receive expressive touch may increase. Nature can be cruel however, and the elderly person often may have no one to provide this increased touch. The children are gone and the partner has died. One elderly woman put it this way, "Sometimes I hunger to be held. But he is the one who would have held me. He is the one who would have stroked my head. Now there is no one. No comfort."
Massage therapists can be agents of change and have the power to profoundly impact the quality of life for older adults by reversing the effects of touch deprivation. Of course, there are physical benefits of massage resulting in improved function in the activities of daily living. Massage alleviates aches and pains and improves circulation, resulting in greater ease of movement and the ability to perform physical tasks with greater comfort. We are all aware that massage induces a relaxation response, leading to improved sleep quality and feelings of calmness. Massage increases body awareness reducing the risk of falls. But focusing only on the physical benefits adds to the medicalization of aging. Rather than seeing massage as a treatment for ailments, let's look to it as a way to validate the human experience of aging. The gift of caring touch encourages feelings of self-acceptance and worthiness. But our influence goes even further. By literally reaching out to older adults, we demonstrate wholesome attitudes about aging. Maybe by our own actions we will encourage others to be more willing to touch our elders. Society as a whole stands to gain.
Click here for more information about Ann Catlin, LMT, NCTMB, OTR.
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