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News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
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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