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The Pallof Press for Core Stability Evaluation
Many people become injured because of instability, weakness and poor neural-sequencing patterns in the core. Lack of bracing and support from the inner core cylinder during coronal and transverse movements makes the body vulnerable to compensation injuries.
Covering Chiropractic as a Profession, Not a Single Service
Recently Dynamic Chiropractic published a front-page article about various state essential health benefits and referred to Oregon and four other states not currently providing chiropractic as a covered benefit.
Economics of Complementary/Integrative Care
Although this column doesn't usually feature a book review, we're going outside of our usual public health format to discuss a new book written by Patricia Herman ND, PhD.
Peer Points: Stories of Practice Success
When patients go see Arizona-based acupuncturist Jing Liu, it is to get top care from an practitioner well versed in all aspects of Traditional Chinese Medicine.
Medical Payola (Part 2)
Not only has Medtronic made billions selling expensive screws and hardware for highly controversial spine fusions, but a Senate investigation also found Medtronic felt compelled to write and edit medical journal articles attributed to outside physicians that downplayed the risks of the company's best-selling bone graft, Infuse.
Happenings in Our Evolving Profession
Good things seem to be happening for our profession and recent developments show we are all on board. Talking about being on board, this September The Veterans Express-Purple Heart Tour is expected to make its way out of the station.
Energy is a hot commodity. Society pays dearly for it and for the expertise of those who know how to cultivate it.
Calcium Supplements and Mortality
When the National Institutes of Health's AARP Diet and Health Study reported that men who took calcium supplements had a higher risk of dying from cardiovascular disease compared those who didn't, it was the third large cohort in six months with alarming findings regarding calcium supplements.
You are What You Eat Part II: Integrative Protocols
In the previous installment of this article I discussed important ideas concerning gastrointestinal health and foundational ideas from TCM, which can provide key insights into creating effective protocols for healing the gut.
The Spirits of the Points: The Gall Bladder Official
The Gall Bladder is known as The Official of Decision Making and Judgment. In any given day, this Official makes countless decisions – conscious and unconscious, which influence every aspect of our being.
Let's face it – patient evaluation takes time. Unless you are really into the diagnostic evaluation game, you probably have found the formal exam protocol tedious if not downright annoying.
Herbal Medicine: Go Mainstream
When it comes to practicing herbal medicine in a mainstream setting, there are a number of important points to understand when it comes to prescribing formulas. Some important questions to ask are - what method of prescribing and dispensing is most effective in this setting?
There Are No Secrets: Treating Complicated Conditions with TCM
Including standardized extra points, there are just over 400 acupuncture points on the body. You get 400 and I get 400 - same. Yet, time and time again treatment protocols are coveted as if they were some secret formula only intended for the right and privileged.
News in Brief
Cancer Treatment Centers of America Continues Support of Chiropractic; ACBOH Announces 2013 Practical, Written Exam Dates; PCORI Approves Funding for Research on Spinal Stenosis; Macquarie University to Cease Offering Chiropractic Program.
In a previous column, I discussed the history and definition of evidence-based practice (EBP), and expressed concerns with how the concept has been narrowly construed by some academics and payers.
Chiropractic Research: A Moral Issue
This year I've had the opportunity to go to three great chiropractic research conferences; the ACC-RAC, the Fédération Internationale de Chiropratique du Sport (FICS) Congress and the World Federation of Chiropractic Congress.
Telecommuting and Technology: Ergonomic and Worker's Comp Considerations
As our world becomes more and more reliant on technology, equipment becomes more dependable and we become increasingly more comfortable with e-mail, the fax machine, the Internet and the smartphone, it is becoming easier and easier to work away from the office.
Helping Patients Through Pregnancy Loss
There is a lot of focus in the acupuncture world on fertility and helping women get pregnant. It's exhilarating to hear the news that a patient is expecting a baby. The other side of that is pregnancy loss. That includes abortion, miscarriage or stillbirth.
Wisconsin Exam in the Spotlight
You've passed your national boards with flying colors, including Part IV, the practical examination, at a combined cost of more than $3,000.
Helping Infertility Patients with the Spirit Essence
As many of you know, when it comes to treating infertility, we are dealing with a patient population that is, generally speaking, in emotional turmoil. These patients often experience fear, anxiety, despair, hopelessness, grief and anger.
Exercises for Back Pain: Low-Compression Training Program
This program is intended for two groups of people: 1) those who want to engage in resistance exercises for the major regions of their body without developing back pain in the process; and 2) those who already have back pain and want to do resistance exercises, but consistently re-irritate their back when trying to do so.
Repeating Bone-Density Tests
The U.S. Preventive Services Task Force recommends that women older than age 65 undergo bone-density testing. However, organizations in general have not stated when repeat bone-density testing should be done.
Spinal-Cord Injuries: Saying No to Steroids
With steroids, epidural and otherwise, in the news lately for their overuse when treating back pain (and their danger when tainted by fungal meningitis), it was high time for a policy change, and we've got one, from the Congress of Neurological Surgeons and the American Association of Neurological Surgeons.
Business Building: What's Your Strategy?
I know some in our profession love to debate about whether or not spinal curvatures change as a result of our chiropractic adjustment, but I have a question that hits a little more close to the belt than that: Are chiropractors capable of change?
History Repeating Itself in Wisconsin?
Thirteen years ago, the Wisconsin Chiropractic Association (WCA) "agreed to settle Federal Trade Commission allegations that [the association] orchestrated a conspiracy among WCA members to increase prices for chiropractic services and to boycott third-party payers to obtain higher reimbursement rates."
April, 2012, Vol. 12, Issue 04
The Importance of Remembering Gentleness
By Tracy Walton, LMT, MS
I focus my hands-on work with people with cancer or cancer histories. My massage therapy practice is small but earnest, edged out a bit by other professional activities, but nevertheless a vital part of my professional and personal life.I spend part of Tuesdays in my massage therapy office. Tuesdays are sacred. Some have suggested I give up my practice. But no, I say, these clients need the work. Couldn't they go to someone I've trained? Of course, yes. They do, sometimes. But I recognize, too, that I need to do the work. I need to offer up my hands to them. It is a calling as much as it is a vocation.
My clients come battle-scarred. They have endured countless needle sticks, scalpels and markings. Beams of radiation have crossed their tissues, from front to back. They have swallowed strong medication, counted days until the end of treatment and endured unimaginable side effects. They have survived endless tests, re-tests and long waits. They teach me about grace during uncertainty, and trust amidst the mystery. These clients lead me by example. In offering them skilled touch, I am reminded of the body's vulnerability and strength, all at once.
Twenty-two years ago, I completed my massage training with Ben Benjamin and his staff at the Muscular Therapy Institute. I remember one particularly important moment, close to graduation, when I was learning one-on-one from Ben. He brought me back to the first strokes I'd ever learned. I practiced them, over and over. He said to me, "It's more important to learn to work gently, than deeply." His words still ring true, today. They ring true because working gently is working deeply. Our kind hands touch people on the surface, in the muscles, but they also touch deeply.
This truth overtakes me each time I supervise an oncology massage clinic. Watching a roomful of massage therapists work, I see deep engagement in every exchange. Therapists train for four days, earnestly preparing for this clinic of client volunteers with cancer and cancer histories. It's a massive amount of work, plenty of paperwork and information, and not a little bit stressful. But once everyone is interviewed and settled in and the hands-on work begins, a great peace settles over the clinic classroom. I look around and take it in. I can tell that, for each therapist, for that hour, the person on the table is their whole world. Nothing matters more than this person.
That kind of focus is a rare thing, and our clients notice it. One client left me a voicemail message from the parking lot, right after bidding us goodbye. As is sometimes the case, she had been interviewed and massaged by two therapists working in tandem. She spoke of a heart filled with gratitude. Of her two therapists, she said, "they touched a chord in me that nobody was able to touch." That kind of experience of massage cannot be forced, it can only be welcomed when it occurs. It can be invited in by a therapist's gentle work, which, according to the client whose chord was touched, is deep work. It is called forth by our full attention, and our hands of kindness.
At times, such kindness elicits a flood of feeling. I recall one client who would weep every time a member of her health care team was kind to her. It was not that she wasn't used to it — she had many moments with compassionate health care professionals. But each caring gesture or kind word reminded her of how badly she needed it, and how alone she felt. Another client had a hard time scheduling massage because it involved stopping long enough to feel something, when it was easier to just keep going, getting through the months of cancer treatment. She told me she couldn't stand the kindness of skilled massage, she just wanted to press on and get through. We honor and respect these needs, as well as all others.
It's a bit circular, but I suppose even our resistance to kindness deserves kindness. People with cancer are not the only ones to appreciate gentle depth of work. I've worked with robust clients and strong muscles, I've followed muscle tension around after athletic injuries, and I've noticed how all of us seem to appreciate hands of kindness. Many times, I have circled back to Ben's words, and always, they have sent me forward again, into territory that is achingly real, ripe with connection, and deeply satisfying.
Click here for more information about Tracy Walton, LMT, MS.
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