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News In Brief
A "Modern" Business Model. Acupuncturists may have a new professional atmosphere to consider, as a new concept is on the horizon - at least for one business.
Insomnia Treatment Based on the Yu Theory
In recent years, acupuncture has risen in popularity as a form of alternative or supplemental medicine for the treatment of many different types of disorders.
Chiropractic: A Great Fit for the White House
Dr. Eric Kaplan is a New York Chiropractic College alumnus; a No. 1 best-selling author whose books include Awaken the Wellness Within and The 5 Minute Motivator; a chiropractor for professional sports teams and elite athletes; and even served as an advisor under the Clinton Administration to the President's Council on Sports & Physical Fitness.
Good Works at the Canandaigua VA
Faculty and students of the Finger Lakes School of Acupuncture and Oriental Medicine (FLSAOM) of the New York Chiropractic College have provided acupuncture to veterans at the Veterans' Administration Medical Center (VAMC) in Canandaigua, New York since September of 2007.
What's Bugging You? Probiotics and Your Health
An estimated 100 trillion microorganisms representing more than 500 different species inhabit every normal, healthy bowel. Gut-dwelling bacteria keep pathogens in check, aid digestion and nutrient absorption, and contribute to immune function.
How to Correct a Cuboid Subluxation
Cuboid subluxation is a poorly recognized condition, even though it is not uncommon. It has been described in the literature under various names: cuboid subluxation, cuboid syndrome, locked cuboid, dropped cuboid, cuboid fault syndrome or peroneal cuboid syndrome.
Making Sense of Liver Regulation
In Chinese medicine, the liver has the function of moving and storing qi and blood. In its moving function, the liver smoothly distributes qi and blood to the tendons, muscles and flesh through microcirculation.
Shedding Light on the Benefits of Heliotherapy
I can't imagine anyone not feeling good strolling in the sun on a beautiful spring day. The sun is responsible for all life on earth and is best illustrated along the equator touting the richest biodiversity on the planet, in stark contrast to the Arctic Circle and South Pole.
Treating the Terrain of Chronic Sinus Infections
Chronic sinus infections can be stubborn to treat, but the therapeutic path forward can be simplified when utilizing three distinct treatment principles which take into account the terrain of the body, and the way in which microbes grow.
Help Save an Important Chiropractic Landmark
The chiropractic profession has a splendid and varied history. Sadly, many landmarks have been lost to bulldozers and wrecking crews, such as the Ryan Building, Little-Bit-O-Heaven, Spears Chiropractic Hospital, and Clearview Sanitarium.
Waist Circumference: A Conversation Starter (Part 2)
Now let's discuss the clinical approach to reducing WC and implementation in today's chiropractic practice. The primary intervention centers around dietary modification and lifestyle habits aimed to reduce adiposity, improve insulin sensitivity and ultimately, diminish systemic metabolic dysfunction.
Give Your Patients the Ergonomic Advantage
Prolonged sitting contributes to low back pain and is a health risk. When I discuss my POLITE technique practice recommendations with patients, ergonomics may be last, but not least!
Caring for Refugees in Greece
At the beginning of 2016 I had no idea what was in store for me, but I was looking forward to a personal retreat on the Greek island of Paros; a graduation gift to myself after 22 years of motherhood, and four-plus years of Chinese medicine school.
Treating LBP the Right Way: Think Natural
An updated clinical practice guideline from the American College of Physicians (ACP) recommends spinal manipulation and other non-invasive, non-drug therapies as first options for acute, subacute and chronic low back pain, rather than pain medications, as stipulated in the original 2007 guideline.
The Chiropractor's Guide to CRISPR
Science magazine's "Breakthrough of the Year" award for 2015 was described as "the gene-editing tool called CRISPR." CRISPR stands for "clustered regularly interspaced short palindromic repeats."
5 Ways to Enhance Your Family Practice
Every practice has a personality style. A practice that caters to athletes, PI cases or adults, for example, projects differently to patients than a family wellness practice.
Toxicity & Kids: The Importance of Environmental Intake
The old adage is true that children are not little adults. Traditional Chinese medicine (TCM) has long known that the physiology of children is unique, as are the diseases that plague them.
NSAIDs No Better Than Placebo for Spine Pain
A meta-analysis of randomized, placebo-controlled trials comparing the efficacy and safety of NSAIDs with placebo for spinal pain concludes that among 6,065 spine pain patients, "NSAIDs reduced pain and disability, but provided clinically unimportant effects over placebo."
Scope of Chiropractic Practice: Why Now Is the Time to Expand
In my January article, "Scope of Chiropractic Practice: Is It Time for Change?" I discussed the use of the term primary spine care practitioner, the loss of privileges to diagnose in Texas, and the fact that the definition of "chiropractic" varied from state to state.
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
The First (Only) Choice for Spinal Pain
The study on NSAIDs for spinal pain summarized on the front page of this issue is intriguing on a number of levels, the most obvious being the conclusion that "compared with placebo, NSAIDs do not provide a clinically important effect on spinal pain, and six patients must be treated with NSAIDs for one patient to achieve a clinically important benefit in the short-term."
April, 2012, Vol. 12, Issue 04
Dissection: The Ultimate Educational Experience
By David Kent, LMT, NCTMB
Have you ever wondered what the tissues look like under your patient's scars? Or how these tissues were affected by a knee or hip joint replacement? Have you ever wondered what an artery filled with plaque looks like or how easy or difficult it is to break a piece of plaque off the arterial wall during a massage? What does the inside of the chest cavity look like after the sternum has been cut in half and the chest has been spread apart for bypass surgery? Or the wrist that has experienced a carpel tunnel release procedure?
Would it be helpful for you to see and touch cancerous tissues? How valuable would it be to see, touch and compare the same muscle, such as a bicep or trapezius, on multiple specimens of different body types and genders at the same time? Are you curious about how the gastrocnemius and soleus muscle tendons merge to form the Achilles tendon? Or the relationship between the sciatic nerve and the piriformis muscle? Would you like to see how close a surgeon gets to the spinal cord during a laminectomy? Graduates of a full body dissection seminar have seen and touched the body, and dissected each layer, to know the answers to these and many more questions. The knowledge graduates gain and the refinements they make to their palpation skills is immediately applicable. Graduates say the experience transformed their treatment style and approach on many levels. A full body dissection is a rare educational opportunity that allows you to see and touch the structures that form (anatomy) the human body and understand how they function (physiology). The experience fundamentally changes your understanding of the human body.
If you find human anatomy dissection exhibits such as Body Worlds or BODIES fascinating, then you will feel comfortable in the dissection lab. I have been teaching dissection at the University of South Florida, College of Medicine, in Tampa since 1993. One third of the students in each dissection seminar are prior graduates of the program; many have attended five to eight times. The seminars were initially designed for massage therapists, however, over the years students have included a variety of health care professions from Acupuncture Physicians that want to refine their needle placement and depth, to physical therapists, nutritionists and others that want to learn more about the human body.
Each seminar begins with a tribute to honor the exquisite souls who bequeathed (donated) their bodies to science. We hold a dedication to our "Silent Teachers" for the privilege of being their students. We commit to embrace the valuable knowledge they are about to teach us and to apply that knowledge to the benefit of our patients.
Next we palpate the boney landmarks and inspect the cadavers for scars and surgical incisions. Even when we identify a surgical site, we don't know the nature of the surgery until we look inside the body (Photo 2). Signs of coronary bypass surgery might be easy to identify, but until we start the dissection, we don't really know what the scar indicates. One thing you will realize quickly is that you don't have to be a doctor to spot pathology. As we dissect through the layers of the body we uncover: joint fusions, pleural adhesions, aneurysms, hernias, cirrhosis of the liver, heart bypass, pacemakers and much more. These insights bring a whole new awareness about the effects of disease on the body. This new level of understanding causes students to judge contraindications and treat patients with even more care and sensitivity. Another interesting part of the dissection process is identifying anomalies (Photo 3). Over the years, students have identified a cadaver missing an upper trapezius on one side, another had a levator scapula with accessory rib attachments, a third had muscles missing areas of fiber in the leg that were filled with fat, just to name a few.
Dissection allows students to better understand the effects of various surgical procedures. For example, during bypass surgery, the great saphenous vein is removed from the lower extremity. This is what causes the long scar on the medial side of a patient's thigh and leg. During a dissection seminar, you learn exactly what structure was removed and how deep it was embedded in the thigh and leg. You see how it was reattached and used for the coronary bypass surgery. You know exactly what tissues and systems of the body were affected during the operation and how the tissues healed. The dissection process allows you to see through both the doctor's eyes and the patient's body at the same time, giving you greater clarity and insight into treating your patients.
The percentage of health care providers who perform a human dissection during the course of their education is relatively low. Taking part in a dissection creates a special bond, or level of respect, among its participants in the medical community. Graduates report a new level of confidence personally and professionally after dissecting every structure of the body, layer by layer, from skin to bone (Photo 4). The ability to go into a dissection lab to see and touch the structures that form the human body is a rare experience. Initially students enter the dissection lab simply to gain a better understanding of the human body. However, they are all amazed at the positive impact their new knowledge had on every area of their life.
Click here for previous articles by David Kent, LMT, NCTMB.
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