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What Should You Call Your Patients (and What Should They Call You)?
When I walked into the exam room, the new patient looked uneasy, fumbling with his cellphone. He was a huge Polynesian man, probably in his 40s, with unrecognizable island tattoos.
Are Herbs Useful for Chronic Pain?
The human nervous system is what makes us special, but our greatest strength also makes us vulnerable: witness the growing incidence of chronic addictions, anxiety, depression, sleep disorders and chronic pain syndromes.
Shoulder Rehab: The Gait Connection
Shoulder problems can be difficult to rehab completely for several reasons. The shoulder is made up of several joints that must function together smoothly to provide the extreme mobility that is possible and necessary for many activities.
2016 Trudy McAlister Foundation AOM Scholars
This year, the Trudy McAlister Foundation (TMF) received a record number of excellent applications for the 2016 scholarship awards and has awarded five scholarships for $2000 each. More information is available on our website: AOMScholarship.org
Treatment of Type 1 Diabetes Mellitus: The Latest Breakthroughs
There are now more than 29 million diabetics in the U.S. and 10% of them have Type 1. The incidence has been increasing in recent years at an epidemic rate.
F4CP Campaign Addresses Public Misperceptions of Chiropractic
In late 2015, results of the Gallup-Palmer College of Chiropractic Inaugural Report: Americans' Perceptions of Chiropractic were published. The report found that 33.6 million U.S. adults (14 percent) had utilized chiropractic care within the previous 12 months.
Chiropractic Needs a Lesson in Education
The American Chiropractic Association has launched a campaign, The National Medicare Equality Petition, to enact federal legislation that would achieve full physician status for DCs in Medicare.
The Eight Extraordinary Confluent Points
The eight extraordinary confluent points are a very popular set of acupuncture points in the modern practice of acupuncture. They are also called the intersection, meeting, command, opening, master, and the flowing and pooling points of the eight extraordinary vessels.
Acupuncture at a Pain Clinic
Introduction: Pain is the most comprehensive human experience. The experience of pain is associated with the somatic, emotional and social impact. Pain has not only somatic symptoms, but also psycho-social dimension, especially in case of chronic pain.
Herbal Medicine Continues to Evolve
Product manufacturers, industry partners, distributors and practitioners work as a collective Traditional Chinese Herbal Medicine (TCHM) community to produce high quality TCHM prescriptions that bring low-risk healthcare to thousands of patients everyday.
Does Anyone Know You're a Good Chiropractor?
If you had a chance to read the recent article in Time magazine (April 6), you know it provided some good information about the efficacy of chiropractic to the magazine's substantial consumer audience.
How to Bill Evaluation and Management Codes
Q: I am in need for guidance on how to bill evaluation and management (E&M) codes in addition to acupuncture the same date of service, I have never been paid for an exam when done with acupuncture and I believe I am doing it wrong.
Bring on the Bitters
Out of all the possible flavor choices with foods, such as sweet, sour, salty, and umami (deliciousness), which would you choose first? Bitter, though not as enjoyable, is also a flavor.
Time for World-Wide Growth
Acupuncture is the organically growing around the world. The legislative body in Quatar has said acupuncture is "okay." The United States has five states to go to have every state recognized and regulated.
Who is Your Ideal Patient?
Being in a healthcare practice requires you to think critically about many things including your equipment, techniques, documentation, financial goals, and the retention of clients and staff.
Introducing the Dynamic Chiropractic Digital Edition
In response to the changing habits of our readers, Dynamic Chiropractic is proud to introduce a digital edition of the publication beginning with the July 2016 issue.
Five-Element Reaches Out to Serve the Community
In 2006, a student at the Institute of Taoist Education and Acupuncture (ITEA) approached the administration about an idea for his senior project.
Diet, Nutrition and the Context of Risk (Part 2): Food Poisoning
Other than the morbidity and mortality linked to eating too much food, "all-natural" organisms that contaminate our food cause more illness, more hospitalizations and more death than food contaminated by heavy metals, plastics, preservatives, artificial colors, emulsifiers, artificial sweeteners and pesticides combined.
The Good, the Bad and the Successful in Social Marketing
You might be thinking, "social marketing, don't you mean social media?" No, I mean social marketing. Every day, I keep reading, hearing and learning more and more about the changes happening in social media.
Immunotherapy: Where Molecular Medicine Crosses Into Holistic Thinking
Immunotherapy, and its promise as a cancer treatment, has been in the news a lot in the last few years, and for good reason. Real shifts are happening in oncology and exciting researchers, clinicians, and patients.
The Liver: The Official of Planning
The Liver, with its paired Official, the Gall Bladder, belongs to the Element Wood within us. Wood grants us the power of birth – new beginnings, growth, breaking through boundaries and surging forward. It is the vigorous, exuberant energy of the spring season.
Day in the Life of an Advanced- Practice DC (Pt. 2)
Let's continue our Q&A with Stephen Perlstein, DC, APC, chair of the New Mexico Chiropractic Association PAC and president of the American Academy of Chiropractic Physicians. Part 1 of this interview appeared in the May 1 issue.
We Get Letters & Email
Another Slap in the Face for DCs; I Know Where to Find the Missing Chiropractic Patients; Clarification on Vitamin D Study.
Case Studies and Answer Analysis for NCCAOM Exam in Foundation of Oriental Medicine
Case studies are very common for acupuncture school students, either in class exams or during taking the national board exam. Most test takers feel they have no idea where they should start and how they should start to analyze those complicated cases.
The Effectiveness of Chinese Medicine in Treating Infertility in the Philippines
Infertility is defined as the inability to achieve a successful pregnancy after 12 months or more of regular unprotected intercourse.
June, 2012, Vol. 12, Issue 06
Walking or Hiking Your Way to Better Health
By Sharon Puszko, PhD, LMT
I was planning on beginning this column with, "Now that winter is ending, we can turn our attention to outdoor activities." However, considering the unusually mild winter most of the country experienced, it seems like there was not much difference between the weather last October and the weather in February.One of my friends in the midwest called this the "winter that wasn't" and I have to agree with her. But it does put a damper on the theme of this article, which was to suggest getting outside and walking now that the weather permits it. Rather, what might be more appropriate this year would be to say that if one has not already taken advantage of the mild temperatures, now is a great time to start, perhaps with some walking or hiking.
In my experience, people have been very opinionated when it comes to walking or hiking; either people enjoy these activities and believe they are a great form of exercise, or people roll their eyes and believe it is a complete waste of time. I've noticed that most of the folks in the latter category seem to be runners. They seem to get personally offended by the idea that walking could replace jogging as a form of exercise. After all, as practitioners we well know that the knees cannot "run" forever, regardless of how much one's spirit wants to. Personally, I have viewed walking and hiking as a good form of exercise for my older clients, and clients with injuries that prevent high-impact sports. However, now that I have researched the topics, I find myself reconsidering walking and hiking as exercises reserved solely for my older clients. While walking is one of the most natural activities we do - being able to walk upright is one of the defining characteristics of our species - when done creatively and intentionally, it provides an excellent workout for all who do it, whether one is 22 or 75. Considering the general state of health in the U.S., it is becoming critical that we take walking seriously.
For instance, in 2007 the American Heart Association (AHA) revised its original recommendations on exercise in order to maintain a healthy heart. It concluded that the minimum amount of exercise needed to stay healthy was 150 minutes per week. Unfortunately, the AHA goes on to say that only 15 percent of American adults actually achieve 150 minutes per week, which is not encouraging for us as a nation. In several places, this report specifically suggests walking as a way to meet these guidelines. In January, the AHA also implemented a national Walking Clubs initiative, in which anyone can start or join a walking club in their area to help them get more exercise. Notice that the American Heart Association did not begin a running club, or biking club, or a soccer club - it chose walking as an acceptable and accessible form of exercise to keep your heart healthy.
In "The Complete Guide to Walking," Mark Fenton mentions some basics to keep in mind when beginning a walking program:
The best thing about walking is that it is so easy to start. Experts agree that the only "necessary" item to begin a walking program is a good pair of shoes. This means that they should be new, or relatively new: any athletic shoe that has been regularly used for six months or more is no longer considered optimum for exercising. A designated walking shoe or a light hiking shoe is best, and the next best would be a running shoe. The important characteristics of the shoe include one that bends easily at the ball of the foot, is firm through the arch area, and has a low heel.
Speaking of hiking shoes, let's briefly discuss hiking for those of you who are more adventurous, live near ideal hiking environments, or want more of a cardiovascular challenge. Again, proper footwear ranks as one of the most important items for anyone who wants to hike. According to recommendations in "The Complete Hiker," this means shoes and socks. Socks should be thick and preferably a blend of synthetic and natural fibers. While the old standard was to wear two pairs of socks, sport-specific socks are now readily available, making one pair of socks sufficient. The socks should not have loose strands, or bunch up anywhere, both of which could cause blisters. Once you have your socks, wear them to try on boots (thick socks can impact your shoe size). When picking out boots, remember that feet swell when hiking, so one should not feel any compression in the toe area when trying them on. The heel should also fit snug enough to prevent your toes from hitting the front of the boot on a descent.
In addition to footwear, proper attire is also very important when hiking. The key here is layering: since weather can change dramatically throughout the day, or even over the course of a couple of hours, one needs to be prepared for a significant temperature change. A base layer that consists of wicking material is the most important, and if you have other layers that wick as well, that is even better. Make sure your clothing can be easily removed when you get hot, and can be put on easily when you get cold. It should also be able to fit in whatever type of pack you are carrying.
Regardless of whether you prefer walking or hiking, the point is that both options are great forms of exercise that our bodies are naturally designed to do. Just like cheetahs are designed to run and sharks are designed to swim, our bodies are designed to stand upright and walk. Molly Allard, an ACE certified personal trainer based in Davenport, Iowa, agrees: "I think walking is one of the best forms of exercise. It is a total body work out that can be done by just about anyone, anywhere, since it is gentle on your joints. Walking is a great choice for beginning exercisers, but can also be challenging to more experienced athletes when adding hills, varying walking speed, and swinging the arms more. Hiking is a great cardiovascular workout that also provides lower body toning. It is definitely more challenging that walking. Due to the fact that hiking usually involves inclines, descents and uneven surfaces, the chance for injury is higher than walking. Therefore, I would recommend it for people who are at intermediate or advanced fitness levels. Some people prefer the mind-body connection that hiking in nature provides, while others enjoy walking around the city. Either way, walking and hiking are excellent ways to start exercising, or to add something different to your normal routine."
So, put on some shoes and get going!
Sharon Puszko is the owner/director/educator for Day-Break Geriatric Massage Institute. She may be contacted at
or through her Web site: www.daybreak-massage.com.
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