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Making Sense of an Increasingly Obvious Conclusion
Where's U.S. health care heading? Like it or not, the list of telltale signs is growing to a point that stands out to even the most myopic observer. Consider this list of facts as you look into the future of health care in the United States:
Diagnose Sprain Injuries in MVA Cases With Dynamic X-Rays (Pt. 1)
Am I the only person to notice hospitals are doing a seemingly insufficient job lately in their initial radiological workup of motor vehicle accident (MVA) victims?
Your Billing Questions Answered
I hear a lot of the following questions: I am afraid I may doing something illegal. I have heard I cannot have different fees for the same service.
Too Many to Remember: Tips to Revive Your Ortho / Neuro Test Skills
When I was at Palmer in the mid-1980s, we were given a set of notes in one of our diagnostic courses. The notes covered approximately 70 orthopedic and neurological tests for various regions of the body.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 2
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
It's Time to Review
It is amazing to see the changes that are occurring in the acupuncture profession. Let's look at some of the news and events that have contributed to this growth and awareness.
Which Way is the Energy Going? Are You Burning Yourself Out?
One of the simple methods that I use to define Yin/Yang theory to patients is to ask the question, "Which way is your energy going?"
Mechanism: Experimental Approaches to Understanding Acupuncture, Part 1
The clinical benefits of acupuncture are difficult to ignore, but also can be difficult to explain to a Western audience. For nearly 50 years, relentlessly inquisitive scientists and physicians have been working toward a conceptual model to explain acupuncture.
F4CP Making a High-Impact Impression
The Foundation for Chiropractic Progress has released details of its 2016 strategy, certain elements of which are already in play. The strategy includes ads, posters and other resources available to all F4CP members.
Chinese Herbs and Pulmonary Fibrosis: A Case Study
"Mary M."* recently celebrated her 90th birthday. Even the former sheriff dropped by to kiss the hand of this diminutive retired teacher, to honor the years she interpreted for him during interviews with Latinas and Latinos.
The Modern Application of Ancient Mei Rong
Chinese Medical Cosmetology (Mei Rong) has a well-documented and venerated history dating back to the Qin (221-206 BC) Dynasty.
Dietary Fat and Prostate Cancer: An Important Update
K.M. Di Sebastiano and M. Mourtzakis published a review paper examining the role of dietary fat on prostate cancer development and progression late last year that does a stellar job of summarizing the available data on fat and prostate cancer.
The Concussion-Subluxation Complex
In the Aug. 1, 2014 issue of Dynamic Chiropractic, I reviewed some of the literature demonstrating the role of the chiropractic adjustment in post-concussive care.
Footsteps of the Sages: An Apprenticeship with Dr. Kezhan Zhang
When I met Dr. Kezhen Zhang in May 2013, I was his translator and the integrity, creativity, and passion he demonstrated as a practitioner and advocate of the medicine convinced me to travel to Beijing to study with him.
Designing a Fitness Plan (Part 1)
It doesn't matter if you come to my practice for pain relief, weight loss, healthy aging or something else. The formula I talk about for each patient's fitness strategy is pretty much the same.
Targeting the Bad Apples in the Bunch
While everyone was focused on the conversion to ICD-10, the Office of Inspector General for Health and Human Services released a new report on chiropractic titled "CMS Should Use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services."
North Carolina Acupuncture Board Files Dry Needling Lawsuit
In early September, the NCALB filed a complaint against the North Carolina Board of Physical Therapy Examiners over the issue of dry needling, a form of acupuncture that uses solid needles to puncture the skin and muscle tissue to relieve pain.
Pro-Con: Swaddling for Newborns
The practice of swaddling has been used for thousands of years and was popular until the 1700s, when it was slowly abandoned by many cultures that considered it old-fashioned or barbaric.
Omega-3 Fish Oil: An Underappreciated Element of Men's Health
As a clinician with many male patients -- and as a man myself -- I am all too aware of the fact that we like to convince ourselves that we are doing great, when that may be the farthest thing from the truth.
Born to Energize the Human Spirit: Recollections of Sig Miller
Sig Miller, longtime executive director of the Association of New Jersey Chiropractors (ANJC), passed away on Sept. 17 after a long battle with cancer.
One Size Does Not Fit All: Exercise and Nutrition According to Your Yin/Yang Body Type
There are countless new exercise and nutrition plans out there, emphasizing the latest ground-breaking research and claiming to revolutionize the way we view health.
Tailor-Made Knee Pain: The Sartorius Muscle
A patient was referred to my office after receiving treatment from various providers with no results. The patient was training for the Olympics as a marathon runner and was unable to run or walk without severe medial knee pain.
Syncretism: Acupuncture and Public Health in Cuba
"Syncretism" is defined as a union of diverse tenets or practices. On a recent trip to Cuba designed to demonstrate the integration of Traditional Medicine and biomedicine, our group witnessed this union firsthand.
Acupuncture and Oriental Medicine in the West
We know acupuncture and Oriental medicine as the indigenous medicine of East Asia; in particular China, Korea and Japan are the countries of origin of this wonderful healing system.
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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