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Leg-Length Inequality and Pelvic Fixation: A New Approach to the Negative Derifield (Part 2)
As we noted in our previous article, with a positive Derifield (+D), the doctor observes the reactive (shorter) leg in the prone position that becomes longer or "crosses over" in the flexed position.
5 Simple Steps to Create an Effective Marketing Calendar
In the educational experience of most healthcare practitioners, business and marketing are overlooked topics.
Reducing the Autogenic Inhibition Reflex: Making Weak Muscles Strong
The autogenic inhibition (AI) reflex is a sudden relaxation of a muscle in response to excess tension.
A Poor Choice for Pain Relief
Acetaminophen is the most popular pain reliever in the U.S., accounting for an estimated 27 billion annual doses as of 2009. With 100,000-plus hospital visits a year by users, it's also the most likely to be taken inappropriately.
We Get Letters & Email
A House Divided? (May 1 issue) provoked significant response from readers. Here are several of the surprisingly similar comments we received.
Medicine is Clumsy, Don't You Be
All medical systems have clumsiness in them. If the technique isn't, the practitioner is. Everyone in every form of medicine is striving to improve. That is why we call it practice.
ACA or ICA: Which Best Represents You?
Last June, I was honored to represent Texas ICA members as their representative assemblyman at the ICA Annual Meeting in Kansas City.
Professional Credentialing and Board Certification: An Ethical Faux Pas
Because of the Affordable Care Act, health care systems are coordinating care through accountable care organizations (ACOs) in order to reduce the cost of care and improve quality of care.
Our Biggest Challenges to Compete in Wellness Care
In the first article in this four-article series [May 1 DC], I made the case that chiropractors should either embrace offering lifestyle wellness in their practices or face the possibility of losing their place in the wellness care marketplace.
How Much Do You Know About the Benefits of Birds Nest?
Edible bird's nest is the nest made by the Swiftlet bird of Southeast Asia that is usually prepared as a soup and prized in Chinese culture as a healthful delicacy.
The Tide is Rising in the Acupuncture Profession
Former President Ronald Regan said, "When the tide rises all boats float." The tide is rising for the acupuncture profession. Many forces outside the profession are helping the tides to rise.
Marijuana, Apathy and Chinese Medicine, Part 1
This article was written in response to the unheeded acceptance of marijuana as a harmless substance that potentially does good when used for the medical relief of pain.
The Acupuncturist's Problem
I want share with you some observations and insights into what seems to be the most common problem my colleagues in the acupuncture profession struggles with. If you also struggle with this problem, I hope you get a valuable "aha" moment from reading this.
Animal Acupuncture: A Case Study in the Treatment of Traumatic Injury in the Equine
The rise of animal acupuncture in the U.S. began in the early 1970's as a result of the work by members of the National Acupuncture Association in Westwood, Calif.
PCOM Granted Regional Accreditation
Pacific College of Oriental Medicine (PCOM) recently announce it has received regional accreditation from the Western Association of Schools and Colleges (WASC). This achievement reflects five years of hard work on the part of faculty, staff, and students.
Green Tea Improves Cognitive Function in Elderly Subjects
Publishing their results in the journal Nutrients in May 2014, researchers showed that drinking the equivalent of 2-4 cups of brewed green tea (or bottled tea) daily improved cognitive function or reduced the progression of cognitive dysfunction in elderly subjects.
Giving Vets the Care They Deserve
The Department of Veterans Affairs (VA) administers the largest integrated health care system in the United States.
Spieth Thanks His Chiropractor After Historic Masters Win
Jordan Spieth didn't just capture the hearts of golf enthusiasts worldwide with his record-setting, wire-to-wire victory at the 79th Masters Tournament.
The Challenges of Integrating Eastern and Western Medicine
My Masters thesis was titled, "The Challenges of Integrating Eastern and Western Medicine," which highlighted several reasons why it is hard for these two worlds to mix.
First Do No Harm?
There's no questioning the frightening nature of breast cancer, which strikes one in eight women in the U.S. – eclipsed only by skin cancer in terms of prevalence.
5 Tips for Using Pinterest to Market Your Practice
Pinterest is a very popular, but often under-utilized, social media platform where people can bookmark, or "pin," fun and interesting things from all across the internet.
Rethinking Musculoskeletal Pain – A Public Health Perspective
The American Public Health Association (APHA) is the world's oldest and largest association of its kind, founded more than 140 years ago and boasting over 25,000 members.
Integrating Art with Clinical Practice for Patients with PTSD: The Artemis Project
Are you restricted by those one-on-one clinic dynamics? Why not join colleagues and clients in experimental group settings? Three of us volunteered to do just that in Austin on behalf of women veteranss from all branches of the service.
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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