resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
After two treatments for back pain, a patient presents for a third
session complaining of rapid breathing and wheezing that is made worse
during cold weather.
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
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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