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Deciphering The New CMS 1500 Claim Form
Q: I am confused on using the new 1500 form, particularly Block 14 and Block 15. What is required and how do I properly fill these out? And do I actually have to use this new form or may I continue using the old version?
Post-Concussion Patient Care: Relevance of the Chiropractic Adjustment
There is a widespread understanding within the profession of the general guidelines for care of the concussion patient. These include guidelines for physical and cognitive rest, return to normal activities and so forth.
Looking For Answers In Many Places
I am sure we have all heard the old adage: "When the only tool in your toolbox is a hammer, everything starts to look like a nail."
Offline Marketing Techniques: Opportunities to Help Grow Your Business
In a world becoming increasingly dominated by connected devices, when we think of marketing, we often think of online and social media marketing. Considerable attention is given to Facebook and Twitter, as well as CPC [cost-per-click] advertising.
Super Bowl Chiropractor
With opening night of the 2014 National Football League season only a month away, what better time to talk to Dr. Jim Kurtz, team chiropractor for the defending Super Bowl champion Seattle Seahawks?
Advice for Young Doctors
When I began practice, I was just shy of my 25th birthday. I was young and I looked it. I had been told this would be a problem when starting a practice – and it was. Older patients often paused when they entered for care.
Primary Lateral Sclerosis: A Condition With a Chiropractic Connection
Primary lateral sclerosis (PLS) is a slowly progressive, adult degenerative disease of the upper motor neurons characterized by progressive spasticity or stiffness. It is a clinical diagnosis that has been avoided because it is (largely) a diagnosis of exclusion.
Best Practices for Website Success
If one asked 10 years ago whether a website was relevant I was the first to suggest no. Yet as the world moves increasingly towards electronic information there is a dire need to have a website for your practice. Your website is actually your electronic calling card.
The Gluteal-Knee Connection
The underlying causes of knee pain and dysfunction are rarely isolated to the knee. The knee is a relatively stable joint with limited intrinsic ability to adapt to aberrant motion.
Inside Liver Failure, Cirrhosis and Cancer
The Liver belongs to Wood in Five Element Theory and is in charge of Dispersing and Expanding which means all the processing and detoxifying of harmful substances such as medications and chemicals require the efforts of the Liver.
Healing With Hope
Ella is a Gulf War veteran and a survivor of military sexual trauma. Like hundreds of veterans, Ella was on 11 different medications for depression, anxiety, insomnia, irritable bowel syndrome and chronic pain.
Resolving Medial Arch Suspicions: The Navicular Drop Test
Healthy feet have three distinct arches: medial longitudinal, lateral longitudinal and anterior transverse.
F4CP: New Campaign to Promote Chiropractic as a Career
The F4CP has announced a "targeted cooperative campaign" that will engage doctors of chiropractic and chiropractic students, as well as chiropractic colleges, chiropractic media, state associations and vendors, to encourage DCs to recommend a chiropractic career to patients, family and friends.
Medical Qigong for the Heart: Part II
Chinese Medicine is rich in commentary regarding the emotions and how they affect our qi.
Healing With Simple, Healthy Food
When it comes to your health, there is no better way to take control and create positive outcomes than by focusing on diet and lifestyle. As chiropractors, you know the power that regular self-care has for your patients.
Talking to Skeptical MDs: "Just the Facts, Ma'am"
The first lesson in public speaking is to know your audience. This is particularly applicable when talking to skeptical medical doctors about chiropractic. You have to understand where they are coming from and speak the language they understand.
Hazards in the Environment Making Your Patients Sick
Working both separately and together, Western and Chinese medicine have many successes in the treatment of the myriad diseases that afflict human beings in modern times.
The Kidney Official
The Kidney is known as the Official Who Controls the Waterways. In Western medical terms, a major function of the Kidneys is to filter the blood. Every day, a person's kidneys process about 200 liters of blood to sift out about two liters of waste and excess water.
The Acupuncture Success Express
Time is passing very quickly these days. We are atoms half the way through the year of the horse. You could call it "horse racing season" for this profession. Perhaps it is time for reinvention during this time.
Spotlight on Acupuncture Research at IRCIMH
Acupuncture and Traditional Chinese Medicine were well-represented at the International Research Congress on Integrative Medicine and Health (IRCIMH)- 2014 which took place in Miami from May 13–16.
Looking Back: Abstracts From Chiropractic History
D.D. Palmer's Technique for the Posterior Apical Prominence; An Early Attempt to Achieve Consensus on Subluxation; Chiropractic Subject Headings: Past, Present and Future; Mabel Palmer: A History of Chiropractic That Almost Wasn't.
Not Another Typical Drug Company Lawsuit
It's becoming more common to see drug manufacturers negotiate "false claims" settlements for millions and billions of dollars.1-2 Most of these settlements have to do with violations in the marketing of the drugs they produce and sell.
Getting Athletes Back in the Game: Low-Level Laser Therapy for Sports Injuries
Sports injury rehabilitation is all about getting back in the game quickly and with optimal health. A relatively new tool for the treatment of sports injuries is finding global success, and it is doing so in a fast, efficient way.
August, 2012, Vol. 12, Issue 08
Lymphatic Self Care: Boosting Your Body's Ability to Heal Itself
By Eileen Laird, LMBT, LTC
As massage therapists, we spend our days caring for others and often arrive home too tired to take care of ourselves. What if there was a simple self-care protocol that you could do in 15 minutes, while you lay in bed at night, one that was relaxing as well as healing? Lymph drainage is just such a therapy.The majority of lymph nodes are located on the front of the body, making them easy to reach. It's gentle work, so it doesn't strain over-tired hands and you can cleanse the main lymph nodes in just 15 minutes, which is plausible at the end of a long workday. The results are relaxation, detoxification and healing on many levels. I use this self-care sequence myself and have taught it to both clients and colleagues.
The Effects of Lymph Drainage
By manually stimulating the lymphatic system, you:
So how do these broad changes specifically affect the body? The most famous application for lymph drainage is its effectiveness in treating edema and lymphedema. However, this therapy is profoundly effective for supporting our health overall. The Chikly Health Institute lists more than 100 indications for lymph drainage, from relieving pain to regulating digestion to treating skin conditions. "The curriculum has evolved, since we started," says Dr. Bruno Chikly. "We have seen over 10,000 students and have developed both a lymphedema and non-lymphedema certification." Their training includes applications for organs, joints, trigger points and fascial restrictions.
Isabelle Mender, a massage therapist in Eugene, Ore., gives herself a lymphatic boost seasonally. "During hay fever season, I usually treat myself twice a day. The treatments help to alleviate my sinus congestion, runny, itchy eyes and overall inflammation in my head." David Doubblestein, a Lymph Drainage Therapy Instructor, uses lymphatic self-care to prevent illness and treat injury. "At the first sign of a cold, I do lymph drainage on myself and typically avoid the illness," said Doubblestein. "I've also smashed my fingers more than once. (I admit I'm not the most graceful with tools.) Draining the area gets rid of the pain and throbbing sensation, and quickly too." However, Doubblestein stresses that you don't need to be sick or injured to practice lymphatic self-care. "I personally love the neck sequence anytime. In particular, it's an excellent finish to yoga practice. You can do the neck sequence when you're relaxing in corpse pose, and it puts your body in a parasympathetic state." Mender agrees, "it's a great way to simply chill out!"
Self Care Protocol
The lymph nodes are the powerhouses of the lymphatic system, and you have more than 500, located at pivotal points along your lymphatic vessels. The majority of your lymph nodes are located in the neck, armpits, abdomen and groin. These are the areas we'll be addressing in this simplified self-care protocol. Stimulating the main lymph nodes of the body has a global effect on the lymphatic system, increasing lymph flow body-wide.
Lymph drainage is very different from traditional massage therapy. Here are some things to know:
Step 1: Clavicle (Collarbone)
Hand Placement: Place your fingertips at the base of your neck, on the superior edge of your clavicle. Direction of Stroke: Using the lightest touch possible, stretch your skin medially, toward the sternal notch. This is a slow, three-second stretch. Release your touch completely for three seconds. Repeat four more times.
Step 2: Back Chain (Trapezius)
Hand Placement: Place the pads of your fingers on top of the trapezius muscle at the back of your shoulders. Direction of Stroke: Using the lightest touch possible, stretch your skin in a curving motion, laterally toward your outer shoulders and then slightly forward. Picture a candy cane. The long part of the candy cane is the stretch laterally across your trapezius muscle, then finish the stretch forward, like the hook on a candy cane. The total stretching movement lasts three seconds. Release your touch completely for three seconds, and then repeat four more times.
Step 3: Neck Hug
Hand Placement: Although this photo looks a bit like a choking hold, this hand position is very light, more like a butterfly's wings. Place the pads of your fingers on your sternocleido-mastoid muscles. The rest of your hands shouldn't touch your neck at all. In fact, there should be a gap between your hands and the front of your throat. Direction of Stroke: Using the lightest touch possible, stretch the skin over your SCM muscle directly down (inferior), toward your clavicle. This is a slow, three-second stretch. Release your touch completely for three seconds. Repeat four more times.
Step 4: Spinal Chain
Hand Placement: Place the pads of your fingers along the sides of your neck. Direction of Stroke: Using the lightest touch possible, stretch your skin slightly forward (anterior) and then down (inferior) toward the clavicle. The total stretching movement lasts three seconds. Release your touch completely for three seconds, and then repeat four more times.
Step 5: Waterwheel
Hand Placement: This is a small but very important lymph node area. The entire head and face drain through these nodes. Place the pads of two fingers behind your earlobe. You'll feel a soft spot. That's the waterwheel. Direction of Stroke:
Stretch the skin over the waterwheel directly down (inferior). It's a small area, so the stretching movement will be short – approximately one inch. Stretch for three seconds, release for three seconds, and then repeat four more times.
Rinse the Neck
Now that you've opened up all the lymph nodes of the neck, it's important to encourage free flow back to the clavicle. To do this, repeat the steps in reverse order (4, 3, 2 and 1). Then continue on to step 6 below.
Step 6: Axilla (Armpits)
Hand Placement: Lift your left arm slightly, and place the fingertips of your right hand in the peak of your left axilla (armpit). This is a very important region. The lymph of your arm, breast and part of your torso drain through here.
Direction of Stroke: Gently push inward, toward the center of your body. You are encouraging lymph flow back to your heart. Gently push in for three seconds, release for three seconds, and repeat four more times. Be sure and repeat this process for your opposite arm.
Relax the Abdomen
The next steps treat the lymphatic vessels of the deep abdomen. They are located beneath the abdominal muscles, so it is helpful to relax those muscles first. This can be done through deep belly breathing, or a few minutes of massage, your choice. After you have relaxed your abdomen, continue to step 7.
Step 7: Cisterna Chyli
Hand Placement: Place the pads of your fingertips on the center of your abdomen, between your rib cage and navel. The rest of your hand is lifted off your skin, so that your fingertips are the only part of your hand touching your abdomen.
Direction of Stroke: Gently push inward and upward. The pressure here is a little bit deeper. The rhythm, however, is the same: a three-second stretching movement; release for three seconds; repeat four more times.
Step 8: Abdominal "V"
Hand Placement: Place your hands flat on both sides of your lower abdomen. They'll form the letter, "V." Direction of Stroke: Gently push inward, and then upward on a diagonal, toward the sternum. (The movement is supero-medial.) The movement is a three-second deep stretch; release for three seconds; repeat four more times.
Step 9: Inguinals (Crease of Leg)
Hand Placement: Bend your knee and feel the angle that forms between your leg and pelvis. Place your fingertips on this crease.
Direction of Stroke: The pressure here is very gentle again, because these lymph nodes are just under the skin. Stretch the skin upward (superior). The length of the stretch is short – approximately one inch. Stretch for three seconds; release for three seconds; repeat four more times. Be sure and repeat this process for your opposite leg.
Rinse Back to the Heart
Now that you've opened up all the lymph nodes of the abdomen, it's important to encourage free flow back to the heart. Repeat steps 8, 7 and then finish with step 1.
The same contraindications that apply for massage therapy also apply for lymph drainage. Professional course curriculum goes into these in more detail.
Eileen Laird, LMBT, LTC has been a massage therapist for 10 years and has a private practice specializing in Lymph Drainage Therapy. She is certified through the Chikly Institute in Lymphatic Techniques, which is the holistic branch of their curriculum. She is also the author of two books.
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