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Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
September, 2012, Vol. 12, Issue 09
Achieving Heart-Centered Healing
By Sharon Puszko, PhD, LMT
As massage therapists, we have dedicated our lives to positively effecting people through touch. Some clients come to us for relief from medical conditions, others are athletes recovering from muscle fatigue and the majority are regular folks trying manage stressful lives.We understand the power of "heart-centered" healing, and believe that practicing it in our work results in a better healing for our clients. I, personally, feel honored that people entrust us to help them "feel better" for one hour of their day. But, did you know that science has now proven that what we think and feel in our hearts has an actual impact on ourselves, and those around us? We do not even have to be physically touching another person in order for the electromagnetic field of our heart to impact another person's body. I came across some fascinating research that made me approach the work we do in a whole new light.
The Institute of HeartMath - founded in 1991 - is an educational and research based nonprofit dedicated to helping people become less stressed in order to lead more fulfilling and productive lives. Much of their research is focused on the heart, specifically, how it communicates with the brain and the body. The research behind the evolution of HeartMath came from the idea that the body's emotional response to events do not always occur from "top-down" processing (i.e., the brain sends signals to the heart and other organs, and the body responds accordingly). Rather, it has now proven that often times our emotional state triggers our heart to send out its own signals to the brain and other organs, and the body then responds accordingly. For instance, while two-way communication between the cognitive and emotional systems is hard-wired into the brain, the actual number of neural connections going from the emotional centers to the cognitive centers is greater than the number going the other way. Have you ever: Made a "rash" decision? Done something dangerous on impulse? Taken a risk because you believed in it? This research helps explain the influence emotions have on our ability to think and act.
In fact, researchers at HeartMath have determined that the physiology and nerve centers of the heart are so complex and active, that they constitute a "brain" all on their own, termed a "mini-brain." We now know that the heart contains cells that produce and release norepinephrine and dopamine, neurotransmitters once thought to be produced only by the brain and ganglia outside the heart. Even more remarkable is the discovery that the heart produces oxytocin -the "love hormone" - in concentrations that are as high as those in the brain.
In addition, it has been determined that the heart is the most powerful generator of electromagnetic energy in the human body, producing the largest rhythmic electromagnetic field of any of the body's organs. The heart's electrical field is about 60 times greater in amplitude than the electrical activity generated by the brain. This field, measured in the form of an electrocardiogram (ECG), can be detected anywhere on the surface of the body. Furthermore, the magnetic field produced by the heart is more than 5,000 times greater in strength than the field generated by the brain, and can be detected a number of feet away from the body, in all directions, using SQUID-based magnetometers. Our results provide intriguing evidence that an exchange of electromagnetic energy produced by the heart occurs when people touch or are in proximity. While this signal is strongest when people are in contact, it is still detectable when subjects are in proximity without contact.
So, you may ask yourself, why is all of this important? It means that when we lay hands on people, we have a much more profound effect on their state of health then we originally thought. If we are distracted, scattered, angry, anxious or sad, we are unknowingly transmitting those feelings to our patients when they are on the table. It also means that no matter how hard we try, we cannot perform at our best when our body is not in a relaxed, happy or positive state. One of the main functions of HeartMath is to teach people how to focus their mind and detach from stress, so their heart patterns become more "coherent" with the rest of the body. Learning how to do this allows us to function at our optimal level, and emit energy that has a positive impact on those within close proximity to us.
Most of us have a form of pre-client "routine" we perform to help us prepare for a massage, that may include deep breathing, inhaling certain scents, stretching, praying, etc. Clearly, those who came before us in the field were on to something when they taught us this technique. In order for your work to be successful, I believe it is crucial to get into a positive, clear frame of mind before working on clients. If you do not have a daily method by which you relax your thoughts, I encourage you to look into this, and find something that works for you. There are a multitude of print and online resources for meditation, relaxation and mood changing techniques that offer many quick and practical ways to center your heart and mind. It seems like the more we learn, the more evidence there is to prove a mind-body connection. As someone who started in this business in the 1980's, when that concept was rarely talked about in the U.S., it is validating to see how far we have come in accepting it. Even more exciting is to consider what we will know about the mind-body connection as research continues on this subject in the years ahead!
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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