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Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
September, 2012, Vol. 12, Issue 09
Touch Matters: Massage for Children With Cancer
By Tina Allen, LMT, CPMMT, CPMT, CIMT
Receiving a thank you call is one of the biggest compliments you can receive from your client, post massage. Even better though, is when the call comes from a parent after you have massaged their child.However, the thank you changes and becomes even more meaningful when the parent calls to thank you for massaging their child so they could finally be free of pain, fall quietly to sleep and pass while they rested. This has been my experience, time and time again, as I work with children with a variety of medical diagnoses, in hospice and palliative care.
Initially reading this, many people will feel sad or have grief at the loss of a child. However, there is a very positive side. What would be better, a child passing comfortably or in agonizing pain?
Not Necessarily a Death Sentence
Not all children with cancer will die. The American Cancer Society states that approximately 12,060 children in the United States under the age of 15 will be diagnosed with cancer in 2012, with an estimate of one in 330 children to develop cancer by age 20.
Due to the major advances in treatment and care, 80% of diagnosed children will survive five years or more. This is a significant increase from the survival rates of the 1970's when the five year survival rate was less than 50%. Although the five year survival rate is steadily increasing, one quarter of children will die within five years from the time of diagnosis. Different types of cancers have different rates of survival, and cancer kills more children each year than cystic fibrosis, muscular dystrophy, asthma and AIDS combined.
Luckily, childhood cancers are rare, making up less than 1% of all cancers diagnosed each year. However, childhood cancer rates have been rising slightly for the past few decades. Despite its rarity and the major advances in treatment and supportive care, cancer is still the second leading cause of death, after accidents, in children younger than 15 years old. Approximately 1,340 children are expected to die from cancer in 2012.
Complementary therapies are increasingly integrated into mainstream cancer programs and centers. According to Harvard Medical School researchers, almost 12% of children and adolescents in the United States use complementary or alternative medicines, known as CAM. About 66% of children with cancer use some type of CAM. Although most studies have reported the effects of massage in adult patients, pediatric cancer patients also experience reduced pain after massage therapy. Massage is one of the most commonly used pain management strategies for pediatric patients newly diagnosed with leukemia.
Research has suggested that massage therapy can ease both physical symptoms, as well as emotional discomforts associated with pediatric medical conditions. Studies conducted by the Touch Research Institute at the University of Miami School of Medicine show that massage can alleviate pain, anxiety and depression in pediatric clients. No one likes to think of a child being in pain, let alone having anxiety or depression. However, it is a reality for these children and their families.
For cancer patients, especially pediatric cancer patients, even just a little relief can mean a lot. In general, about a third of all cancer patients experience significant pain. According to the National Cancer Institute, 15% to 25% of cancer patients become clinically depressed at some point during their illness. And of course, the very nature of possible hospitalization, isolation and the treatment for this very serious illness often makes things worse.
During massage, levels of feel-good neurotransmitters such as serotonin and dopamine spike, oxytocin (nurturing, cuddle hormone) is increased, while measures of the stress hormone cortisol drop. Massage can be just the supportive therapy a pediatric oncology client needs.
Massage therapy can be readily applied, most effectively by specially trained massage therapists or by parents who have learned massage techniques from a skilled, educated pediatric massage therapist.
When using massage therapy for children with cancer, your work does not need to be aggressive to achieve its maximum potential. Most types of massage (i.e. Swedish massage, light nurturing touch) result in various levels of symptom relief for patients; however, those patients receiving Swedish or light touch massages report significantly greater reduction in symptoms.
Not only is it imperative that you are trained in pediatric oncology massage prior to working with this population, but you must also consider all of the emotional and physical aspects associated with illness.
When working with children, you must always ask their permission to provide massage and nurturing touch. You are never to provide touch "to" a child, but rather with their absolute permission. As you are providing care to a minor, their parent's and physician must also be involved in this consenting and permission process.
Parents may be under an enormous amount of stress and anxiety, which causes the task of relating accurate information to be clouded. It is possible that they may not fully understand all of our questions, or may answer them incorrectly. They may give the wrong medication names, or even fail to mention something that we need to know to make the best care plan for the child. So, it is always a good idea to do a professional assessment and get further consent from the child's physician with express permission from the family to discuss private health information.
Working with the Healthcare Team
Communicating with physicians is not always easy. Many massage therapists feel their credentials are not comparative to that of a medical doctor. This can create tension during a conversation, as the massage therapist may doubt their ability to communicate in a manner familiar to medical personnel. This is why it is even more important to take the time needed to adequately asses the situation, diagnosis, possible indications and contraindications and write up a detailed care plan based on your assessment. When you present a physician with clear, concise information that has been well thought out, you can more effectively communicate the need for the noninvasive care pediatric massage therapy can provide.
Even just the act of holding a sick child's hand, communicates they matter. Finding your passion and believing that what you are doing is making a difference, makes getting up and going to work each day possible. When I started Liddle Kidz Foundation, I began with the thought that one person can truly make a difference and I have found this to be true. We all have the ability to make a difference everyday and should practice with this thought: "Children are our greatest gift, and should be treated with extraordinary care!"
Click here for more information about Tina Allen, LMT, CPMMT, CPMT, CIMT.
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