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Case Studies and Answer Analysis for NCCAOM Exam in Foundation of Oriental Medicine
Case studies are very common for acupuncture school students, either in class exams or during taking the national board exam. Most test takers feel they have no idea where they should start and how they should start to analyze those complicated cases.
Diet, Nutrition and the Context of Risk (Part 2): Food Poisoning
Other than the morbidity and mortality linked to eating too much food, "all-natural" organisms that contaminate our food cause more illness, more hospitalizations and more death than food contaminated by heavy metals, plastics, preservatives, artificial colors, emulsifiers, artificial sweeteners and pesticides combined.
Bring on the Bitters
Out of all the possible flavor choices with foods, such as sweet, sour, salty, and umami (deliciousness), which would you choose first? Bitter, though not as enjoyable, is also a flavor.
What Should You Call Your Patients (and What Should They Call You)?
When I walked into the exam room, the new patient looked uneasy, fumbling with his cellphone. He was a huge Polynesian man, probably in his 40s, with unrecognizable island tattoos.
We Get Letters & Email
Another Slap in the Face for DCs; I Know Where to Find the Missing Chiropractic Patients; Clarification on Vitamin D Study.
Introducing the Dynamic Chiropractic Digital Edition
In response to the changing habits of our readers, Dynamic Chiropractic is proud to introduce a digital edition of the publication beginning with the July 2016 issue.
Who is Your Ideal Patient?
Being in a healthcare practice requires you to think critically about many things including your equipment, techniques, documentation, financial goals, and the retention of clients and staff.
How to Bill Evaluation and Management Codes
Q: I am in need for guidance on how to bill evaluation and management (E&M) codes in addition to acupuncture the same date of service, I have never been paid for an exam when done with acupuncture and I believe I am doing it wrong.
Shoulder Rehab: The Gait Connection
Shoulder problems can be difficult to rehab completely for several reasons. The shoulder is made up of several joints that must function together smoothly to provide the extreme mobility that is possible and necessary for many activities.
Are Herbs Useful for Chronic Pain?
The human nervous system is what makes us special, but our greatest strength also makes us vulnerable: witness the growing incidence of chronic addictions, anxiety, depression, sleep disorders and chronic pain syndromes.
Time for World-Wide Growth
Acupuncture is the organically growing around the world. The legislative body in Quatar has said acupuncture is "okay." The United States has five states to go to have every state recognized and regulated.
Herbal Medicine Continues to Evolve
Product manufacturers, industry partners, distributors and practitioners work as a collective Traditional Chinese Herbal Medicine (TCHM) community to produce high quality TCHM prescriptions that bring low-risk healthcare to thousands of patients everyday.
The Liver: The Official of Planning
The Liver, with its paired Official, the Gall Bladder, belongs to the Element Wood within us. Wood grants us the power of birth – new beginnings, growth, breaking through boundaries and surging forward. It is the vigorous, exuberant energy of the spring season.
The Eight Extraordinary Confluent Points
The eight extraordinary confluent points are a very popular set of acupuncture points in the modern practice of acupuncture. They are also called the intersection, meeting, command, opening, master, and the flowing and pooling points of the eight extraordinary vessels.
The Good, the Bad and the Successful in Social Marketing
You might be thinking, "social marketing, don't you mean social media?" No, I mean social marketing. Every day, I keep reading, hearing and learning more and more about the changes happening in social media.
F4CP Campaign Addresses Public Misperceptions of Chiropractic
In late 2015, results of the Gallup-Palmer College of Chiropractic Inaugural Report: Americans' Perceptions of Chiropractic were published. The report found that 33.6 million U.S. adults (14 percent) had utilized chiropractic care within the previous 12 months.
Acupuncture at a Pain Clinic
Introduction: Pain is the most comprehensive human experience. The experience of pain is associated with the somatic, emotional and social impact. Pain has not only somatic symptoms, but also psycho-social dimension, especially in case of chronic pain.
The Effectiveness of Chinese Medicine in Treating Infertility in the Philippines
Infertility is defined as the inability to achieve a successful pregnancy after 12 months or more of regular unprotected intercourse.
Treatment of Type 1 Diabetes Mellitus: The Latest Breakthroughs
There are now more than 29 million diabetics in the U.S. and 10% of them have Type 1. The incidence has been increasing in recent years at an epidemic rate.
Does Anyone Know You're a Good Chiropractor?
If you had a chance to read the recent article in Time magazine (April 6), you know it provided some good information about the efficacy of chiropractic to the magazine's substantial consumer audience.
Five-Element Reaches Out to Serve the Community
In 2006, a student at the Institute of Taoist Education and Acupuncture (ITEA) approached the administration about an idea for his senior project.
Immunotherapy: Where Molecular Medicine Crosses Into Holistic Thinking
Immunotherapy, and its promise as a cancer treatment, has been in the news a lot in the last few years, and for good reason. Real shifts are happening in oncology and exciting researchers, clinicians, and patients.
Chiropractic Needs a Lesson in Education
The American Chiropractic Association has launched a campaign, The National Medicare Equality Petition, to enact federal legislation that would achieve full physician status for DCs in Medicare.
2016 Trudy McAlister Foundation AOM Scholars
This year, the Trudy McAlister Foundation (TMF) received a record number of excellent applications for the 2016 scholarship awards and has awarded five scholarships for $2000 each. More information is available on our website: AOMScholarship.org
September, 2012, Vol. 12, Issue 09
The Significance of Tissue Density Measurement
By Linda LePelley, RN, NMT
Massage therapists often struggle with the perceptions and beliefs expressed by others about the validity of massage therapy. Some massage therapists end up questioning the benefits of massage as well.It saddens me when I hear a therapist state that massage is just a "feel-good" experience. While there is nothing wrong with basing one's personal practice on providing relaxation massage, there are many therapists who dedicate their work to the relief of pain. Those of us who strive, and are able, to relieve our client's pain are often told that our results are subjective, therefore, "anecdotal."
It's been suggested to me a few times that the reason I'm successful at relieving pain is that I'm so kind and my clients like me. Supposedly my, "therapeutic presence" makes people feel better. Therapeutic presence is very comforting and beneficial, but it alone will not change a physical problem. I've also been told I possess "innate healing abilities." Some of us may have been seduced by the heady notion that we are magical healers, an idea that finds room for consideration when one cannot otherwise explain good results where others have failed. However, we do the profession a great disservice by cloaking our positive outcomes in ambiguity. Such is the stuff that quackery surrounds itself with, "mysterious ancient secrets" and the like. Better to acknowledge that while we may not know why a treatment works, we use it because it causes improvement. By studying and refining such treatments, perhaps the improvements can be increased and eventually understood.
It was during a devastating period of time when a medical condition caused me to lose the ability to walk that I became aware that palpable changes in tissue density (TD) are a reliable gauge of musculoskeletal pain. I was not willing to give up my massage practice, so I made adjustments to my clinic, such as removing the legs from my massage table to lower it and working from a seated position in a rolling task chair. I looked at what I was doing from a different perspective, and started trying new things that I would never have considered had I still been able to stand correctly and utilize proper body mechanics. I can laugh now, looking back at the dark days when I feared I would no longer be able to make a real difference in medical conditions such as arthritis, back pain, sciatica and other painful conditions. I believed I would have to relegate myself to doing relaxation massage, that I could only do, "feel-good" work. I resolved, however, to give it my all and deliver the most relaxing, best feeling massage each client had ever gotten. It was at this point in time that my work became most effective. Seated, and spending more concentrated time on a focused area, I came to recognize the subtle changes in the density and texture of tissues.
Painful, elevated TD can absolutely be felt by the therapist. Once a therapist has developed the skill of TD palpation, they can recognize problem areas before the client is even aware of them. It is not a psychic or intuitive knowledge; it is a universally assessable, measurable and documentable state of being which can be determined, recorded, and understood by any skilled clinician. Most importantly, elevated TD is restorable, and, once restored to normal density, pain is relieved and function often returned. This is what successful massage therapists have been doing all along. By narrowing the focus of whichever method we use that effectively restores TD; one can increase positive outcomes dramatically.
I think of the existence of elevated TD as a sort of, "Rosetta Stone." You may recall that it was the discovery of the Rosetta Stone that led researchers to understand the meaning of ancient Egyptian hieroglyphics. Upon it is recorded the same message in two languages using three different scripts, some understood at that time of discovery, the other, hieroglyphic, unknown. To over-simplify it, they were able to plug in what they knew about some of the writing and decipher that which was unknown. The association of elevated TD to a Rosetta Stone comes to mind when I think about conditions we don't understand, for example, the affect weather has on people with arthritis and old injuries. Science tells us that the complaints of pain that occur with changes in weather are subjective, therefore, are simple folklore and can't be proven. But "plug in" elevated TD as a factor, and there is an assessable, measurable, and treatable explanation. And, once recognized, it is undeniable.
Elevated TD results in tissue hardening and contraction, which can form various secondary compartments within the body. Our nerves become caught up in these formations and are subject to the stresses applied to the makeshift walls of these compartments by weather related changes in barometric pressure - similar to the discomfort we experience in our ears with changes in elevation. The severity will depend on the grade of TD involved.
Through the measurement of TD we can now provide consistent, corroborative, objective data about the condition of tissues before and after treatment. Combine that with a client's subjective statements, and the efficacy and benefits of therapeutic massage are provable. There is no longer justification for the benefits of massage to be questioned by doctors, clients or massage therapists. There is no reason left to deny the effectiveness of therapeutic massage, nor is there any acceptable excuse to decline payment for treatments.
Linda LePelley, RN, NMT is a registered nurse and licensed massage therapist with 19 years of clinical massage experience. She developed Tissue Density Restoration (TDR) Massage, an effective treatment for the pain found in hyper-dense tissues. For more information, visit www.MyHealingHands.com.
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