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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.
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.
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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).
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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).
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 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.
October, 2012, Vol. 12, Issue 10
In Memoriam: Dianne Polseno
By Tracy Walton, LMT, MS
On May 12, 2012, the massage therapy profession lost one of its biggest champions. Dianne Polseno died of cancer, eight months to the day after her diagnosis. She passed after an overwhelming illness, a rich life and an illustrious career in touch education.
Dianne had boundless energy and gave it freely. She always made time for people who needed her. A common experience people had upon meeting her was the sense that they had known her forever. She was warm, direct, strong and loving. As a teacher, practitioner, activist and administrator, she encouraged and mentored many of her students and colleagues along the way. She was known for her dedication and hard work, as well as her strong opinions. She was fiercely protective of massage therapy.
Dianne's signature is a regular column and an entire body of work on ethics in massage therapy. Her writing was always clean, clear and practical, and she churned out many glorious turns of phrase. She brought wonderful case studies to her column and made the reader feel that ethics were intertwined with the daily life of the practitioner. She welcomed questions from readers and answered them thoughtfully and thoroughly. Her contributions to this tender, growing area of massage therapy are deeply appreciated and will endure for a long time.
Massage therapy students who had the happy chance to study with her at the Bancroft School of Massage Therapy raved about her courses. She taught science, drawing on her previous life in nursing and a passion for the workings of the human body. One of her greatest contributions was a continuing education course in cadaver anatomy where she brought massage therapists into the lab to view, touch and hold the human anatomy. She taught with reverence and a deep well of expertise. As a teacher, she received outstanding reviews.
Dianne received many awards and recognitions over her career, notably the 2006 AMTA Jerome Perlinski Teacher of the Year Award. That same year, she began work at Cortiva Institute-Boston as the Education Director where she rose to become its Campus President. While there, she navigated all of her administrative responsibilities while maintaining the long view of what massage therapy could become in the world of health care.
Although Dianne was prominent in the profession, many contributions were quiet and behind the scenes. Her 20-year practice in massage therapy served a wide range of clients. She worked with children with disabilities, athletes and people with serious illness. She massaged many members of her adoring family, including several when they were infants and young children. She had a strong connection to the younger world; as a faithful aunt to many lucky children, she was an attentive caregiver and gift giver.
Dianne's sense of humor was legendary. She was irreverent, self-deprecating and wacky, with brilliant comic timing. She kept her students' attention with mnemonics, stories and her characteristic arm-waving. Story after story brought massage therapy and science to life. She maintained her sense of humor throughout her illness, writing beautifully about her cancer experience on her CaringBridge journal (www.caringbridge.org/visit/diannepolseno). The site has been kept alive by her sisters and people continue to contribute. It is an impressive account of spirit and strength in the face of cancer.
Dianne's personality and gifts to the world were larger than life. The loss of her is deeply felt in the New England massage therapy community, the national American Massage Therapy Association, massage education and among her many colleagues and fans around the country. Yet, after she left us, I had the distinct feeling that the empty space she left behind was already filing with all that she brought to us while she was here.
The last time I saw Dianne, I thanked her for all that she gave to our profession. I asked her if she wouldn't mind, wherever she was going next, to continue looking after it and looking after us. As I expected, she agreed without hesitation. Her service to the large goodness of skilled touch will endure for decades. Generations of therapists, clients and teachers will be buoyed by her unseen support. And Dianne Polseno's spirit keeps on in these words she has been credited with: "We are changing the world, one massage at a time."
Click here for more information about Tracy Walton, LMT, MS.
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