resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
What They Don't Say Could Hurt You
I have written previously regarding the difficulties of drawing information from patients who are poor historians, forgetful or just plain uncooperative. The thought to revisit the topic occurred recently during preparation for an upcoming seminar.
We Get Letters & E-Mail
Patient Perception and the Farce of "Fast Relief"; A Fly in the Ointment; Persecuted for Choosing to Practice Chiropractic.
News in Brief
Controversial Florida PIP Law Under Review; D'Youville Chiro. Students Learning Art of Co-Managing; And the Award Goes To...; F4CP Recognizes Major Contribution by ChiroTouch.
Some Thoughts on the TMJ
The temporomandibular joint is an interesting and dynamic articulation that can cause a lot of problems.
What the Science Says About Magnesium Stearate
It's often been said that scientific studies can be used to support just about anything. But discoveries are never made one study at a time.
Let's face it – patient evaluation takes time. Unless you are really into the diagnostic evaluation game, you probably have found the formal exam protocol tedious if not downright annoying.
Chiropractic: The Right Choice for Relieving LBP
"Low back pain (LBP) is a common threat to medicine and a reasonable threat to all national health care systems. ... Reducing ineffective treatments is necessary to decrease the LBP associated costs."
You are What You Eat Part II: Integrative Protocols
In the previous installment of this article I discussed important ideas concerning gastrointestinal health and foundational ideas from TCM, which can provide key insights into creating effective protocols for healing the gut.
Herbal Medicine: Go Mainstream
When it comes to practicing herbal medicine in a mainstream setting, there are a number of important points to understand when it comes to prescribing formulas. Some important questions to ask are - what method of prescribing and dispensing is most effective in this setting?
The Spirits of the Points: The Gall Bladder Official
The Gall Bladder is known as The Official of Decision Making and Judgment. In any given day, this Official makes countless decisions – conscious and unconscious, which influence every aspect of our being.
Peer Points: Stories of Practice Success
When patients go see Arizona-based acupuncturist Jing Liu, it is to get top care from an practitioner well versed in all aspects of Traditional Chinese Medicine.
Medicine Presents: A Great Opportunity
The changing nature of health care presents both opportunities and challenges. While we tend to focus on our profession, we can sometimes forget the impact other health care professions can have on us.
Going Shoeless: The Pros & Cons of Barefoot Running
With the subculture of barefoot runners and the products catering to them growing daily, just about every chiropractor has been asked at one point or another about their opinion regarding barefoot running.
Remembering Joe Weider (1920-2013)
With the death of Joe Weider, the world's most famous body-building visionary, crusader, fitness magazine publisher and icon, on March 23, 2013, chiropractic has lost one of its greatest friends and supporters.
There Are No Secrets: Treating Complicated Conditions with TCM
Including standardized extra points, there are just over 400 acupuncture points on the body. You get 400 and I get 400 - same. Yet, time and time again treatment protocols are coveted as if they were some secret formula only intended for the right and privileged.
SOAP Notes: It's Time for a Cleaning
I have been planning for some time to write an article about how traditional SOAP notes do not fit chiropractic practice, and the unfairness of holding DCs to a model clearly created for and primarily applicable to medical physicians.
Happenings in Our Evolving Profession
Good things seem to be happening for our profession and recent developments show we are all on board. Talking about being on board, this September The Veterans Express-Purple Heart Tour is expected to make its way out of the station.
Research Abstracts From the Journal of Manipulative & Physiological Therapeutics
Effect of Pain Relief on Lumbar Muscle Function and Activation; Effects of Thrust Amplitude and Duration of HVLA Spinal Manipulation; Immediate Effects of Upper Thoracic Manipulation on Cardiovascular Response.
Helping Patients Through Pregnancy Loss
There is a lot of focus in the acupuncture world on fertility and helping women get pregnant. It's exhilarating to hear the news that a patient is expecting a baby. The other side of that is pregnancy loss. That includes abortion, miscarriage or stillbirth.
Economics of Complementary/Integrative Care
Although this column doesn't usually feature a book review, we're going outside of our usual public health format to discuss a new book written by Patricia Herman ND, PhD.
Correcting Kid Logic in Health Care and Research Design
A recent broadcast on public radio described a fascinating phenomenon known as kid logic.
Have a Heart: Say No to Soda
It's not enough that soft drinks and other sugar-sweetened beverages have been linked to cavities and weight gain, among other negative health consequences.
The Potter's Wheel: Reflections on Practicing in a Technology-Driven World
In my very early years of practice, an older patient named Cora would call me at home, usually late Sunday night after she had consumed an unknown quantity of beer.
Why You Should Get to Know the National Vaccine Information Center
Barbara Loe Fisher has been a diligent advocate for providing parents with the information necessary to make informed decisions regarding the usage of vaccinations for their children.
Helping Infertility Patients with the Spirit Essence
As many of you know, when it comes to treating infertility, we are dealing with a patient population that is, generally speaking, in emotional turmoil. These patients often experience fear, anxiety, despair, hopelessness, grief and anger.
A Building Block of Healthy Aging
Coenzyme Q10 has gained enormous attention in recent years, and with good reason —it's the Energizer Bunny of the cellular world.
Energy is a hot commodity. Society pays dearly for it and for the expertise of those who know how to cultivate it.
Side Effects From Big Pharma: Wellbutrin – Dangerous for You and Your Baby
Are some of your pregnant patients taking Wellbutrin? If so, it could be a danger to them and their baby. This drug is extremely popular, but it has a serious history.
Are They Finally Fixing Medicare Reimbursement?
Even with federal sequestration cuts taking effect in March, including a 2 percent reduction in Medicare reimbursement to health care providers, hope may be on the horizon in the form of a much-anticipated, perpetually suggested overhaul of Medicare's Sustainable Growth Rate formula, which serves as the basis for determining physician reimbursement.
December, 2012, Vol. 12, Issue 12
Tips for the ADD and Dyslexic Therapist
By David Kent, LMT, NCTMB
Many people, including healthcare providers, suffer with attention deficit disorder (ADD) and/or dyslexia. They should be happy to know their name is among a list of brilliant people like Albert Einstein and Leonardo Da Vinci.Often, during a session, suffers realize they have forgotten the patient's name, or if the pain was located on the right or the left shoulder. They get confused about which myofascial tissues to assess and treat. However, by having effective systems in place, suffers can avoid embarrassing situations and function at highly effective levels. Einstein and Da Vinci used illustrations to assess, document, review and communicate their findings. I would like to share numerous tips to keep you focused, on target and with the necessary information available in a picture format, so you are relaxed and able to let your gifted skills shine.
We can only receive, process and remember a limited amount of information at a time. Often, the number seven, plus or minus two, is our capacity limit for processing information. However, the reality is that during a session, you might need to remember, juggle, toggle and switch between seven or more things at any given moment about the patient, the treatment plan, the schedule, etc. Systems that utilize visual images are intuitive and easy to follow. A picture is worth a thousand words, making it a powerful aid for staying organized.
The location and description of the patient's pain can provide several clues. Have each patient complete a "Pain Form" before each session by writing their name, shading the areas of their body that hurt, adding descriptive modifiers like: A = Ache, P = Pain, S = Stabbing, etc. The intensity of the pain should also be rated on a scale of one to ten (1 = No pain and 10 = Extreme pain). Now you have the patient's subjective complaints in a visual format. Position this form so it can be seen and referenced, even at a distance, throughout the session.
It is easy to take photos and videos of your patients with your iPhone, smart phone, tablet or iPad to document their poor posture and gait. Why wouldn't you use this technology to educate your patients? It is not magic and no special software is needed, you simply take a picture of the patient's posture, zoom-in and show them the obvious problems. Just like an orthopedic surgeon, dentist or chiropractor uses x-rays to educate the patient and formulate a treatment plan, you can take postural analysis photos and explain your findings. This process also captures the patient's physical appearance, hairstyle and more, which can be very helpful, to jog your memory prior to follow up sessions.
Medical research of myofascial trigger points (TrPs) has identified the common TrP location(s) and pain referral pattern(s). You don't need to remember all the research, just be capable of referencing and applying that knowledge. On laminated wall or flip charts, use a wet erase marker to circle involved muscles based on the research. Now you have created a visual treatment plan to follow. Each muscle that needs to be assessed is circled and can be seen at a distance. Dictating or writing notes is very easy when you reference charts. Also, muscle movement charts are extremely helpful listing the normal degrees of joint range-of-motion and the muscles producing each movement throughout the body. This makes it easy to determine which muscles are causing the pain and/or limiting range-of-motion.
Even with attention deficit disorder and/or dyslexia you can stay focused during treatment. Like Einstein and Da Vinci, you can also use visuals to assess, document, review and communicate your findings. Please let me know how these systems worked for you. Good luck and I am curious to know how you adapted or modified these recommendations for your situation.
Click here for more information about David Kent, LMT, NCTMB.
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