resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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%.
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.
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.
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.
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.
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.
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.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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 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.
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.
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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