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Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
December, 2012, Vol. 12, Issue 12
Dealing with Clients Who Put Themselves Down
By Ben Benjamin, PhD
Anyone working in the helping professions is bound to encounter individuals who are highly self-critical, continually describing themselves as flawed or deficient in some way. As massage therapists, we might hear clients say, "I'm horribly out of shape" or "I know I should stop being so lazy and take better care of myself."
There are two types of problems with this type of thinking. The most obvious problem is an emotional one. Having negative thoughts about oneself tends to generate negative emotions — sadness, frustration, hopelessness and even despair.
Less obvious are the practical consequences. When people blame or attack themselves, they make it more difficult to understand and resolve the challenges they're facing. Vague, accusatory generalizations like, "I've been irresponsible" or "I'm so out of shape," distract the person from the specific facts that they feel badly about, such as not exercising at all for the past week, or being unable to climb stairs without getting out of breath. It starts to seem as though they need to make a profound, global transformation either in their personality (somehow becoming a responsible person) or in their body (somehow becoming "in shape"). That's a daunting prospect.
In our role as health care practitioners, we have an opportunity to help our clients approach these issues in a more constructive way. To do that, we need to resist the temptation to simply disagree with them ("No, you're doing great") or to criticize their thinking ("You're way too hard on yourself"). These responses can either lead to an argument ("You're just saying that to make me feel better") or give the person more fuel to attack themselves ("You're right; I need to have a more positive attitude. I've always had low self-esteem").
Instead, our task is to refocus the conversation. Help the person to identify the specific facts that are bothering them, and then problem-solve what they could do about them. Suppose they've fallen behind on exercising. You might help them to consider which factors in their life have supported regular exercise (such as having a workout partner or setting a regular time to exercise each day), and which have stood in their way (perhaps their workout partner moved away, or a work commitment has interfered with their regular exercise time). With these specifics in mind, they'll have a much easier time coming up with solutions — such as finding a new workout partner, setting a new time to exercise and so on.
Encourage your client to come up with these ideas themselves rather than simply giving your own suggestions. In that way, you can help them shift from feeling helpless and ineffective to being empowered to make positive changes in their life. In my own practice, I've often found that gently guiding individuals to strategize about their problems — rather than simply blaming themselves for them — is one of the greatest contributions I can make to their long-term health and well-being.
Click here for more information about Ben Benjamin, PhD.
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