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Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
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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