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News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
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.
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%.
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.
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.
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.
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.
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.
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?
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).
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.
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.
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.
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.
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.
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).
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.
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.
December, 2012, Vol. 12, Issue 12
Swimming: Enjoying Summer Fun in the Winter
By Sharon Puszko, PhD, LMT
Now that winter is here, most of us who live north of Missouri are preparing to spend more time indoors. Some of us - myself included - do this more reluctantly than others. During the winter, we need to be extra vigilant in finding creative ways to keep active.For instance, putting on our winter boots and going for a hike in the snow, or going ice skating with our children. It is so easy to get in exercise without even realizing it when it is warm outside: walking with friends or swimming in the pool with your kids.
As inch upon inch of snow piles up, I find myself reminiscing about sunny days, walks along the canal, the tropical smell of sun block and swimming pools. Speaking of swimming pools, this summer was particularly memorable because of the Olympics. Watching the victories of the "Fantastic Five" and our women's relay track team was thrilling. However, the most memorable moments for me happened in the pool as I, along with most other Americans, watched anxiously to see if Michael Phelps would make history and become the world's most decorated Olympic athlete. As I think back to the Olympic games of this past summer, I am reminded that even though we cannot bask in the summer sun while it's snowing, we can still head to the pool. Most gyms and YMCA's have indoor pools, so if you belong to one, why not use it?
According to the Centers for Disease Control and Prevention (CDC), swimming is the second most popular sports activity in the U.S. Swimming and water aerobics are also low-impact sports, making them very low risk for injury. The CDC goes on to list many other benefits of swimming and water-based exercises:
Getting into the pool and trying to swim might seem intimidating for those who have never learned proper technique, or who do not swim much. The good news is, swimming classes for adults are now more popular than ever (thanks in part to Michael Phelps). In addition, there is a wealth of information on the web regarding swimming techniques. In particular, I have found the instructional videos on YouTube helpful, as well as the articles and tips on the USA Swimming website.
If swimming laps in a pool does not pique your interest, consider water aerobics. For those who love aerobics or dancing, but have joints that don't, water exercise classes are an excellent alternative. Water aerobics now seem to be offered at gyms everywhere, and range from low to high intensity, and are offered in shallow or deep water. Flotation devices are used in the deep water programs, so one does not need to be an expert swimmer to participate in these. Zumba has started an Aqua Zumba series, for those looking for a fun, low-impact, high intensity form of exercise. There are even ability and age appropriate water exercise classes approved by the Arthritis Foundation and Silver Sneakers, the national fitness program designed for senior citizens.
There is something for everyone when it comes to exercising in a pool. Hopefully, the thought of going to a pool will motivate you to remain healthy during the winter. It is important for us to stay healthy and fit so we can serve our clients to the best of our abilities. Spending time in the water energizes our bodies and minds, even in the midst of winter. So if you start to feels some of those "seasonal" blues, grab your suit, towel and a change of clothes and dive in!
Sharon Puszko is the owner/director/educator for Day-Break Geriatric Massage Institute. She may be contacted at
or through her Web site: www.daybreak-massage.com.
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