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Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
January, 2013, Vol. 13, Issue 01
Dissection: A Unique Way to Learn
By David Kent, LMT, NCTMB
Our massage clients include a wide variety of body types, sizes, ages and genders. Many have undergone surgeries, some structures have been removed, repaired or replaced. They have been diagnosed with problems in the circulatory, respiratory, reproductive, lymphatic, digestive and/or nervous systems.Have you ever thought it would be beneficial to see and touch the muscles, nerves, organs and bones? Compare diseased to normal organ tissue? Examine the same structure on multiple specimens? Did know this type of learning opportunity has existed for massage therapists, acupuncturists, physical therapists, personal trainers and others since 1993? The 2013 class will represent twenty years of these professions performing full body dissections at the University of South Florida College of Medicine in Tampa.
Each class begins with a dedication to our "Silent Teachers" for the privilege of being their students. They donated (bequeathed) their bodies to this program and we acknowledge, respect, thank and honor their souls. We commit to embrace the valuable knowledge they are about to teach us and to apply that knowledge to the benefit of our patients.
Very limited information is received about each cadaver and only includes: gender, sex, age, cause of death and occupation. We start by palpating boney landmarks and inspecting the cadavers for scars and surgical incisions.
Students are grouped in teams of seven. Together, they will dissect an entire body, superficial to deep, layer-by-layer, skin to bone. Their dissection exploration will also include the spinal cord, heart, lungs, organs, joints and the cranium.
As students dissect, their understanding, confidence and clinical application of knowledge grows. Can you think of a better way to learn about the skin, fascia, muscles, nerves, ligaments, vessels and other structures that compose the body? This type of study will clarify your understanding of the anatomy and eliminate any misperceptions that might exist.
Irregularities or deviations from the norm are discovered throughout each class. Examples include a unilateral sternocleidomastoid with four divisions, two sternal and two clavicular. Other examples include an upper trapezius muscle that did not exist on one side or adhesions throughout the body, arthritic joints, swollen lymph nodes and cancerous growths.
During class we remove a portion of the carotid artery and cut and peel away the arterial wall to expose a tubular structure that looks like a drinking straw formed by atherosclerotic plaque. Palpating this structure in a living person when treating in the anterolateral neck could cause a piece of plaque to break loose, producing a stroke. In the anatomy lab, students can palpate these structure without harm whiling clarifying its position to the sternocleidomastoid muscle. This level of education helps the students better understand the effects their treatments can have on the body.
It is common for students to uncover pacemakers, artificial hips, knees, shoulders and intervertebral discs. They examine the rods, screws and connectors used for a spinal fusion.
We also enter the cranium and vertebral column exposing the dura mater, arachnoid mater, the brain, spinal cord and cauda equine. Students open each joint throughout the body. In the knee, they examine articular cartilage, each meniscus, the cruciate and other ligaments. In the wrist, we investigate the carpel bones and the tunnel they form. The tendons and medium nerve that past through the carpel tunnel and the clinical significance created from swelling, infections, surgeries and/or trauma to the wrist. At least one cadaver in each class has undergone coronary bypass surgery. We palpate the metal wires that were used during the surgery to reconnect the sternum that was cut in half. We open the chest to see the lungs cradling the heart. We remove the lungs and inspect coronary bypass repair from every angle.
During an acupuncture treatment, the depth of needle insertion into the body is determined by multiple factors including the nature of the patient's condition, their age, size, etc. Acupuncturists check the accuracy of their needle placement by inserting them into the cadaver prior to starting the dissection.
Books, videos, computer programs, anatomical charts and models are all helpful aids in learning about the human body. Performing a dissection is a unique opportunity and you leave the lab with a new level of confidence and knowledge in your skills. Graduates have a clear understanding of the interconnection of the structures that form the body and how they function. Dissection allows students to feel the elasticity, density, size and position of structures throughout the body. While performing a full body dissection is not part of our standard curriculum, the opportunity is definitely available.
Click here for more information about David Kent, LMT, NCTMB.
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