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A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
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 previous articles by David Kent, LMT, NCTMB.
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