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Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Peaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
Patient Retention Techniques
When talking about techniques to grow your business, we tend to focus on the "large" aspect of the patient base, that is, on strategies to attract new patients. However, it is important to remember that "loyal" is equally, if not more, important.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
The Ethics of Herbal Prescribing
While teaching ethics classes, I often encounter licensed acupuncturists who are surprised that our use of herbs and supplements has a specific section in the material. It is often an aspect within ethics that clinicians don't think of in practice.
January, 2013, Vol. 13, Issue 01
The Facts About Sugar: The Sweet and the Sour of It
By Sharon Puszko, PhD, LMT
While on a flight to Phoenix this past fall, I came across an article on sugar that I found interesting. It made me wonder exactly how much sugar was in the non-fat, no whip, grande peppermint white chocolate mocha I was sipping.After settling in at the hotel, I checked Starbuck's website for the nutritional information, and interestingly, sugar is not listed. After some more online research, I found out my drink had 49 grams of sugar. Well, what exactly does that amount to? Is it a lot? We have been hearing more and more about the excessive use of sugar in our society and its possible effect on obesity and diabetes. But exactly how much we should or should not be consuming has not been made overtly clear. Since we work in the wellness field, it would certainly behoove us to get a sense of where our eating habits fall in the sugar-consumption spectrum.
It turns out that 49 grams of sugar is indeed a lot of sugar. In fact, it is more than double the recommended daily intake of added sugar for women. For the first time ever, in 2009, the American Heart Association published recommendations on sugar consumption (Circulation, August 2009). The report explained that we need to start limiting the amount of added sugars we consume, not naturally occurring sugars such as those found in fruit, vegetables and dairy products. For women, that means we should consume no more than 24 grams (about six teaspoons) of added sugar a day. For men, the recommendation is no more than 36 grams (about nine teaspoons) of added sugar a day, and for children the recommendation is 12 grams per day, or three teaspoons. Many a survey has found that on average, Americans consume about 22 teaspoons of added sugar on a daily basis.
After reading this report, I was quite shocked by how much added sugar most of us are eating without even realizing it. Now that I know how to read the nutritional labels (4 grams = 1 teaspoon or 1 gram = 1/4 teaspoon), I can try to do a better job of keeping track of my sugar intake. The problem, however, is that almost all processed foods have sugar added to them. That whole wheat bread I switched to in order to eat more healthy? Five added grams of sugar in one slice. My creamy peanut butter? Three grams of added sugar. Combined with my daily two cups of coffee (with cream and sugar) and I have reached already reached my limit. The half pint of chocolate milk children get from the school cafeteria? Well, that has 18 grams of added sugar. Add that to the sugar found in popular cereals, yogurts, granola bars and fruit juices, and you will soon understand why doctors are associating sugar consumption with the rise in childhood obesity and diabetes.
Let's be realistic: time and financial constraints make it almost impossible for the average family to prepare three meals a day without using any processed foods. So what, if anything, can we do to decrease sugar consumption?
I chose this topic because our personal state of health does directly relate to our ability to treat clients. If the body is constantly directing energy towards managing insulin levels, it is pulling that energy away from other areas. If we could train our bodies to resist the immediate gratification of the sugar “high,” would we feel even more energetic in the long run? Maybe we could handle doing one more massage a day? Or have enough energy to increase how much we workout? Many in the wellness and fitness industry condone sugar elimination cleanses. After writing this article, I am curious to learn more about them. For now, though, I think I will start by passing on the Starbucks mocha next time I fly.
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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