resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
A New Year and Vision for the ACA
Inadequate pain management coupled with the epidemic of prescription opioid overuse and abuse has taken a severe toll on the lives of millions of people in the United States. Every day, more than 1,000 people are treated in the ER for misusing prescription opioids.
Scar Reduction With Acupuncture & Microneedling (Part 2)
Protocols & treatment Timing
The Acupuncture Channel System (Part 1)
The earliest Chinese reference to channels is in the Mawangdui Medical Manuscripts,1 which are dated to the Warring States period of the Zhou Dynasty (475 BC-221 AD). The text presents 11 channels. There are no acupuncture points listed in those channels.
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Our Country Needs Us Between Elections, Too; Continuing Care: We Aren't There Yet; Our Associations Need to Do More.
Nutrition for Menopause: Front-Line Therapy for All Phases
Of all the changes women experience during their reproductive life, there is no doubt the most dreaded are the three phases of menopause. This is not surprising since all of the symptoms associated with menopause are replete with unpleasantness.
The Case Report: A Valuable Tool
Case reports are a valuable form of descriptive research. The most basic form of practice-based research, a case report is a detailed account of the history, presenting symptoms, assessment, observations, treatment and follow-up of an individual patient, discussed in the context of prior and potential future research.
Prepare for the End, From the Beginning: Wealth Building and Retirement with the Tao
Yin and yang flow into and out from one another continually. Beginnings become endings and endings become beginnings again. Wholeness and cycles are the nature of Tao.
Acupuncture Points: Broadening Our Scope and Diagnostic Work
As every practitioner knows, the correct diagnosis is everything. Most healing disciplines rely on the use of symptomatology for their treatment implementation. Beyond symptomatology, we have clinical tests to provide more objective findings.
Shoulder Rehab: Start With the Scapula
The scapula is an incredible display of elegance and movement within the biomechanics of human motion. It's evolved for mobility and stability in the scapulo-thoracic region, giving us the ability to do things that are uniquely human, such as throwing with accuracy.
Five Branches University Has First Hospital TCM Residency
Established in 1984, Five Branches University (FBU) has campuses in Santa Cruz and San Jose, Calif., which serve the communities of Santa Cruz, the Monterey Bay, and Silicon Valley.
Flirting With Alternative Therapies
There are about as many adjunct therapies being marketed to acupuncturists as there are acupuncturists. While some may remain purist in their application of traditional Chinese medicine, others choose to explore new horizons of treatment.
Anti-Aging With Dr. Ping Zhang
Jennifer Waters, TCM practitioner and writer of the Acupuncture Today column, "Talking With the Masters" sat down with Dr. Ping Zhang to discuss aniti-aging with acupuncture.
Let's Clear Up the Collection Confusion
This is an often-misunderstood practice swirling with misinformation. First, a few basics: Insurance is a contract between the patient and the insurance company. The insurance company is simply making a payment for services or care on behalf of the patient.
Low Back Pain in Running Athletes
After 7 million years of adapting to upright postures, the lumbar spine and pelvis have become remarkably adept at managing ground-reactive forces associated with running.
News in Brief
Updated Neck Pain & Whiplash Guideline; Attention, IHS DCs; New VP of Institutional Advancement At Palmer; N.J. DC Interns At U.S. Olympic Training Center; Chiropractic Society Of R.I. On The Front Lines.
An Education in Gluten Sensitivity
A relatively new syndrome officially documented as non-celiac gluten sensitivity (NCGS) or gluten sensitivity (GS) was officially recognized and published in the new list of gluten-related disorders in 2012.
An Opportunity & a Responsibility
Nearly 80 Americans die from an opioid-related overdose every day, and spine-related pain is one of the principle drivers of opioid use. This unfortunate situation creates both an opportunity and a responsibility.
Qigong for Substance Abuse
It is commonly believed that substance abuse, in addition to harming one’s physiological state, hurts the spirit. There is also a belief that one’s spirit does not weaken due to substance abuse, but rather, the person finds solace in addiction due to an already weak spirit.
True Practice Mobility for the Chiropractic Profession
When natural disasters occur, chiropractors can literally travel to the other side of the world to offer humanitarian relief in less than a day. The chiropractor's license to legally practice, however, can't make it past the state line.
A Conversation With Dr. Betty Edmond
This month's column is an exclusive interview with Betty Edmond MD, newly elected CEO/President of the AOMA Graduate School of Integrative Medicine in Austin, Texas.
Another Step Forward for Chiropractic
Chiropractic is now available to 86,000-plus Latter-Day Saints missionaries and you are invited to become a provider. LDS membership in not required; our only concern is that our missionaries get the best quality care available.
Crow Like the Rooster
As we welcome in the Year of the Rooster, we look at some of its major characteristics: confidence and communication, which suits the image we have of the Rooster...strutting in the farmyard, crowing to the others that it's time to wake up.
The winter season is upon us and offers unique challenges for the clinician and patient alike. To effectively navigate through the winter season there are two main TCM medicinals, Huang Qi and Gan Jiang, to consider, as well as two important formulas which feature these two TCM treasures.
March, 2013, Vol. 13, Issue 03
Introducing Yourself to Your Client's Health Care Team
By David Kent, LMT, NCTMB
When patients experience pain, they instinctively touch the area that hurts. Since opening my clinic in 1992, one statement I hear on occasion from patients is "feel this bump, it was never there before." Sometimes they are right, the bump is abnormal and they must consult their doctor immediately.Other times, the patient is pointing to a bony landmark. I want to share a few practice building tips for educating your patients about their "bumps," which can then provide ways for you to introduce yourself to their health care team.
The foundation of my practice continues to be medical doctors referring patients for the treatment of myofascial pain in the head, neck and back. The pain usually originated from injuries sustained in a motor vehicle accident, while performing a home improvement or work related activity. So, in my clinic, patients most commonly report the following bony landmarks as "never there before:"
Pain affects every area of a patient's life: physically, emotionally, spiritually, financially, relationships at home and work, etc. Patients are scared and concerned about their pain. As health care providers, we must assume our patients do not know about bony landmarks or the structures that attach to them. This is a perfect opportunity to educate patients about form and function. To teach them about the roles bones and muscles play in providing structural support and movement.
I educate patients about bony landmarks using charts and models. I explain how and why bony landmarks form, why they might be tender after physical activity, stress or trauma and how we as health care providers use bony landmarks for postural analysis and other physical assessments. I also show the bony landmark on myself and on other people in the clinic. It is reassuring and comforting for the patient to understand the "bump" is normal and exists on everyone.
Some patients, when they are in pain, will see many different healthcare providers at one time. They will leave your clinic and drive directly to their chiropractor and or medical doctor. So, here is a simple and effective practice building tip. Write the name of the bony landmark with a note on the back of your business card and give it to the patient. For example "The External Occipital Protuberance is tender to palpation." You would be amazed how the patient will show your card to their doctors. This starts a conversation about your practice and the next thing you know, the doctor wants to meet you.
Patients are relying on you for guidance. It is important that you are familiar with normal human anatomy so you can identify abnormalities. Sometimes, the painful spot, is a "bump they have never felt before" and the patient is pushing into soft tissue, not a bony landmark and could cause potential harm. For example, if the spot is in the anterior neck region, running along the sternocliodmastiod muscle. The "bump" may not be the mastoid process, but a swollen lymph node or something more serious and the patient should be referred to a physician. The carotid sinus, body and vessels are in the same region and fatal circumstances could result from the patient randomly pushing deeply into the anterior neck.
Your knowledge of anatomy helps to protect your patients, improve assessment/treatment outcomes and build your practice by educating patients who then become raving fans. One unique way to learn about the skin, fascia, muscles, nerves, ligaments, vessels and other structures that compose the body is in an anatomy lab. Performing a human dissection is a unique opportunity to see, touch and learn about the body without any concern of causing harm. You can compare the same structure on multiple specimens of different gender, age, size, cause of death and occupation. You palpate diseased and normal organ tissue, examine surgical incisions to uncover pacemakers, artificial hips, or the rods, screws and connectors installed during a spinal fusion. You feel the elasticity, density, size and position of structures throughout the body like the spinal cord, heart, lungs, organs, etc. You leave the lab with a new level of confidence and knowledge that is integrated into your practice.
Be prepared when you here the words "feel this bump… it was never there before." If you laugh and make fun of the patient for pointing to a bony landmark, the odds of them scheduling follow-up treatments or referring others is very low. There is also the possibility you could identify an abnormality that ultimately saves their life. Apply your knowledge and turn the situation into a patient education and practice building opportunity.
Click here for previous articles by David Kent, LMT, NCTMB.
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