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Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
April, 2013, Vol. 13, Issue 04
Dealing with Painful Foot Injuries, Part 1
By Ben Benjamin, PhD and Karen Ball, LMT
Are you or your clients tired of living with painful feet? The foot is a complex mechanical genius, with 26 bones, 33 joints, 107 ligaments and 19 muscles and tendons. Our feet are our trusty servants, providing a foundation upon which to "take a stand" and move forward in life.Whether taking a leisurely stroll or pounding the pavement in a competitive race, they adjust instantly to support our every move.
But most of us tend to take our feet for granted, and rarely give them the time of day — until they hurt, that is. And hurt they will, if neglected. According to a report issued earlier this year by Harvard Health Publications, there are at least 300 different types of foot problems, and three out of four Americans will suffer some kind of foot ailment in their life.
Feet hurt for many reasons, from poor alignment, weakness and fatigue to injury and disease. Let's consider the most common injuries that occur in this area of the body. In part two, we'll go on to discuss general self-care principles and a reflexology protocol designed to help soothe and restore ailing feet.
Localized Damage: Common Foot Injuries
The most common injuries affecting the foot region are ankle sprains, muscle strains and tendon injuries. Here is a quick guide to several specific structures that often cause pain, organized by the location in which the pain is felt.
Lateral ankle: Pain felt on the lateral aspect of the ankle, and accompanied by a bit of swelling, typically indicates a sprain of one of three ligaments. Most commonly injured is the anterior talofibular ligament, toward the anterior ankle. Second most common is the calcaneofibular ligament, right under the lateral malleolus. Last is the posterior talofibular ligament, located toward the back of the lateral ankle.
Medial ankle: On the medial side of the ankle are the deltoid ligaments. They are more commonly sprained in older individuals, but we've treated these injuries in many young people as well. There are four separate deltoid ligaments, the most anterior structure is right under the tibialis anterior tendon, and the other three work their way around the medial ankle toward the heel.
Dorsal foot: If the dorsal aspect of the foot is painful during walking, this suggests an injury to the extensor tendons of the toes or to the interosseous muscles, which are located between the metatarsals and serve to stabilize the foot.
Plantar surface: When pain is felt on the plantar surface of the foot — especially at the anterior portion of the calcaneus — the most likely suspect is either the plantar fascia or, if the pain is deep, the plantar ligament. These are among the nastiest of all foot injuries because they take a long time to heal.
The only way to definitively identify a soft-tissue injury in the foot — or anywhere else in the body — is to do an assessment. Only then can you determine what type of treatment(s) might be useful, for example massage, friction therapy, manipulation, cranial work, injection therapy or surgery.
Be sure to get a consultation with a physician as well. Many diseases, including Raynaud's, congestive heart failure, pulmonary hypertension, and gonorrhea can cause swollen, painful feet. For sore feet that are not associated with a serious injury or disease condition, a combination of basic self-care and targeted reflexology techniques can often provide great relief. We will address those options in our next article.
Click here for more information about Ben Benjamin, PhD.
Karen Ball, LMT, Certified Reflexologist and Aromatherapist has been working as a manual therapist since 1983. Through the Academy of Ancient Reflexology, Karen offers the 315-hour Therapeutic Hand & Foot Reflexology Professional Certification, and a growing roster of weekend workshops and classes in conventional reflexology, Thai reflexology and allied subjects. For more information, visit www.academyofancientreflexology.com.
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