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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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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...
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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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