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Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
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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