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Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Code Connection: Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
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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