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Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
April, 2013, Vol. 13, Issue 04
Help in Understanding Parkinson's Disease, Part 1
By Ann Catlin, LMT, NCTMB, OTR
More people over the age of 60 are turning to massage therapy for self-care and to help ease symptoms associated with chronic ailments. If you have clientele in this age group, it's possible that you will eventually have a client who is living with Parkinson's disease (PD).It's estimated that at least 500,000 people are diagnosed in the United States. It's important to have at least a basic understanding about this disease, what to expect and how you can best serve your client. Here, I will offer an overview of PD and how it impacts daily functioning of the persons who have it.
What is Parkinson's disease?
Parkinson's disease is a chronic and progressive disorder of the central nervous system. In other words, the symptoms of PD grow worse over a long period of time. PD is classified as a movement disorder. It's called Parkinson's disease because in 1817 a British physician named James Parkinson first described the symptoms. Such symptoms are caused when neurons in brain stem known as the substantia nigra die or degenerate. When functioning properly these neurons produce a chemical called dopamine. Dopamine carries signals between the substantia nigra to an area of the brain responsible for movement. When dopamine levels are depleted, impaired movement results. Other changes in the brain may occur as well, such as Lewy Bodies, an abnormal protein deposit that impairs cell function. It's not known what actually causes these neuron changes. Experts believe that genetics and exposure to environmental toxins are possible culprits.
Symptoms and Function
People who have PD experience a wide range of symptoms that affect people in many different ways. Here I'll focus on common movement symptoms and illustrate how these might affect a person's function in daily activities.
Early in the progression of PD these motor symptoms are considered classic.
As the disease progresses into advanced stages these symptoms emerge.
It's easy to see how a person with these movement impairments would have trouble with daily tasks. What was routine becomes a frustrating and time-consuming challenge. People with advanced PD need a great deal of assistance from caregivers for day-to-day activities and may even require nursing home care.
Treatment for PD typically consists of a combination of medications that help control symptoms and lifestyle changes. Some people have surgical interventions as well. Commonly prescribed medications decrease movement symptoms by increasing the levels of dopamine in the brain. One such drug is called Levodopa (L-dopa). Other drug therapies may be used for other symptoms such as depression, sleep disturbance and pain. Many of these drugs can cause severe side effects that negatively impact quality of life even further. Recommended lifestyle changes include diet modifications, regular exercise, balancing rest and activity, stress management and participation in a support group. Physical, occupational and speech therapies are commonly prescribed. Surgical interventions have been found to help manage symptoms in some people. One example is called deep brain stimulation where electrical stimulators are placed in the areas of the brain that control movement. Clinical trials for stem cell transplants are being studied.
I encourage you to take a look at these two short videos on Youtube to gain a better understanding of Parkinson's disease and how it impacts people's lives. This first video, is Joseph H. Friedman, MD, is chief of Butler Hospital's Movement Disorders Program and an international expert in Parkinson's disease (www.youtube.com/watch?v=IHDFQfmkKlg). The second video is called: A look into Parkinson's: what it is and how it affects the lives of my parents by Tommy Dimmel (www.youtube.com/watch?v=ggNlPYGuAAg).
In part II, I will explore how massage therapy can contribute an important approach in easing symptoms and improving quality of life for the person living with Parkinson's disease.
Click here for more information about Ann Catlin, LMT, NCTMB, OTR.
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