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Older Patients, Stroke Risk and Manipulation
The first population-based study in the United States to evaluate stroke risk following spinal manipulation – and the first involving older adults – suggests that "[c]hiropractic cervical spine manipulation is unlikely to cause stroke in patients aged 66 to 99 years with neck pain.
News in Brief
ACA Exec. Vice President Out, Acting EVP In; F4CP Executive Director Retires; New ED Named.
Joint Supplements for Athletes (Part 2)
A fairly recent discovery in nutrition supplemental medicine has proven to be a breakthrough in maintaining athletic joint health. Research suggests a combination of undenatured type-II collagen and tetrahydro-iso-alpha acids helps revitalize joint function and performance in athletes.
Pain Is Only a Piece of the Puzzle
More often than not, when a patient presents to the office, it is for a pain complaint: headache, neck pain, low back pain, sciatica, carpal tunnel, etc.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
What Do You Know About Physician Compare?
Physician Compare is a website that allows consumers to search for and obtain information about physicians and other health care professionals who provide Medicare services.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
Keep Seniors Safe: Age-Proofing the Home
I want to give Dr. Claudia Anrig kudos for her Dec. 1, 2014 column, which highlighted safety issues youngsters might encounter in the home.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Treating GERD and Incontinence: Focus on Trigger Points
Gastroesophageal reflux disease (GERD) is defined as the regurgitation of stomach acid in the esophagus. Previously, it was thought that GERD was caused by a hiatal hernia, but recent trials suggest the cause is an inability of the hiatal sphincter to contract normally.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
Viewpoints: Massage Reduces Nonspecific Shoulder Pain, Improves Function
While seemingly universal, pain and stiffness in the shoulders can be a significant cause of disability. Often a pain that does not go away on its own, shoulder complaints tend to linger, sometimes for 12 months or longer.
God and the Chiropractor
My wife went to church last Wednesday night and brought home a CD of the pastor's message. As she handed it to me, she said, "You should listen to this; you'll like it." Our family regularly goes to church and our faith plays a major role in our lives.
Managing Tibialis Posterior Tendon Injuries
The tibialis posterior is the deepest, strongest and most central muscle of the leg, with fibers originating from the tibia, fibula and interosseous membrane.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
How We Can Help the Injured Brain
The majority of patients with mild traumatic brain injuries recover within seven to 10 days. If concussion signs and symptoms continue beyond seven days, the diagnosis changes from acute concussion to post-concussion syndrome.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
April, 2013, Vol. 13, Issue 04
The Danger of Hidden Toxins
By Ann Brown, LMT
As a massage therapist, your job is hands-on wellness. Every client that comes to your massage table wants to feel better, and as a massage therapist, you are trained to use your time with that client to their benefit. If you do your job well, that client will want to come back, but there is always competition ready to turn your client's head. You have to be different – better in a memorable way – than your competition.
As you consider how you develop your brand and what you are known for in your client's mind, think about how the wellness service you offer can go beyond the massage table. Think about how your focus on holistic, natural health can help your client to lead a life of wellness. Sharing knowledge of how to lead a cleaner, non-polluted life at home will give added benefit to your client and may be the differentiator you need to build even tighter guest loyalty and more repeat business.
When the client comes to the massage table, you connect with the guest through the skin, the body's largest organ. The strokes and techniques you apply may provide immediate relief and lingering benefits, but what happens after the massage session is over? Do you ask your client about what is coming into contact with his or her skin? Many hidden toxins linger in everyday products. By educating yourself on research and risks, you can share valuable information on how to avoid toxicity with your clients who seek a higher level of wellness.
The quality of drinking water is a common concern, and you may already be using a filter to eliminate pathogens or contaminants. Your bathing water, however, may also have a negative impact on your health. A chemical commonly used to disinfect public water supply, chlorine reduces the level of pathogenic bacteria in the water we drink, but it may also damage beneficial bacteria in our bodies. Several studies connect chlorinated drinking water with toxicity issues. According to Chris Kresser, an internationally known integrative medicine practitioner, chlorine in your water supply can combine with organic matter to form compounds called trihalomethanes (THMs), also known as disinfectant byproducts. A common THM, chloroform is a known carcinogen. THMs are toxic when consumed, inhaled, or applied to the skin.
Several studies of communities with chlorinated drinking water show concerning results, such as increased risk of bladder, kidney and rectal problems, poor birth outcomes, spontaneous abortion, birth defects and low birth weight, among others. More studies are needed to provide substantial research, but Kresser argues that it is reasonable to assume a harmful relationship between chlorinated water and beneficial intestinal flora. For example, a strong connection exists between asthma, acne, autoimmune disorders and the health of our intestinal flora.
While you may try to protect yourself with filtered water, your daily shower or bath may be allowing the chlorinated water to adversely affect your body's systems via skin absorption. Kresser cites studies from Rutgers University and Kyungpook National University in South Korea to provide supporting evidence that the health risks of chlorine may be related to dermal and inhalation exposure. A single, 10-minute shower equates on average to ingesting two liters of water. Chlorine-filtering shower heads and bath filters will remover chlorine from your water, but be aware that another toxin, chloramine, may not completely be removed by such a filter. Very potentially damaging to the lungs, chloramine may also release ammonia. Whole house water filters address chlorine, chloramine and other toxins, or look for a Vitamin C shower filter – an effective and inexpensive way to remove up to 99 percent of the chlorine and chloramine in your water.
Educating Your Clients
Suggest that your clients check with their local water supply company and ask about the disinfecting agents used in the community water supply. Advise them to pay attention to the toxins that may be entering their bodies via skin absorption and to limit their chlorine and chloramine exposure.
Laundry detergent is also another very common and hidden source of toxicity for many households. A 2008 University of Washington study found that 99 percent of laundry detergents released cancer-causing chemicals – substances deemed as hazardous and toxic by the Environmental Protection Agency. Among the most damaging of these chemicals, nonylphenol ethoxylate is also used as an ingredient in pesticides and, through your skin, can enter your blood stream and cause serious damage to heart and muscle function.
Formaldehyde is also a cancer-causing ingredient found in many detergents and those pleasant fragrances many consumers enjoy are phthalates, which can build up in your skin and body. According to the U.S. Centers for Disease Control and Prevention, phthalates are linked to liver cancer. In addition, the chemicals in laundry detergents may damage your reproductive systems and interfere with your hormones.
You can find simple recipes for homemade laundry detergents on the web (check out www.motherearthliving.com, for example). Making your own detergent saves money, the environment and your health. Make up a batch and give small packets of the powder to your clients as a gift, reinforcing your dedication to their health and your expertise as a wellness provider.
More studies are needed on the subject of toxins in our water and common household products, but based on what we do know, it is wise to protect ourselves from toxicity risks as much as possible. Share your own passion for natural, toxic-free living with your clients and solidify your position as a true wellness provider in their minds.
Ann Brown, a licensed massage therapist, is a member of the International Spa Association's board of directors and serves as spa director at Spa Shiki at The Lodge of Four Seasons in Lake Ozark, Mo. She also provides management consulting services through Spa Insight Consulting.
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