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Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
April, 2013, Vol. 13, Issue 04
Learning to Create a Need for Your Clients
By Velvete Womack, PhD, LMT, CE, MI
Last month we discussed just how important it is to be professional when it comes in our industry of massage, and some ways to enhance the practice of massage to become even more valuable to clients.In the world of business, there is a very old saying that goes like this, "Help people see that they need something that they didn't even know they needed." What this means is simply this, create a need.
As I was shopping for my holiday goodies, I noticed that my local grocery store had put together isles of ideas. They put together a display of green beans, dried onions, cream of mushroom soup and even a dish to put it all in. Isn't that genius? They made me want to buy all those ingredients because they invoked a spark in me that reminded me I "needed" a green bean casserole for my holiday dinner. I really didn't need it, but I wanted it after seeing the display.
When clients come to us, we can simply let them tell us what they need and be very limited, or we can let them know the added benefits of a hot paraffin hand and foot dip and add it to their current session. As therapists, it is our job to inform folks of other services we provide that they might need.
There are many clients that receive massage therapy because of arthritis pain. If we have a client that is having pain in their fingers or toes, then additional therapy would not only be good for them, but also good for you because you are now servicing a need they didn't know they had. As we evolve as professionals, we need to arm ourselves with knowledge and awareness. It's our responsibility to always be on the lookout for what the client might need that they didn't even know they needed.
Have you ever noticed your physician bill when you are checking out? Before they started using computers, the form had these little boxes that would indicate a particular diagnoses, then under the main heading it would have a list of subcategories that would go along with the diagnoses. This would allow the physician or nurse to check additional services, tests or revisits to ensure that all the patient's needs had been covered and/or billed.
In our profession, creating a system of what a client might need or want while making it very visible to the client will enhance not only the level of professionalism that we stand for, but it will also increase our bottom line, just like the green bean casserole display! Let's play and put it all together.
The reason I do additional services and then one for conditions, is because some clients will want these services just because they are available. It's genius really. And the more conditions you have that are reasonable on your service menu, the more professional, caring and knowledgeable you will not only appear but will become.
If I have a lot of golfers coming into my clinic or this is a target market for me, I'm going to make sure I have something specific for them on my board. And don't limit yourself with thinking that this means you can only provide additional services in-house. I make sure that my out call clients have the same experience and benefits as if they were walking into my clinic. Of course, I'm probably not going to be providing hot wax sessions, but I can do stones. There have been a number of clients that have benefited from hot stones during an out call. Using a small crock pot and having some medium size stones work perfectly. It's a way for me to upgrade the session or just provide an additional service at no charge.
Each client is a treasure chest full of ideas and new ways to assist and help others. Listen to your clients and what they complain about then solve a need for them. Together we grow and expand. Evolution takes partnerships. We can't evolve alone we need each other in order to grow.
Dr. Velvete H. Womack, PhD, LMT, CE, MI, is a published author, inventor, licensed massage therapist and wellness coach. With more than 35 years in corporate American, and in the medical and holistic field of health and wellness, Dr. Womack strives to provide individuals tools that will aid in balance and stress reduction. For more information, visit www.massagebyvelvete.com.
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