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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.
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.
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.
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.
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.
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.
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.
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
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."
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.
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.
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.
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.
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.
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.
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.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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."
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.
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.
May, 2013, Vol. 13, Issue 05
Pediatric Massage for Healthy Childhood Development
By Tina Allen, LMT, CPMMT, CPMT, CIMT
"Mommy, my tummy hurts!" This is commonly heard in many households throughout North America everyday. Childhood abdominal pain has many different characteristics and can be dull, sharp or feel like cramping.Recurrent abdominal pain in children is one of the most common physical complaints heard by pediatricians. However, only about one in twenty is found to have a physical explanation for the symptoms. Pediatricians judge severity based on whether children stop playing or not, and how their eating and bowel habits change. There are many different causes of tummy aches, but the most common include dietary, overeating, common illness/flu, anxiety, stress, over scheduling and psychosomatic causes.
Parents have a variety of options to address their child's stomach aches and many find themselves waiting in an emergency room in the middle of the night trying to find out the cause. While a trip to the hospital is valid when you have a major health concern, pediatric massage can be very beneficial in many cases, and let's them skip the trip to ER.
About Pediatric Massage
When we speak about pediatric massage, one of the first thoughts is that this may be a modality utilized for children with special healthcare needs, in a hospital or other healthcare setting. As much as pediatric massage can be safely applied for many childhood diagnoses, pediatric massage isn't only applicable for involved medical conditions. There are many common discomforts associated with childhood that can be addressed by the use of nurturing touch. Research suggests pediatric massage therapy can help children to sleep better, enhance their body image and calm their behavior.
Nurturing touch is essential in promoting physiological, neurological and psychological development and function, and meets the need for tactile stimulation. Touch therapy may provide comfort, relaxation, reduction of stress hormones and relief from chronic conditions such as asthma, nausea, constipation, headaches, muscle aches and growing pains. Many children who receive massage therapy may also experience additional benefits including enhanced pulmonary and immune function, enhanced body image, increased bonding and attachment, healthy sense of boundaries and an overall sense of well being.
Children have different physical, emotional and developmental needs than adults, which is why children's massage is specially designed to address individual childhood considerations. Massage can also be useful in targeting discomforts specific to children and can be very helpful in easing common aches and pains associated with sinus and chest congestion, stomach aches, eye fatigue and ear aches.
Connecting with Children
Massage is adapted for each individual child client on a specific case-by-case basis. With each child, it is important to build a rapport and trust in your professional relationship. You will practice and learn to ask permission effectively and understand both verbal and non verbal cues. Having the child's permission prior to beginning massage establishes respect and understanding of the benefits of healthy touch.
Each child needs to know they can trust you and that you will listen to their requests. Learn how to explain massage to children in age appropriate language. By learning to appropriately ask permission prior to massage, you'll encourage children to develop healthy boundaries and become more secure as they grow older. It is very empowering for a child to have the ability to direct their therapeutic session, and at times even refuse it. Once they trust you, they can relax and just feel the many benefits of the massage.
When introducing nurturing touch to children, it may be beneficial to use names for massage strokes that children can relate to. Use words that may help to describe feelings associated with tactile stimulation such as hugs, rain and marching. You may use the technical names for your massage techniques, but this may be more confusing to children. Using language they understand makes communication much easier and more effective.
Finding a Comfortable Setting
Providing touch therapy for healthy children may not mean working in a hospital or healthcare environment, but rather in your own private practice. Many massage therapists work in their private setting and so, considering adding pediatric massage to this practice makes perfect sense.
You should consider setting up your practice to be more inviting to child clients. With some adjustments, most private practices can be excellent settings for pediatric massage. Consider if the room is inviting to children and offers some different options for where to receive the massage session. Many children do not wish to lie on a massage table, but would rather sit in a chair, on a mat on the floor or, on occasion, hide under your table. Either way, finding the best way to make your client comfortable is key.
Some children may feel more comfortable if you make a house call. This could involve packing up a therapy mat or table, some tactile toys and linens. However, look at this as an adventure is not only your learning to connect, but teaching a child that their comfort is to be respected. When working with children, we are now establishing life long clients for the future.
Click here for more information about Tina Allen, LMT, CPMMT, CPMT, CIMT.
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