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Essential Orthopedic Testing: Tests That Involve Standing on One Leg
Since these tests have a common mechanism of performance (standing on one leg), there are differential diagnostic concerns during testing. The tests cannot be completely isolated from each other for performance.
Communication 101: Please Explain Yourself!
Twice this past week, I overheard conversations about chiropractic. As you can imagine, it is a topic my ears naturally pick up. In both cases, a patient was talking to a friend about their experience with a chiropractor.
Healing With TCM at San Quentin State Prison
For the prisoners at San Quentin State Prison, life-sentences are the reality of every day life. It is not often that prisoners get the opportunity to use alternative medicine to deal with common ailments they encounter behind bars such as, depression, anxiety and pain.
Managing Today's Fertility Patient
I recently received an email from one of my fertility patients: "Got my lab results back. FSH is 11, AMH is 0.7. My doctor said these numbers aren't good. I guess I'm infertile. Just as a thought. Just set up an appointment to speak with an adoption agency."
The Heart Protector
On the physical level, the Pericardium is a double-layered sac of fibrous tissue that envelops the Heart. The space between the layers is filled with serous fluid that protects the Heart from external shock or trauma and lubricates to allow for normal Heart movement.
Correcting Pelvic Rotation Around the Long Axis: Adjustment Protocol
The pelvis can be considered a ring that can misalign on the sacrum rotating around the long axis. The following is a description of an adjustment that helps to correct sacroiliac rotation around the long axis.
Chiropractic Research in Review
Predicting Pain With Disability in Office Workers; Traction Approaches for Discogenic Cervical Radiculopathy; Intra-Articular Gas Bubbles Following Manipulation; Nonresponsive Chronic Ankle Sprains: Think Tendon Rupture.
CMT & Stroke Risk: Myth vs. Fact
By now, most of you have probably heard that the American Heart Association recently published a statement regarding the association between cervical dissection (CD) and cervical manipulative therapy (CMT).
The Wonders of Light Therapy: An Interview with Wes Burwell
I first met Wes Burwell in 2011 when he was teaching a class on light. Since then, every time I hear him speak, his understanding of the benefits, function and capacity of light has evolved.
The Case for Immunization
As long as I have been a chiropractor, I have seen many in this profession oppose vaccinations. Indeed, it has often been taken as a "given" that to be a principled chiropractor requires a curmudgeon's willingness to hold aloft that banner of opposition.
Sports Science: What's in That Drink?
Athletes frequently ask me what the best liquid is to drink during exercise – water or a sports drink? Water provides the necessary hydration, but unfortunately, it lacks the key nutrients to aid in performance and recovery.
Pulse Diagnosis: What We Know
I am still finding pearls of wisdom from the books and papers that I inherited from my pulse diagnosis mentor Jim Ramholz.
Dr. George Goodman and His Legacy to Logan University
Those who knew him called him a revered leader, a visionary and one of chiropractic's biggest advocates. George A. Goodman, DC, Logan University's sixth and longest-serving president, passed away on Sept. 9. He was 70 years old.
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 2)
As mentioned in part 1, using a flexion-distraction table is a great way to unlock this particular fixation. You have found the stuck segment. You have determined whether it is unilateral, midline or bilateral.
The Tao of Gender
If you think gender is as simple as having a new client check off the "male" or "female" box on your intake form, we hope this article will expand your understanding and thus the reach of your health care.
Jingei Diagnosis: An Effective and Powerful Diagnostic
I graduated from the Kotatama Institute under the direction of Drs. Masahilo and Katsuharu Nakazono in 1984. As a student, I was exposed to the practice of most of the various theories and modalites of Oriental Medicine.
Lime Jello on Morphine
Taste is in the eyes... actually the mouth... of the beholder. My food preferences have changed, lightening from the food of my youth. My parents loved heavy eastern European cuisine and I loved it as a child. Now I enjoy leaner, healthier whole foods.
Commingling Money: 12 Questions for the ACA About the CHAMP / NCLAF Merger
The American Chiropractic Association recently announced it was merging the National Chiropractic Legal Action Fund and the Chiropractic Health Advocacy and Mobilization Project into a single entity that will support both legal and legislative actions.
Simple Ways To Find True Happiness
Patients in our clinics are always seeking happiness. As their health advocate, we need to ensure we inform them that in order to find happiness, they have to make sure to identify what makes them happy in the first place.
Managing Patient Expectations About Acupuncture
Last year, I attended the Pacific Symposium in San Diego for the first time in six or seven years. It was the 25th anniversary of this event, and on one evening there was a panel discussion with the title; "What is Qi?."
To The Finish Line With the Help of TCM
When acupuncturist Eddy De Smedt pursued a career in Traditional Chinese Medicine, he knew he wanted to make a difference.
Uncle Sam Needs You (Part 2)
Where chiropractic care has been used in the military health services, it has been deemed very successful.
May, 2013, Vol. 13, Issue 05
VacuTherapies and Working With the Senior Athlete
By Annie Garic
There are more than 10,000 men and women between the ages of 50 and 90+ that gather every two years to compete in the National Senior Games. These athletes train year round in their chosen sport and participate in yearly local events in order to improve their skills.As with athletes at any age, injuries occur that can sometimes sideline them. I know, because I’m one of them. No one wants to take time out due to a nagging injury. VacuTherapies can really help speed up recovery time.
Vacuum therapy, is a highly effective modality for treating most injuries at any age, even if your client is not an athlete. These techniques are a modern application for the ancient tool used in traditional cupping practices. With vacuum therapy, the practitioner uses cups as an extension of their hands to mobilize tissue and fluids. Cups are utilized in a variety of different ways in order to accomplish the desired results. An amazing aspect of this method is the speed in which results are achieved. Vacuum therapy promotes circulation, moves stagnation, reduces inflammation and loosens adhesions. It’s a technique that can be enjoyed by the injured athlete because it has a sedating effect on the nervous system. Proper use of equipment lifts and separates tissues allowing fresh blood and oxygen into dehydrated, undernourished areas.
A 59-year-old female basketball player broke a bone in her hand during practice that required surgery. Two weeks later, the swelling in her hand under the cast had not subsided. She was not able to bend her fingers, which was an intricate part of her physical therapy. She then came for a massage. I applied the VacuTherapies machine to the appropriate areas. While I monitored the machine, I was also able to work with my hands on other affected areas of her body that needed attention. The vacuum machine affords the practitioner the opportunity to achieve more results in the same amount of time. The vacuum therapy drained the lymph system and the inflammation in her hand was reduced significantly. She returned to physical therapy and her recovery time was lessoned. She was back on the court earlier than was predicted.
Vacuum therapies can also be used on site. The vast selection of equipment affords the therapist a multitude of choices to bring along to any sporting event. The cups range in size to accommodate the large muscle groups, like quadriceps and gluteus, and very small ones to fit hands, feet and the occipital region. While playing in a basketball tournament, a 56-year-old female athlete strained her gastrocnemius, forcing her to sit out the rest of the day. That evening, we used a large cup from the manual set to lift and stretch the soft tissue. I initially used suction/release technique due to the sensitivity of the lower leg. Then, gentle, long gliding movements to move out any debris using constant suction. I completed the treatment with reverse friction using a smaller cup along the anterior attachments and around the knee. The next day, the athlete was able to resume tournament play as if nothing happened...to the dismay of the opposing teams, I might add.
One of my clients is a 64-year-old avid tennis player. While playing, she experienced a pain in her shoulder. By the time she finished her match, it had transferred to neck pain. By using a technique called “rolling rotation” I was able to locate the trigger point in her rhomboids. This technique, along with a couple of other techniques called twisting and shaking enabled the release of some deep adhesions.
Senior games offer 19 different sports to participate in. One of my clients, a 67-year-old male, takes advantage of about half of them. One day, he sustained an injury to his wrist while diving for a softball. The pain was shooting up his extensor muscles. The first thing I did was park the micro magnet cups to change the polarity of the tissue. Then I applied some suction/release for deep tissue release. I finished the treatment with reverse friction on the attachments of his forearm muscles. A couple of weeks later, I ran into him at the gym, where he was playing pickle ball. I asked how his injury was doing and he said, “what injury?” One treatment had resolved it completely.
Several years ago, a female athlete came to me for a pain she felt in the attachment area of her hamstrings that was also radiating down to her foot. She had just turned 80 and was training for a half marathon. She was on a time frame that did not allow her to cut back on her work outs. At the beginning of the treatment, the client was very sensitive to palpation on her gluteus. I placed a large cup from the vacuum machine on the suction/release mode area to flush the muscles and relax the nervous system. This allowed me to have both hands free to explore the hamstrings. What I found was an adhesion in the belly of the biceps femoris and semitendinosis muscles.
The “bunching up” mid-way down her leg seemed to be causing her pain at the ischial tuberosity. I then switched the cup from her gluteus to the area over the adhesion. The gluteus area was much less sensitive and I was able to do some deep tissue work on her periforimis with the client experiencing much less pain. After taking the pulsating cup off of the hamstrings, the adhesion had softened significantly. I changed the cup size and adjusted the machine to static suction and continued to use the vacuum with different techniques over the entire muscle group. When the session was over, the client reported a reduction in her pain and a feeling of lightness in her leg. We did one more treatment a week later and she was free of pain. This therapy did not interrupt her training schedule and she successfully accomplished her goal of completing the half marathon.
As a therapist and senior athlete, the equipment provided through this modality is an invaluable part of my lifestyle. Self care is key to maintaining fitness for my career and sporting activities. After an extreme workout, I am able to apply the cups easily to flush areas of lactic acid before any soreness sets in. When traveling to competitions, I pack a set of the various sized silicone cups. This prepares me for any ailment that may arise. The “big mouth” silicone cup comes in handy to relieve congestion in the legs and hips. The smaller size cups accommodate other body parts that may be in need. My teammates benefit from them, too, and that makes for a winning combination.
Annie Garic graduated with a Bachelor's degree in Health and Physical Education from the University of New Orleans and a Masters degree in Physical Education from Southern Methodist University. She began her massage therapy career in 1987 earning certifications from the Institute of Psycho-Structural Balancing, the Atlanta School of Massage and the Upledger Institute. In 2000, she took her first ACE Massage Cupping(TM) workshop from Anita Shannon and became a Certified ACE Massage Cupping(TM) Educator in 2005. Annie practices in New Orleans and Asheville, North Carolina and teaches nationwide.
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