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Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
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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