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Knee Pain From the Kinetic Chain
As practitioners of manual medicine, chiropractors often treat patients suffering from knee pain.
Looking For Answers In Many Places
I am sure we have all heard the old adage: "When the only tool in your toolbox is a hammer, everything starts to look like a nail."
By the Numbers: 3 Common Financial Mistakes With Major Consequences
Warren Buffett is on record for sharing the hidden art of becoming wealthy and making it simple enough for anyone to grasp.
The Science of Stretching
In 1986, Rob DeCastella set a course record by running the Boston Marathon in 2:07:51, just 39 seconds off the world record.
Hazards in the Environment Making Your Patients Sick
Working both separately and together, Western and Chinese medicine have many successes in the treatment of the myriad diseases that afflict human beings in modern times.
Curbing Label Overwhelm
For the average consumer, reading a food package can be overwhelming: natural, organic, non-GMO, gluten free, free range ... you get the picture.
Inside Liver Failure, Cirrhosis and Cancer
The Liver belongs to Wood in Five Element Theory and is in charge of Dispersing and Expanding which means all the processing and detoxifying of harmful substances such as medications and chemicals require the efforts of the Liver.
Healing With Hope
Ella is a Gulf War veteran and a survivor of military sexual trauma. Like hundreds of veterans, Ella was on 11 different medications for depression, anxiety, insomnia, irritable bowel syndrome and chronic pain.
Remembering Clarence Gonstead and 50 Years of the Gonstead Clinic
Dr. Clarence Selmer Gonstead (1898-1978) took chiropractic practice from back-alley bone setting to an understandable biomechanical science. His life was dedicated to clinical competency.
Are You a Bad Chiropractic Patient?
My father was a great DC. In fact, as you might expect, he was the doctor of chiropractic I measured all other doctors against. Sadly, he died at age 61 when I was in my early 30s.
Vaccines and Chiropractic: Evidence-Based Medicine or Medical Dogma?
Right or wrong, the chiropractic profession has historically been against vaccinations. However, a growing trend within the profession is seeking to reverse this position.
Spotlight on Acupuncture Research at IRCIMH
Acupuncture and Traditional Chinese Medicine were well-represented at the International Research Congress on Integrative Medicine and Health (IRCIMH)- 2014 which took place in Miami from May 13–16.
Fibromyalgia: Put the Pain in Its Place
While some fibromyalgia patients respond favorably to regular chiropractic care, others experience minimal relief. Unfortunately, many of these patients must rely on pharmacological management to relieve their constant pain.
The Acupuncture Success Express
Time is passing very quickly these days. We are atoms half the way through the year of the horse. You could call it "horse racing season" for this profession. Perhaps it is time for reinvention during this time.
Coding for the Subluxation: ICD-9 vs. ICD-10
When I attended chiropractic school, I was taught that chiropractors approach health care differently than the traditional medical establishment.
Immunizations by Colorado DCs: Really?
You probably didn't hear about it, but back on Nov. 21, 2013, the Board of Directors of the Colorado Chiropractic Association (CCA) adopted "immunization authority" for Colorado DCs as its No. 2 legislative goal.
Medical Qigong for the Heart: Part II
Chinese Medicine is rich in commentary regarding the emotions and how they affect our qi.
Deciphering The New CMS 1500 Claim Form
Q: I am confused on using the new 1500 form, particularly Block 14 and Block 15. What is required and how do I properly fill these out? And do I actually have to use this new form or may I continue using the old version?
The Kidney Official
The Kidney is known as the Official Who Controls the Waterways. In Western medical terms, a major function of the Kidneys is to filter the blood. Every day, a person's kidneys process about 200 liters of blood to sift out about two liters of waste and excess water.
Why You Should Include the Single-Leg Stance Test in Every Patient Assessment
The single-leg stance (SLS) test, also known as the single-limb stance test, unipedal stance test or one-legged stance / balance test, is often used in the geriatric population to assess static postural and balance control.
Physical Exam 101: The Hands
I am sure you are familiar with the old adage: "When the only tool in your toolbox is a hammer, everything starts to look like a nail."
Best Practices for Website Success
If one asked 10 years ago whether a website was relevant I was the first to suggest no. Yet as the world moves increasingly towards electronic information there is a dire need to have a website for your practice. Your website is actually your electronic calling card.
May, 2013, Vol. 13, Issue 05
Specific Considerations when Massaging Seniors
By Sharon Puszko, PhD, LMT
On January 1, 2011, the first baby boomers turned 65. Every day since then, and for the next 18 years, 10,000 people will turn 65 according to the U.S. Census. Over the next decade, we will feel the impact of this change on the health care system, the housing market, the retail industry and in our own massage therapy businesses.Whether or not one's business specializes in geriatric massage, we will all see an increase in the number of older clients we treat. This means it is important to be aware of the difference between massaging your younger clients and massaging senior clients. Even though many in this demographic are active and in robust health, others are more sedentary and frail. It is important to have a basic understanding of the considerations to keep in mind when working with this population.
Try to find out for how much of their life a client has been active. The issues common to a client who has been active most of their life tend to be more "predictable" from week to week, as they usually are not making any drastic changes to their activity level. These types of clients also tend to be in a general better overall state of health and can usually handle a one hour session. On the other hand, some active seniors might have recently taken up exercising as a result of a doctor's suggestion, or a personal desire to become healthier, but have not been active for most of their lives. These clients typically have more acute pain issues resulting from their body adjusting to an exercise program and they are typically less flexible. One hour sessions may be too long for some, so please be aware of how the client is responding, and if they seem to be uncomfortable after a half hour, that may be the right amount of time for a session.
Regardless of activity level, seniors still are geriatric clients and should be treated as such. The amount of pressure one uses should be modified since their skin is thinner than younger clients. Some other contraindications to consider when working with geriatric clients include, but are not limited to, thinning bones, the site of a repeated injection, burn wounds, skin ulcers or any type of joint replacement. A comprehensive intake is necessary to determine if a client has any condition that might require a doctor's permission before performing bodywork.
The above information is meant as an introduction to working with seniors, instead of a complete guide. There are many issues related to aging that go beyond simply applying less pressure, such as medications, thinning skin and stamina. Because of the growing aging population and the body of evidence that proves massage is beneficial for our health, geriatric massage is on the rise. We are learning more and more about this field every year, which is exciting. Therefore, it is highly recommended to take continuing education classes in geriatric massage that discuss techniques and contraindications in depth. This way, one is properly prepared for the rewarding experience of working with this population.
Sharon Puszko is the owner/director/educator for Day-Break Geriatric Massage Institute. She may be contacted at
or through her Web site: www.daybreak-massage.com.
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