resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
June, 2013, Vol. 13, Issue 06
Dealing with Painful Foot Injuries, Part 2
By Ben Benjamin, PhD and Karen Ball, LMT
In part one of this two-part series, published in the April issue, we began talking about foot pain and discussed several different injuries that affect that area of the body.Now we're going to move on to give you practical tips for soothing the feet. (Remember that any recurrent, persistent or severe pain should first be thoroughly assessed and checked out by a physician.) We invite you to share this information with clients who suffer from aching feet, as well as using it yourself. With the amount of standing we do in our line of work, many of us could benefit greatly from better foot care.
Self-Care Routine for Aching Feet
Many people have reduced or completely eliminated their foot pain by following a dedicated self-care routine. Below are some key actions that get results.
First of all, rest. Stop doing whatever it is that aggravates your pain. If a certain pair of shoes causes you pain, stop wearing them. If daily runs on pavement end in pain, find another way to exercise. Listen to your body's cues and discontinue any activity that interferes with the healing process.
You should also consider ice massage. This is a simple way to reduce inflammation. Fill a small paper cup with water and freeze it. Gently move the cup over and around the injured area, stopping when the tissue begins to feel numb. Keep the motion constant, so you're not holding the cup stationary in any one spot.
You might also try stretching. Start by stretching your toes. Bring all your toes into extension and then grasp one toe and stretch it slowly into full extension for a moment or two. Do this with each toe four or five times. Next, take each toe and bring it into flexion all the way. Then grasp two toes at a time and gently stretch them apart for a few seconds. Repeat with all the toes. Then go on to stretch all the joints in the foot and ankle, the extrinsic and intrinisic muscles of the feet, the muscles of the lower legs, the hamstrings and the quadriceps. Use a towel, rope or stretching strap if you need to.
Another important step is strengthening. To strengthen the intrinsic muscles of your foot, toss a dozen large marbles on the floor, sit in a chair, and pick up a marble with your toes. Then cross that leg over the other, tailor-fashion, and remove the marble. Repeat until you have picked up all the marbles and then switch to your other foot and pick up all the marbles again.
It is also important to develop better footwear habits. Many of our foot-related woes are caused, either directly or indirectly, by the shoes we wear. Consider taking some of the these simple steps:
If you live near a beach and take barefoot walks, you can invite the muscles of your feet to strengthen in a healthy, natural way. Walking or gently running on sand is excellent for the health of your feet. You can also establish morning and evening routines for your foot health. Before getting out of bed in the morning, remember to stretch and massage your feet. Then, when you're relaxing in the evening, try a combination of the following:
Evening Reflexology Protocol
Reflexology is a non-invasive complementary modality involving the use of alternating pressure applied to reflexes in the feet. Reflexology reduces tension in the muscle tissue and improves circulation of the blood, lymph and neurons, resulting in reduced pain and better functioning.
Following your foot soak, fully extend, flex and separate your toes. Take each stretch as far as you can. Invert and evert your foot. Range-of-motion exercises will increase blood flow to the feet, loosen up the joints and relax the connective tissue.
Use a knuckle to "walk" the plantar surface of the calcaneus. Stop on any sensitive points and apply slow micro-friction to break up adhesions of excess nerve and/or scar tissue that has been laid down in response to trauma.
Use your thumb to apply rhythmical, alternating pressure to the remaining plantar surface of the foot. Imagine your thumb as a little inchworm, taking small "steps" over the entire surface of the foot. Stop on sensitive points and apply micro-friction.
Use your fingers to walk the dorsal side of the foot and work on any points that get your attention.
Finish with ice massage, followed by massage with a lubricant made with unprocessed castor oil (which has proven analgesic properties ), infused with organic essential oils that have anti-inflammatory and analgesic properties. (Examples include German chamomile, peppermint, ravintsara, helichrysum, and lavender.)
Drink some water, turn off the light and go to sleep! Remember to wear footwear with arch support if you get up in the middle of the night and stretch your feet and calves before rising in the morning.
Remember, when you treat your feet well, they tend to return the favor.
Click here for more information about Ben Benjamin, PhD.
Karen Ball, LMT, Certified Reflexologist and Aromatherapist has been working as a manual therapist since 1983. Through the Academy of Ancient Reflexology, Karen offers the 315-hour Therapeutic Hand & Foot Reflexology Professional Certification, and a growing roster of weekend workshops and classes in conventional reflexology, Thai reflexology and allied subjects. For more information, visit www.academyofancientreflexology.com.
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