Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
The Ethics of Herbal Prescribing
While teaching ethics classes, I often encounter licensed acupuncturists who are surprised that our use of herbs and supplements has a specific section in the material. It is often an aspect within ethics that clinicians don't think of in practice.
Patient Retention Techniques
When talking about techniques to grow your business, we tend to focus on the "large" aspect of the patient base, that is, on strategies to attract new patients. However, it is important to remember that "loyal" is equally, if not more, important.
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Online Marketing Basics: Website Creation
The various online marketing options make it a challenge, especially when all you want to do is help your patients feel better. With such a broad topic, I'm going to share some basics you should know about website creation.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
Preaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
June, 2013, Vol. 13, Issue 06
Key Nutrients for Maintaining Musculoskeletal Health
By Christopher Oswald, DC, CNS
As a chiropractor, I fully appreciate the amazing potential of manual therapy. Whether that therapy is a chiropractic adjustment, therapeutic massage, or some of the many other effective body work options; people generally have a wonderful response.From time to time though, we all run into an individual who doesn’t respond to our therapy as we would expect. This can be very frustrating as you are providing something to them that you know should be making a big difference, but for some odd reason they just don’t respond and they may think that massage or body work is just not the right option.
In my clinical experience, I have come to realize is that these "non-responders" are the people who need the most help, but the problem is that their body is so malnourished, there is no support for the underlying biochemistry to respond to the exact therapy they need. When their bodies are supported with appropriate nutritional supplementation, the newfound results are, at times, amazing. Think about this for your own health as well.
Nutritional support for musculoskeletal health may target many physiologic functions due to the multifactorial nature of pain, inflammation and tissue abnormality underlying musculoskeletal conditions. Sometimes, optimal support focuses on addressing a unique factor involved in someone’s disease, such as chronic inflammation underpinning rheumatoid arthritis or providing targeted nutrition for joints affected by arthritis. For this article, I will be focusing on a more general approach to musculoskeletal health support that can be beneficial to the majority of your massage clients.
One of the first concepts to consider is generalized support of the tissues. Within my practice, I have noticed that without base nutrition people cannot respond to the more specific therapies. Through the proper application of a high quality multi-vitamin mineral complex, it can be nearly assured that your client will be receiving the proper base nutrition to have an appropriate response to any manual therapies you perform.
Fish oil is another general recommendation that will benefit most of your clients. While research has shown a myriad of positive health benefits, there have also been some fairly specific benefits to overall musculoskeletal health. In regards to fish oils being beneficial for musculoskeletal health, many people understand that they promote an anti-inflammatory effect within the body, but do you really know why and how effective they can be? A study in the Journal of Nutritional Biochemistry from 2010, discusses the endocannabinoid signaling system and its role in musculoskeletal health and osteopenia. This system is activated and suppressed by the balance between omega-6 and omega-3 fatty acids. The standard American diet (SAD) today is extraordinarily high in harmful omega-6 fatty acids and is almost devoid of the healthy omega-3 fatty acids (which are primarily found in fish oil, but can also be found in cod liver oil, krill oil, flax and others). This system has been found to be more active under the presence of high levels of arachidonic acid (omega-6), which will ultimately result in muscle atrophy and osteopenia. The researchers found that when omega-3 and omega-6 fatty acids are balanced, this problem is corrected and healthy muscle development and bone modeling occurs.
Vitamin D supports many functions throughout our bodies, but has some significant effects on musculoskeletal health. People with adequate vitamin D status seem to benefit from a protective effect against muscle weakness and bone fractures. There are a variety of additional nutrients that support the health of the musculoskeletal system. Two which I have come to use quite regularly in practice are bromelain (from pineapple) and proteolytic enzymes, which both have a systemic effect. When used away from food (30 minutes prior to eating or 90 minutes after), the systemic effect is one that helps to break down the exudates that our cells release following any type of injury or insult. Some studies suggest that use can reduce swelling, pain and inflammation. The mechanisms that have been proposed to support this activity include a reduction in PG-E2 production and through the modulation of adhesion molecules and supporting appropriate cytokine balance.
Vitamin C is another nutrient that can be very beneficial in the support of soft tissues throughout the body. This is essential for the adequate formation of collagen and L-carnitine. Collagen is a major component of all of our connective tissues and therefore is an essential component to maintain to ensure the integrity of our musculoskeletal systems. Carnitine is also very essential as it plays a key role in the transport of fatty acids into our mitochondria. Without this nutrient our body would have a very difficult time utilizing our fat stores to produce energy to initiate muscle contraction. Research has found that vitamin C can help to decrease muscle soreness after exercise and speed up our muscles recovery to full strength.
When you successfully combine nutrition and manual therapies (such as massage therapy), the results for your clients can be absolutely amazing. Remember to stay within the limits of your scope of practice for your specific state. Suggest a client might need to see their medical provider or a chiropractor who can counsel them on proper nutrition. Nourishing the bodies of the people that you work with will provide them the extra advantage of having adequate levels of the proper nutrients to ensure an appropriate response to the therapy that you have been providing them.
Christopher Oswald, DC, CNS, is currently in clinical practice in both Wisconsin and Minnesota, as well as a 2007 graduate of Northwestern Health Sciences University. Upon graduating, he started a private practice with a focus on using a functional medicine to approach tissue health, adrenal health, GI health, weight loss, and optimizing sports performance. Along the way Dr. Oswald has learned how to effectively address many of the underlying concerns with chronic health problems with a combination of chiropractic care, lifestyle changes, and specific nutritional protocols. He can be reached at
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