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Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
August, 2013, Vol. 13, Issue 08
The Rewards of Working with Dementia Patients
By Ann Catlin, LMT, NCTMB, OTR
I'm a brain/behavior geek from way back. In college as an occupational therapy student in the 1970's, I added a semester just to take more psychology classes. An internship was spent living and working at a large state mental hospital in Wisconsin.I loved it! My first jobs were in acute psychiatric units. I loved that, too. I spent ten years working in a rehabilitation center for people with traumatic brain injuries. I really loved that! Then I started working in nursing homes and began to learn about Alzheimer's disease and related dementias.
Fast forward to the present time and my favorite work is sessions with people with advanced dementia and teaching massage therapists and other professional caregivers how they do it, too. As our population ages, we will see greater numbers of people with cognitive impairment. Did you know that of people over the age of 85, about half have some degree of dementia? This is an issue that will affect almost all of us personally or professionally.
Geek that I am, I like finding a new piece to the puzzle of dementia and the inner world of people living with it. One piece I'd like to share with you is that not all dementia is the same. What follows is a description of the most common forms of dementia and the conditions that create it. Dementia is a general term meaning loss of memory and other intellectual abilities serious enough to interfere with daily life. It's important to understand that no two people are alike when it comes to dementia, even if the diagnosis is the same.
Alzheimer's disease (AD)
This is the most common type of dementia and accounts for about 60 percent of cases. AD is a progressive, degenerative disease that results in impaired memory, thinking and behavior reducing the ability to perform routine activities; common symptoms of dementia include memory loss, confusion, difficulty in communicating, disorientation in time and place, mood swings, restlessness, sleeplessness, behavioral disturbances, personality changes and perceptual motor problems. Abnormal structures called plaques and tangles are prime suspects in damaging and killing nerve cells, leading to brain atrophy. Plaques and tangles are deposits of protein fragments that bind together over time. Experts believe they play a critical role in blocking communication among nerve cells and disrupting processes that cells need to survive.
It's the destruction of nerve cells that causes symptoms of Alzheimer's disease. If AD is diagnosed prior to age 65, it is considered early onset. The course of the disease is similar as described above. Researchers have identified a possible genetic or familial link in people who develop the disease in their 40's or 50's. Early onset AD is relatively uncommon.
Vascular dementia is the second most common. It's caused by decreased blood flow to parts of the brain, depriving cells of nutrients needed to live. Onset can be sudden following a cerebral vascular accident (stroke). In others, onset is more stepwise. This happens when the person has a series of small strokes, known as transient ischemic attacks. Unique symptoms may include emotional outbursts and weakness in one or more extremities.
Lewy body dementia (LBD) is progressive and caused by abnormal protein structures in the brain called Lewy bodies. Symptoms are similar to AD, except that visual hallucinations and paranoia is a unique feature. People with LBD have symptoms very much like Parkinson's Disease including muscle rigidity and tremors and stooped posture. LBD is the third most common form of dementia.
Frontotemporal dementia (FTD) is caused by cell degeneration and tissue shrinking in the brain's frontal or temporal lobes, which control functions of personality, behavior and language. Symptoms vary, depending upon the portion of the brain affected. Some people with FTD have dramatic personality changes and social behavior is inappropriate and impulsive while others lose language abilities. Most people diagnosed with FTD are in their 50's or 60's.
Dementia is a growing concern in healthcare, our communities and families. Sound information gives us a foundation from which to act and increases our comfort level to serve this special population. My next article will explore how focused touch and sensitive massage can improve the quality of life for both the person living with the disease and their care partners. Until then, take good care.
Want to learn more?
These links take you to brief videos.
Click here for more information about Ann Catlin, LMT, NCTMB, OTR.
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