State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
September, 2013, Vol. 13, Issue 09
Addressing Childhood Anxiety with Pediatric Massage
By Tina Allen, LMT, CPMMT, CPMT, CIMT
Stress and anxiety is a large part of life for children and whether its family or school issues, combating anxiety can be tricky. Fortunately, there are a number of options, including pediatric massage therapy.Numerous studies have documented the effects of touch therapies, including the positive benefits it offers in dealing with emotional and academic anxiety.
At the heart of anxiety is worry. This is the central characteristic and causes a level of excessive concern about real or imagined situations. A child may have anxiety about a big test coming up (real), but also may be worried about what to wear to school in fear they may be teased (imagined). When worrying gets to an excessive point and begins to interfere with the child's life, treatment can become necessary. The hard part about diagnosing and treating anxiety is that it manifests itself in many different ways through behavioral, intellectual and physical reactions.
How Early Does Anxiety Begin?
Normally, anxiety presents itself around seven to nine months old, and is exhibited by "stranger anxiety," meaning the infant will become upset around new people. This "stranger anxiety" signals the child's cognitive development when children begin to discriminate among people. The next development stage happens around 12 to 18 months when children begin to exhibit separation anxiety while parents try to go to dinner or run an errand. This stage normally works itself out by the age of two. Both of these periods are important indicators that our children are developing as normal.
By the age of eight, children begin to shift their focus to specific, identifiable events (animals, monsters under our beds, etc.) and focus more on less specific concerns like grades or making and keeping friends. As the child begins to grow into adolescence, they begin to worry about a host of additional issues such as sexuality and moral issues, which can all lead to increased levels of anxiety.
How does Anxiety Affect Children?
So, now that we know how anxiety grows within our children, it is important to know the types of anxiety that can affect them. Separation anxiety is not limited to children 12 to 18 months old, but can be influenced by parental relationships and more commonly bullying. The child could refuse to go to school due to the bullying or a school phobia. A generalized anxiety disorder is experienced by children who may have excessive anxiety about a variety of things with no specific cause.
While commonly associated with returning soldiers, children can fall into the post-traumatic stress disorder category if they experienced a traumatic event such as domestic abuse, losing a loved one, experiencing a natural disaster or sexual assault. These events cause high levels of anxiety due to reliving the experience, as well as flashbacks.
Social phobia disorder is seen in children who have excessive fear of being in social situations like crowds or groups. Lastly, obsessive-compulsive disorder includes repetitive thoughts (obsessions), an unending desire to repeat specific acts or placing objects in the same arrangement (compulsions).
How can Pediatric Massage Help?
Massage can help facilitate one-on-one time between a parent and child fostering a relationship that will grow stronger. Starting in infancy, a parent can begin to massage their child, which forges a stronger bond and increases communication. Pediatric massage, when caregiver administered, can give you time to sit down and discuss the child's day or any anxiety they may have. Studies have shown children and adults who receive massage experience diminished anxiety during academic stress, hospital stays and other potential anxiety related events.
Just as massage can be given by parents, many pediatric massage therapists work with children experiencing anxiety. Keep in mind, that just the thought of leaving their home to come in for a massage may cause them anxiety. Pediatric massage is not meant to cause further anxiety, but our hope is that it may benefit the child by relieving some of their stress.
Pediatric Massage Tips
Before the session, decide with the parent's guidance whether the session should be in your setting or theirs. Coming to a new location can be anxiety provoking for many people. If the session will be in your environment, help prepare the child for coming to a new location by sending pictures of your setting beforehand to the parents. You can email them to the parent so they can show them to child to help make them more comfortable.
Always, as with any pediatric massage session, ask permission before you begin and check in frequently. This could include giving the child ways to communicate their likes and dislikes in a passive fashion, such as using "thumbs up" or "thumbs down."
Especially at the first session, but every time if necessary, do not ask the child to disrobe to their comfort level. Body image and concern of "what others will think of me" are often causes of anxiety. There is no reason that massage must be performed skin-to-skin. Many clients benefit from a gentle touch over their T-Shirt.
Take your time with transitions and always be consistent. If possible, work together with the family to keep the same time, place and routine. Creating a consistent massage time for a child can help to create routine, stability and provide calm that just might keep anxiety at bay.
Click here for more information about Tina Allen, LMT, CPMMT, CPMT, CIMT.
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