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U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
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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