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The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
January, 2014, Vol. 14, Issue 01
Massage and the Medical Community: MD Provides Answers
By Sharon Puszko, PhD, LMT
A lot has changed in the field of massage therapy since I entered it 30 years ago. We now have specialty areas to focus in, continuing education to pursue, conferences and workshops to attend and many wonderful products to support and sell.Most importantly, massage therapy is now viewed by the majority of healthcare practitioners as a viable method of treating and managing health issues. Massage therapists are now on staff at hospitals, doctors' offices and assisted living facilities. And I do believe in my lifetime, we will see health insurance start to cover massage therapy for certain health issues.
In fact, one of my most loyal clients, Sara McCracken, happens to be a doctor. She retired from her position as the Director of the Breast Center at Methodist Hospital in Indianapolis after having a double mastectomy due to breast cancer. After experiencing the benefits of massage, she encouraged her mother (who was also a doctor) to start getting massages for herself as well. I decided to interview her, for a medical practitioner's view of massage in today's world. Below is part of our conversation.
Dr. M: Weekly, since 1996.
SP: Has your opinion on the benefits of massage changed over the years?
Dr. M: Yes, I used to see it as a mechanism for just pleasure and relaxation. However, after I had breast cancer and a year of chemotherapies, surgeries and radiation, I was too exhausted to do any exercise. I started getting massages soon after that on a regular weekly basis. It improved my circulation and really increased my energy levels which were abysmally low. I developed significant arthritis and joint pain from some of the drugs I was still taking to keep the cancer at bay. Massage helped me remain more flexible. After a few years, the radiation caused significant tightening of the musculature in my chest on the left side, as well as the left side of my neck. This caused significant imbalance of the intercostals and paraspinal muscles. I did have physical therapy for many months as well as therapeutic massage each week and the massage helped to slow down the contracture of the muscles.
SP: For what conditions/problems do you recommend massage to your patients?
Dr. M: I recommend it especially for people who have had radiation and many patients on cancer medications, both for stress relief and physical pain. I also suggest massage for people with arthritis and other joint problems.
SP: In your experience, what has been the most "misunderstood" concept about massage in the medical community?
Dr. M: That it has no medical benefit – that it is more like a pedicure or facial because so many therapists happen to be housed in beauty salons or spas.
SP: Do you have any thoughts on whether or not massage should or should not be covered by health insurance?
Dr. M: YES! I hope it is covered for therapeutic massage, such as geriatric massage, sports injuries and for conditions like arthritis and numerous other chronic health conditions.
SP: Anything else you would like to say about massage and its benefits?
Dr. M: My mother Margaret, now deceased, was a retired doctor with significant arthritis and poor circulation. Massage therapy really helped her circulation and arthritis pain. Again, she would not have risked a "salon" massage targeting the younger, healthier population. But after seeing my success with it and finding a massage therapist with continuing education skills that had a private practice, she was willing to try it, and ended up fully supporting it. We both frequently had leg cramps. Massage therapy helps to release the lactic acid build up. Some of my medications also give me quad and hamstring muscle cramps that can hurt for many days unless I get my massage. It seems to be the only thing that helps manage that pain. I just cannot stress enough how much massage has helped me and my mother. I whole heartedly recommend it to people suffering from chronic pain.
I didn't realize I had been working with Dr. Sara for almost 20 years until we started this interview! That is one of the many perks of this career: clients that end up becoming respected colleagues, good acquaintances or personal friends. As I reflected upon this, I realized how fortunate I am to have entered this career field. I have spent the past 30 years helping people feel better on a daily basis and now I get to teach the next generation of therapists to do the same!
Sharon Puszko is the owner/director/educator for Day-Break Geriatric Massage Institute. She may be contacted at
or through her Web site: www.daybreak-massage.com.
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