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Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
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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