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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.
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.
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).
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
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.
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.
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.
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.
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.
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.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
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.
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.
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.
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?
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?'
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.
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.
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.
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.
February, 2014, Vol. 14, Issue 02
Make the Time to Transform Your Practice
By Anita J. Shannon, LMBT
Therapeutic benefits of massage therapies continue to be studied and documented. Recent studies have increased the amount of data supporting benefits beyond the wellness aspects and attention is turning to medical conditions.
A truly interesting scroll down the page "History of Massage" on the MassageNerd website reveals evidence of medical uses of massage from ancient times and states that, "before the 1900's, all massage was medical massage." It seems that a huge scandal in Britain around 1889, eroded the medical profession's confidence in massage as a legitimate medical art and the dark shadow cast on the massage field affected English and North American attitudes for more than a hundred years. Medical spas of the world had begun appearing in North America by the mid-1800s but by the 1940's, "spa as medicine was out, spa as beauty and pampering was in."
Many of us who started practicing back when massage was considered only a personal service, observed the resulting wellness, healthcare and medical benefits. Some of us even got to experience it personally. In 1982, I was told I was permanently disabled from a severe neck injury and it was neuromuscular massage and Iyengar yoga that I worked with to reverse that life sentence. Contemporary American medicine only had pain killers and the advice of, "learn to live with it" to offer me at that time.
For the second year in a row, 75 percent of individuals in the U.S. surveyed claim their primary reason for receiving a massage in the previous twelve months was medical (43 percent) and stress (32 percent) related, according to the 17th annual consumer survey sponsored by the American Massage Therapy Association. Medical reasons include pain relief, stiffness or spasms, injury recovery, migraines, prevention and general well-being.
Health care providers and doctors are more commonly viewing massage therapy as a legitimate option to address health concerns. Fifty-three percent of respondents in the U.S. said their physician has recommended they get a massage.
Of consumers who discussed massage therapy with their doctors:
In 2011, ninety-six percent of massage therapists received at least one referral every six months from a hospital or medical office.
Industry trends include:
There is no sound statistic yet found for the number of hospitals in the U.S. that offer massage as an adjunct therapy.
Massage therapy is returning to its original place as a sound and viable CAM (Complementary Alternative Medical) treatment. Therapists have grown more sophisticated and knowledgeable through basic and continuing education and so many amazing modalities have come forward to command the respect of our profession and other health care fields by producing remarkable results.
Begin to pick your new tools and techniques by exploring information and articles online or in industry trade magazines. Attend a convention and receive CEs for attending short introductory classes that will give you a good sense of the educators and the techniques and visit the booths to get on the table and really experience it for yourself.
Research the educators and classes and if they list practitioners on their website. Contact a few of them to ask how they are doing with the techniques. One important question is how the tools and/or techniques affect the therapist, since ease of use leads to longevity of practice. Make an appointment with two or more different certified practitioners and get treatments to experience it for yourself. Visiting more than one therapist leads to a truer understanding, since each of us is unique and will adapt tools and techniques to our own style.
Let's be honest, the figure of 14 percent for referrals from physicians is a bit disappointing. There is a big difference between a referral and being "encouraged" to get a massage. The challenge is to find a way to improve that number and transform our practices by attracting a larger volume of medical referrals. Imagine finding a stack of fax referrals from your local physicians waiting for you when you get to your office each morning! All you need to do is call the patient to interview and schedule.
Building a healthy medical referral community requires time, dedication and a passion for helping the doctor's patients. It is also important to have evidence of training or certifications, along with records of past and current client successes. Our skills and successes build as we grow in knowledge and experience. Speaking from that knowledge and presenting sound documentation of our client results can make a meeting with the doctor a lot less intimidating. These meetings are often brief and it is a good idea to offer to bring lunch for the doctor to actually get a few minutes with them. It is even better to ask about their favorite restaurant and what they would like to order.
This is where the documentation comes in. It is easier for the physician to view photos, measurement charts or testimonials while they eat that memorable lunch you brought for them. Leave them a binder with your case studies and any supporting articles or data and ask to demonstrate that your work is essential to their patients with an initial referral of four to six people.
It is so important to reply to the referral by sending a thank you and notification that you received the referral and have scheduled the client for an appointment at your office. Stay in contact with the referring healthcare practitioner by sending updates and SOAP notes for their patient file. If these two steps are not followed, communication breakdown can occur and the medical professional may never know their patient was treated and responded so well. This is the key to continued referrals of both patients and other healthcare professionals.
Transform your practice this year by adding new techniques and tools and then take the steps to interact with the medical community to increase your referrals. There are so many areas of contemporary and traditional medicine that we can participate with including psychiatry and psychology, geriatric care, pediatric care, sports medicine, oncology, gynecology and obstetrics, chiropractic, Traditional Chinese Medicine, Ayurvedic Medicine, and the list goes on. You could even choose to specialize in certain conditions such as diabetes, Parkinson's, scoliosis, multiple sclerosis and more.
Anita Shannon is a Licensed Massage Therapist and a licensed Cosmetologist since the 1980's, specializing in skin care, body treatments, clinical aromatherapy and various modalities of massage therapy. She is a national educator since 1990, and the Director of Advanced Continuing Education (ACE), an NCBTMB CE provider established in 2001.
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