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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.
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.
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.
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."
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."
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed 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.
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.
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.
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.
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.
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.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
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.
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.
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
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.
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.
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.
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.
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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