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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.
May, 2014, Vol. 14, Issue 05
Understanding Stimulus Response by Engaging with Readers
By Ralph Stephens, BS, LMT, NCTMB
I open this column with a sincere thank you to all who responded to the last three columns. The responses and discussions have been thoughtful and inspiring. Many of you asked how you could help bring about or implement the suggestions.In a word, get involved. Oops, that was two words, sorry. Some of you forwarded the columns to your State Massage Boards. Great, keep the heat on. Show up and let them hear your concerns. You will be heard, as very few care enough to show up to give Boards input and without your input, they do the best they can think of at the time. They are good meaning, dedicated volunteers who put in a lot of time and effort. They appreciate input. Get involved. Stimulus is the only way to get a response. Oh, and stay involved.
When our Stakeholder groups meet, they met in secret. The AMTA Board of Directors, who claim to be a member driven association, have kept their agenda secret from members for years now. When all the Stakeholders meet together, it is in secret. It is time we demand transparency and openness from all our Stakeholders and organizations. If what they are doing is so good for us, why can't we know about it? If you have to hide and work in secret you are not serving the profession or the public, you are serving yourselves. Leaders should never be blindly trusted, they must be held accountable, as history shows, power corrupts. Get involved and stay involved. Citizen involvement keeps societies free.
My volunteer time in the AMTA and on the Iowa Board of Massage was not only rewarding and productive, but a very valuable, career enhancing experience. Get involved and stay involved. You will get out of your profession what you put into it. A few passionate, driven people most often change the world. Become one of them.
To my fellow educators of this profession, it is time you get actively involved and lead. If you cannot or feel you dare not endanger your gigs or attendance, join the Alliance for Massage Therapy Education (AFMTE) and help support teacher standards and all the work the AFMTE is doing for you. Educators are the "Brain Trust" of our profession and need to be heard. The AFMTE can be your voice if you become active and no one will know it is you, because you become part of the voice of the massage education community. It is a great group to be a part of and to hang with. Get involved. Stay involved.
A generation of massage educators is reaching the age where they are passing the torch and even leaving the planet. This generation founded the modern massage movement in the U.S. Most are now in their 60's and beyond and many are still doing very well and are very active. Others are slowing down or retiring, and sadly, some are leaving us. For those of you who desire to study with the Masters and to learn from their true wisdom, don't put it off.
A Better Way
It is human nature to look for a better way and to resist changing to it. One of the delights of writing this column is the people who strike up conversations with me about the topics I write on. About 10 years ago, Lawrence Woods, a therapist from Indianapolis, challenged me on a therapy tip I had published. After several correspondences, we agreed we were both right. Our conversations continued and I found him to be quite an innovative therapist who had been trained by the best of the best around the world. As I travel through Indiana frequently, I decided to make an appointment with him and receive some treatment. His work was excellent and I continued to receive therapy from him whenever travel schedules allowed. About five years ago, he revealed to me what he had been researching and working on for a number of years. It was the perfection of a concept that has been around for decades, that I had seen in various forms from time to time, but it never worked consistently or predictably. If it worked, great, if not, you did something else. Lawrence had finally taken this concept and put together a system for treating soft-tissue that is predictable, consistent, painless to the patient and relatively easy on the therapist. Using Sherrington's Second Law, precise kinesiology and anatomy, a lot of insight and thousands of clinic hours of trial and error, he has developed a system that has completely changed the way I approach soft tissue therapy.
After decades of deliberately manipulating the painful muscular tissues of my clients, I found I no longer have to inflict discomfort on my clients to help them feel better or hurt myself in the process. There is no longer any need to cause pain or even "mild discomfort" to change the tonus of muscles. This other approach, which he calls Neural Reset Therapy® or NRT, seems to affect the hypertonicity of muscles much more profoundly than any other method that I'm aware of. I have been a therapist for 28 years and it's only been the past couple years, since learning NRT, that I have been enjoying treating people as much as I did in the beginning years of my career as a massage therapist.
I have felt and taught for some time that massage is a stimulus response mechanism, not as mechanical as some assume. We are stimulating mechano-receptors to elicit the inhibition response back to a target muscle or point. However, we have been walking a fine line between the mechano-receptors and the nociceptors, trying to keep our stimulus strong enough to elicit a response, which requires discomfort for the patient, but not so strong as to cause pain and the resulting protective contraction. I knew there had to be a better way to utilize the body's reciprocal inhibition mechanism in a way that would last beyond the moment of movement to "reset" the tonus of a muscle. Lawrence has achieved that with his NRT. Look interesting? Watch for more explanations of how to better address soft tissue faster and easier than ever before.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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