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NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
News in Brief
Northwestern Student Honored for Addressing Concussions Head-On; Northwestern Announces New CFO; Life U. to Provide Unique Opportunity.
An Alarming Lack of Accountability
Accountability seems to be a lost quality today. The simple act of taking responsibility and doing the right thing just doesn't happen as often as it should. Maybe it is the litigious nature of our society.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Specialized Pro-Resolving Mediators: 21st Century Inflammation Fighters
Specialized pro-resolving mediators, or SPMs, are a portion of the omega-3 fatty-acid spectrum that have been shown to have a powerful effect on reducing inflammation.
Excited to Share the Science of Chiropractic: An Interview With Dr. Heidi Haavik
Dr. Heidi Haavik has become known in the circle of chiropractic researchers as not only a rising star, but also one willing to do research that can have a major impact in the scientific world and how chiropractic is perceived.
Let's Streamline Your Front Desk
Your front office can be your greatest source of efficiency or a constant bottleneck. Increasing the productivity of this area without sacrificing the quality of patient interaction can be a little tricky.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
Identify & Adjust the Apex Posterior Sacrum
Low back pain involving an apex posterior sacrum (+θX-axis misalignment) typically presents with signs of lumbosacral joint impingement or facet syndrome.
Designing a Fitness Plan (Part 4): Blending Pain Relief With Healthy Aging
Pain relief is still the No. 1 reason patients come to my office. However, most of my patients have other goals as well, such as: "I want to lose 10 to 20 pounds"; "I feel old and want to slow down the aging process"; "My doctor says I am becoming a diabetic and need to exercise"; or "I'm tired and want more energy."
Day in the Life of an Advanced-Practice DC
Can you tell us a little about your background in the profession? Why did you want to become a DC? I studied at Boston University from 1968-1972 as a pre-med student majoring in biology.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
How Many of Your Patients Have Sarcopenia?
Figure 1 demonstrates the typical appearance of sarcopenia in the paravertebral muscles. Have you considered evaluating your patients for this problem? Sarcopenia is the progressive loss of skeletal muscle mass and function that affects the older population.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
F4CP Launches New Social Media Campaign
The Foundation for Chiropractic Progress has launched a new service to help member doctors: a social media campaign called "Accelerator."
Misconceptions & Opportunities With Medicare
As I speak around the country on how to properly document Medicare patient encounters, I get questions regarding opting out of Medicare. There are many misconceptions about opting out of Medicare, including just what it means to opt out.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
July, 2014, Vol. 14, Issue 07
Learning the Right Way to Get Started in this Business
By Ralph Stephens, BS, LMT, NCTMB
So many students of massage ask me, "How do I get started?" To me, it is not how to get started, it is IF you get started. You have to start where you are with a goal and start working toward it.Most of the time, new therapists "just want to help people" and because of the lack of emphasis placed on entrepreneurism and self-promotion in massage school curriculums, they are at a loss as to how to reach the people they desire to help. Often, instructors in massage schools are teaching because they could not create a successful practice for themselves. Another common path to teaching is they destroyed themselves physically using poor body mechanics and now are teaching those to their students.
We handicap our students with unqualified "educators." We shouldn't be surprised at the outcomes. We so desperately need instructor standards but that gets in the way of several different cash flows, so the focus is on hours.
To students of lousy massage schools – it is now up to you to acquire the skills you are lacking on your own. Keep the faith and keep focused on your desires and goals. Find the resources, magazines, DVDs, continuing education programs, the Internet, etc., and get the skills you need to market yourself and your services.
An Aquarian Paradigm
When I came into the massage profession, way back in the last century, the paradigm was (as one of my favorite instructors called it) "Piscean." It was from the Age of Suffering. The "no pain-no gain," philosophy applied to massage as well as to athletics. This was somewhat understandable for the more dense bodies of the time, when everything required more physical effort. Cars required strength to drive. Keyboards of the day, called typewriters (or pianos), required strength to push the keys down. Vacuum cleaners were very heavy and not self-propelled. People needed to endure the therapy to get better. One had to suffer for one's mistakes. While we are still tied to the Laws of Cause and Effect today, people are less dense physically. We now have more mental-emotional stress on our systems and fewer physically exertive requirements. (This is why we now have to "work-out" to stay fit, as opposed to a couple generations ago that "physically worked" and thus were fit.) However, about that same time, a more "Aquarian" paradigm was arising. This was lighter, softer, more energetic ways of changing the body and relieving pain. Some systems were grounded in the physical sciences of anatomy, physiology, and neurology. Others were more esoteric, subtle, or energetic.
As we learn more about the body, we have come to realize that pain-causing therapies are not as productive as once thought. Pain activates the nociceptors and causes contraction, not relaxation. We have learned that stimulating the mechano-receptors, adequately but not excessively, will cause the most "relaxation" of muscles. While "deep tissue massage", which has become massage sold by the pound - usually ineptly applied - will satisfy some patients' masochistic needs emotionally, it is far from the best way to relax either muscle tissue or the nervous system. In addition, such therapies are physically demanding on the therapists and sadly many skilled therapists are forced to give up massage after a few years due to massage related injuries of thumbs, fingers wrists, shoulders, backs, etc. While many of these injuries are directly related to poor body-mechanics training in massage schools, many people who are drawn to the profession just do not have the physical capacity to perform strenuous, repetitive techniques. It is so sad to see therapists who have worked so hard to learn great techniques and built up a successful practice, then have to give up the work they love due to occupational injury.
Throughout my 28 year career, I have performed and taught many very physical forms of massage and my students have done very well with them because I was blessed to have been taught good body-mechanics at the New Mexico School of Natural Therapeutics and passed them along to my students. However, even with the finest of body-mechanics, repetitive activity can take its toll.
I have always appreciated the "physicalness" of massage. But I have felt and taught for some time that what we are doing is really just a game of stimulus-response with the nervous system. Muscles are very good soldiers. They do exactly what they are told to do by the nervous system. They can contract or relax and they do so very precisely on command. You cannot beat a muscle into relaxation, try as some might. Even if you can, and some believe you can - okay fine - but why put the patient and yourself through that unnecessarily when all you have to do is give a gentle, quick stimulus to the mechano-receptors and let them cue the nervous system to relax a particular muscle?
Actually, the body does this every time we move. It is called reciprocal inhibition. Sherrington's Second Law says that when a muscle is contracted, its antagonist is inhibited (relaxed). Now, this inhibition only lasts for the moments of movement, but why can't this mechanism be utilized in a way that does last and in fact "resets" muscle tonus to "normal" or "default" levels? Many therapists have asked this question and some have experimented with ways to accomplish it. However, their methods were sadly lacking, inconsistent, unpredictable, incomplete and short lived.
Finally, someone who happens to be a good friend and colleague, has taken the time to do the research and put in the thousands of hours of clinical time to perfect a system to accomplish the desired results. His name is Lawrence Woods and he calls this system Neural Reset Therapy® (NRT). As I mentioned in my last column, this is the biggest advance in massage technique I have found in my 28 years as a therapist. It is the equivalent of the impact St. John Neuromuscular Therapy (NMT) had on my practice and the profession in the late 1980's. It is a game changer.
Imagine having a patient contract a particular muscle against a simulative resistance for a few seconds, resulting in the "resetting" of the tonus of a target muscle. Imagine being able to relax a muscle by stimulating the same muscle on the opposite side of the body, thus not having to press into or stretch the tight or painful muscle at all! Imagine that you can accomplish this with large movements, without much strength, no holding tender points or deep stripping through tissues, straining your thumbs. The patient gets almost instant pain relief without experiencing any pain during the process. This is NRT (www.neuralreset.net) in action. It has completely changed my way of addressing soft tissue, has taken virtually all the load and strain off my body and brought about relief from a variety of problems from athletic injuries to neurological disorders for my clients.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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