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Is It Time for a Popeye Moment? The Flaw in Recommending Chiropractic as a Career.
Following the Thinking of the Classics
I have heard about the "best time of day" to carry out certain examinations or therapies. For example, I remember making a note years ago that early morning is the best time to take someone's pulses.
Make Low-Level Laser Therapy Part of Your Evidence-Based Practice
Low-level laser therapy (LLLT), also referred to as photobiomodulation, has been increasingly utilized in the clinical setting over the past decade.
Solving the Pain Puzzle
Legendary former New York Yankees baseball player Yogi Berra once said, "You can observe a lot just by watching." He would have been a great chiropractor. We are trained to become experts with our hands: palpation, adjusting, soft-tissue release, etc.
News in Brief
Life to Open Branch Campus in Italy; Northwestern Research Arm Benefits From Big Donation.
Meat in the Middle
Have you ever wondered what's the truth about meat? Is it really as bad as many people think?
Peer Points: Promoting TCM Knowledge
When Elaine Wolf Komarow, LAc, received her first acupuncture treatment in 1989, she said it changed her life. "I felt more aware, calmer, and happier. I was so fascinated by the changes that I began to learn everything I could about the underlying philosophy of Chinese medicine," said Komarow.
Inspire Your Patients to Make Healthy Choices
Have you tried to get your patients to change their eating habits or their diet and couldn't get them to succeed? Were they confused and unsure of what the right thing was to eat? You are not alone!
The Acupuncture Now Foundation: What Our Profession Needs
Although acupuncture is growing in popularity it continues to be underutilized due to misunderstandings about its true potential. Only a fraction of those who could be helped by acupuncture know enough to seek it out.
Capturing the Essence of Tai Chi
Over the last 12 years, I have been working on one of the few documentaries about Tai Chi. It's called The Professor: Tai Chi's Journey West and it's about Cheng Man-Ching who moved to New York in the 1960s.
Are You Ignoring the 10,000-Hour Rule?
Having trained interns and mentored new practitioners, it has been my observation that their No. 1 clinical concern is adjusting skills. Their second clinical concern is their ability to read X-rays. Physical diagnostic skills are a distant third.
Avoiding "Just a Pop Doc" Syndrome
Yes, it's harsh. Patients don't like to admit it. They have an unspoken plan when they first visit you: to come one time, get rid of their pain and then get rid of you. They know it's unrealistic, but they'd like to pay nothing for this service.
Why Drugs and Supplements Can't Cure Disease
Chronic diseases are the outcome of disease-promoting, goal-oriented behaviors. So, the notion that diseases can be cured with drugs or supplements should be abandoned. Hypertension is the best example of this.
Step by Step: Long-Term Treatment of Soft-Tissue Injuries Combines Skill and Care
Treating soft-tissue injuries with long-lasting results starts the moment an individual enters the office. When it comes to pain, the only thing that matters to the patient is relief.
Micro-Needle Dermal Roller Use in the Treatment Room
Recently micro-needle dermal rollers have been getting a lot of media attention. As a practitioner who specializes in acupuncture facial rejuvenation, I know that skin needling with a dermal roller (also known as collagen induction therapy), promotes the natural reproduction of collagen and elastin, making the skin feel smoother and tighter.
Are You Ready for the 2016 Patient?
In October, Apple released its iOS 8 operating system for the iPhone and iPad. The new system includes Health, a new app that will interface with an ever-growing number of other apps.
Chinese Medicine: The Natural Way to Children's Wellness
As a child, I did not like going to the doctor. For the most part, when I had to go I wasn't feeling good to begin with, and I was heading into a sterile environment to be awkwardly probed by a man in a white coat for a very short, impersonal period of time.
Treating Acute and Chronic Neck Pain With Ischemic Compression and Exercise
There are many reasons not to manipulate the neck with cavitation: the patient is too old, their neck is too tight, etc. But the most common reason is that plenty of patients are afraid of "the crack," mostly because of the bad publicity about that procedure.
The Death of the Travel Card
As long as I have been in practice, the travel card has stood as the primary style of documentation for chiropractic. It is quick, simple and direct. Unfortunately, the rules have changed.
Implications of Section 2706: The Non-Discrimination Provision Survey
In late April 2014, NCCAOM diplomates received an email survey with the subject line: "End discrimination against acupuncturists" polling CAM practitioners for a Request for Information from the Department of Health and Human Services, released in mid-March.
DC App – The Next Generation
According to a survey by technology firm CDW, health care professionals gain approximately 1.2 hours per day in productivity simply by using a tablet computer in practice.
Five Element Acupuncture Can Enhance Your Practice
For eight years I have been teaching and supervising TCM students at an acupuncture college in Colorado, in Five Element acupuncture.
Home Safety: Help Families Avoid Common Injury Hazards at Home
These days, many parents childproof their homes before a baby is even mobile. You will see an array of electrical outlet covers, bumpers on the corners of the coffee table and safety latches on the cupboards.
The Power of Mu Xiang to Treat Irritable Bowel Disease
Bloating and gas pain is something that everyone has had to deal with at one point or another; however, that's usually reserved for holiday dinners and other large gatherings.
Chronic heightened emotional states create a perfect breeding ground for illness. Through my practice I noted the increasingly obvious relationship between one's mental focus on negative thinking, emotions, resistance to experiencing feelings and disease.
Acupuncture Detox as Part of Drug Rehabilitation
In the U.S., more than 2,000 alcohol and drug rehabilitation programs have added ear acupuncture to their practice. The development of the protocol was determined by Lincoln Hospital as it delivered 100 acupuncture treatments daily.
Introduce Your Patients to Collagen Induction Therapy
Cutaneous (skin) aging generally occurs from either intrinsic or extrinsic processes. Intrinsic aging results from natural skin tissue damage and degeneration.
Foundation for Chiropractic Progress Announces First Group Member
The Michigan Association of Chiropractors has joined the Foundation for Chiropractic Progress as its first group member.
It Pays to be a Foodie
If there is an inner foodie in you, just waiting to burst out—this article is for you! Do you want to know how I know? I'm that girl. My middle name might as well be "Foodie." I love food! And if my patients are any indication, many of them do as well.
Treating Chronic Depression with Acupressure
In Traditional Chinese Medicine there already exists a comprehensive theory linking the body and mind.
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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