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Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
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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