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Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
July, 2014, Vol. 14, Issue 07
The Existential Question and Talking the Walk
By Gerry Pyves
You don't need to be a psychotherapist to talk to your clients or find out why they are coming for a treatment. This is perfectly within your legal "scope of practice." By training to become a psychotherapist, I learned to say much, much less to my massage clients.I learned to let the touch really do the work. I also learned to let the client define their own reality.
You can get plenty of "psycho babble" at every coffee shop in the land. However, I do need to know just why my client is here.
Eric Berne, the founder of Transactional Analysis called this, "asking the existential question." He asked himself: "Why is my client here and not having fun doing sex, drugs and rock and roll?" He also asked himself: "Why am I here and not somewhere else, having fun doing sex, drugs and rock and roll?" It was the sixties, after all. But you probably get the point.
If the client has a tight shoulder, what difference will it make to their life if it is alleviated? How important is it to them? What caused that structural problem? They are made of soft tissue that is more affected by energy, emotion and thoughts than any other substance on the planet. Do we just ignore this fact? If they have a knee problem, what was happening when they injured it? Were they under stress? Was life hard?
Is any of this psychotherapy? Of course not - it is simple human interest. It only becomes invasive if it is done invasively. If you cannot tell the difference between a client keen to share their story and one who is uncomfortable talking about themselves, then it is time to take up another profession. The art of all healing therapy is to know when the time is right to invite the client to share more about themselves.
Symptomatic Or Causative?
Asking questions is how we care for another human being. It is also discovering the essential causative factors of their symptomatic pains. To simply accept a tight shoulder as a structural problem is no better than calling poverty "a shame." These things all have causes and history. Like Sherlock Holmes, we must trace each symptom back to its historical cause, if we wish to be more than some kind of "Mr Fixit dullard." That is not healing touch. It is squashing human beings into a tiny "physical only" box.
Every human deserves to be seen and heard and to be touched. Do you really know why they have invested this money and this time in coming to see you? Do you dare to ask the existential question? Likewise, at the end of the session, do you dare ask, "Did you get what you came for?" In my previous article, I talked about asking the client to walk around at the end of the session. To do this well, requires three basic protocols.
Getting Out The Way
The first protocol is to get myself out of the way both physically and psychologically. Some clients are uncomfortable at first with the idea that they should know anything at all about their own bodies. The harder they find it to put words to their experience of walking, the more important it is to both therapist and client that they do this. If they want you to be the expert on their body, you better plan on moving into their house and living with them, and help them get dressed in the morning.
Listen To The Body
The second protocol is to encourage the client to feel how their body wants to walk. Most illness and tissue compression simply arises out of "the head" dominating "the body." If people rested when they were tired and ate when they were hungry and stopped eating when they were full, we would have a much healthier nation. The key here, is to follow the body.
We encourage the client to feel from the inside just how their body wants to walk. Some clients have had such massive structural shifts from the massage, that they actually walk like babies learning for the first time. The cerebellum has not yet caught up with the changes in muscle, tendon and ligament configuration. Some wobble as they walk. Some notice that they are more than mere structure. Some will connect with their energy or their emotions. Others will feel their spirit or discover a new clarity of thought.
The Rest Of The Day
The third protocol is to ask, "How will this walk affect the rest of your day, compared to when you came in?" If our touch does not make a difference to people's lives then we should probably do something else. Touch done well always make a massive difference - if only we let the clients really feel the power of beautiful healing touch.
Soft Magical Tissue
Once clients start to "talk their body's walk," they start to describe how their body is actually feeling. It is very different from some kind of intellectual chiropractic structural analysis. It is a feeling thing. Nothing connects us with the truth of our deepest inner feelings better than massage.
Find out why your clients have really come. Challenge them if they think they are just a mechanical problem waiting to be fixed by experts. We are not cars. We are human beings made of the most incredible and magical soft tissue that will find its own balance if touched with gentleness and respect. So please stop prodding and poking me. I do not need fixing. I need respectful, gentle touch. Then I will release my compressions - if I am ready.
Whose life is it, anyway?
Gerry Pyves lives in West Yorkshire, in the United Kingdom. He holds an MA from Oxford University and qualified as a massage therapist in 1984. He became a UKCP registered Transactional Analysis psychotherapist in 1999. He is the founder and creator of NO HANDS® Massage. He is currently looking for instructors to teach NO HANDS® in the U.S. For more information, visit www.nohandsmassage.com.
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