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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.
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.
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.
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.
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?
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.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
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.
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.
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.
August, 2014, Vol. 14, Issue 08
Using Massage to Ease Traumatic Brain Injury Symptoms
By Tina Allen, LMT, CPMMT, CPMT, CIMT
The Brain Injury Association of America states that traumatic brain injury (TBI) is the leading cause of disability and death in children and adolescents nationwide. The age groups most at risk for brain injury are newborns through age four and teens from 15 to 19 years of age.Every year, an average of 564,000 children are treated for brain injuries in the emergency room and 62,000 children with brain injuries are hospitalized. This is a staggering amount of children suffering with chronic symptoms that often do not have a definitive treatment in mainstream medicine.
Definition of TBI
There is a big difference between a bump on the head and a traumatic brain injury. TBI is caused by a bump, blow or jolt to the head or a penetrating head injury that disrupts the normal function of the brain. The severity of a TBI may range from "mild," i.e., a brief change in mental status or consciousness to "severe," i.e., an extended period of unconsciousness or amnesia after the injury. The majority of traumatic brain injuries that occur each year are concussions or other forms of mild TBI.
The results of a TBI can affect almost every aspect of the child's life. Ongoing issues arise through development, many times children appear to look okay and are assumed to be so, but it is not uncommon for educational, behavioral or social problems to emerge years after an injury. With the injury in the rear view, it is harder to make the connection between these issues and the past injury.
Developmental delays or issues in development may not be seen until years following the incident, although they were initially caused by the TBI. Unlike adults, children are still developing, making these injuries even more devastating and potentially crippling in the long term. Scientific research has indicated that TBI in childhood can be followed by a significant decrease in cognitive, social or behavioral skills at the time of injury and also by a later "stall" (possibly years later) during which failure to develop cognitive, behavioral or social skills affects learning and the ability to maintain friends, relationships and a career.
After the accident and initial diagnosis, the patient and family must consider a wide variety of treatment options. This has led many of the 5.3 million Americans living with disabilities resulting from traumatic brain injury to use complementary and alternative medicine.
Massage and TBI
Massage therapy has long been used to ease pain, provide comfort and address cognitive and neurological issues. Currently, there are many massage therapists who focus their practice solely on headaches, sports related concussions and other TBI related issues.
In addition to possible complications with a TBI, the practitioner has other concerns outside of simply following the typical known contraindications and precautions associated with pediatric massage therapy. Children are still developing and have not reached their full cognition levels. This can make communication challenging, until you learn how best to communicate with the individual patient. As always, the therapist should seek guidance from the parents and healthcare team on how to best to seek permission and proceed with safe communication.
A detailed health history and medical intake form should be completed by the parents and any questions should be answered before beginning the session. Physicians, other healthcare staff and parents will look to the massage therapists for careful scrutiny of a child's healthcare needs prior to providing massage therapy, and in devising an effective treatment plan. For a child with medical and healthcare related needs, communication with healthcare personnel provides massage therapists with essential information to develop an effective plan and approach for care.
It is best to understand the specific indications for which massage therapy has been sought, and discuss any concerns with the parents, patient and healthcare team prior to beginning the first session. Each session may not be the same as the last, and so it is best to see your patient as an individual that requires an individual treatment plan and approach at potentially each and every session. There is not one protocol that fits the mold for every child, but with a unique approach, there is great potential to make a beneficial difference.
As we continue to see the rates of traumatic brain injury, and head injury rise, it is important that massage and healthcare practitioners research safe and effective approaches for appropriate therapeutic care.
Click here for more information about Tina Allen, LMT, CPMMT, CPMT, CIMT.
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