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Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
The Ethics of Herbal Prescribing
While teaching ethics classes, I often encounter licensed acupuncturists who are surprised that our use of herbs and supplements has a specific section in the material. It is often an aspect within ethics that clinicians don't think of in practice.
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Online Marketing Basics: Website Creation
The various online marketing options make it a challenge, especially when all you want to do is help your patients feel better. With such a broad topic, I'm going to share some basics you should know about website creation.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Patient Retention Techniques
When talking about techniques to grow your business, we tend to focus on the "large" aspect of the patient base, that is, on strategies to attract new patients. However, it is important to remember that "loyal" is equally, if not more, important.
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
Peaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
August, 2014, Vol. 14, Issue 08
Understanding the Beautiful Choreography of Massage
By Caron Lerner
Given the choice, I would pick my own music when giving a massage. Now, I find myself working at a specific location where I don't have a say in the matter. The music that I work with is very calming, pleasant and wonderful.
Through the years I have worked with smooth jazz, head banger hard rock, sound effects such as waterfalls, running water (nowadays not my favorite, running water always makes me run to the bathroom), tribal drums and a host of others.
I have always said that when I give a massage I should get as much benefit out of giving the massage as the client on the table getting the massage. With the proper music there is a certain ebb and flow in the bodies movement making the treatment more of a dance than a clinical event. The smooth flowing long strokes, as well as the intense critical trigger point work all have a place in the surrounding music that accompanies a massage treatment.
As I listen to the music, my body begins to move in conjunction with the rhythm. It has the same effect as standing while holding a baby. There is a natural rocking/swaying movement taking place as the session continues. Even as the music changes from song to song, it's an easy adjustment to follow the rhythmical changes as they occur. To stoically stand from place to place as you work on your client will lead to poor postural habits, fatigue, pain and discomfort.
In my education, included in my curriculum was Tai Chi Chuan. It took me a few years to see the true benefits of using the long flowing movements, lowering my center of gravity and relaxing as I move through the treatment. Not only do I find a true connection with my client's energy, I feel that they can feel my energy as the rhythm flows through my touch.
The movements are slow and yet precise. I can deepen my breathing allowing for relaxation throughout the entire massage. This allows me to focus and regenerate during the massage making the treatment less fatiguing, allowing for greater energy to be dispersed.
After years of working in my own private practice, my husband and I relocated from Long Island to Charlotte, North Carolina. My best option for continuing my passion in massage was to join the ranks of therapists working in store front franchised massage businesses while building up a private clientele. This was quite an education. I used to design my own music and burn my own discs.
I went through a Yanni phase, classical music phase, melodic piano, guitar, folk and classic rock. My clients began to request a certain genre and my library grew. The best technological advancement came with Sirius Satellite Radio. I would go to my clients homes and tune into the meditation station or other stations conducive to massage. I am partial to piano or guitar music. Slow melodies in minor keys give the tempo of the massage a very relaxing, sedative almost tranquilizing effect. As I listen to the rhythm and melody of the music, my massage begins to evolve into a symphony and dance of flowing energy. Combining music with the movements of Tai Chi has allowed me to continue my massage for more than 20 years.
There is a certain meditative feeling allowing me to close my eyes and feel deeply into my client's muscles. I let my hands feel what needs to be felt. I let the music permeate the atmosphere allowing for the quintessential experience to begin. Each and every massage is a new adventure, a new exploration into a healing process. I take the journey with my client and together we work through a maze of stress, tension and medical issues.
In the medical field, there are few practitioners that have the privilege of an actual hands on experience with their clients from beginning to end. As massage therapists, we all but guarantee that the person walking into our room will feel better walking out of our room. Through a blend of ambiance, music, knowledge of our craft and empathy, we have the ability to significantly alter a person's day. This is a very satisfying experience. A challenge I accept every day.
Caron Lerner graduated from New York College of Health Professions 1993 and has been actively practicing massage therapy for more than 24 years. She is a licensed massage therapist in North Carolina and New York. Email her at:
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