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House Calls With Dad
My father was a chiropractor and he did house calls. On Wednesday nights, while my mother attended the weekly women's meeting at the Odd Fellows and Rebekahs hall in our small town, dad loaded up the portable adjusting table, fired up the Pontiac and drove off to treat a few patients in their homes. I went with him.
Near-Infrared Therapy for Diabetic Neuropathy
The pain experienced by people with diabetes is a symptom of diabetic neuropathy. The impact on quality of life is significant. Pain makes walking difficult, sleep troublesome, and eventually contributes to a decrease in social interaction.
Correcting Rib Dysfunction: Improve Patients' Pain, Posture and Breathing
As chiropractors, we tend to focus on the spine, and rightly so. Many problems our patients face can be corrected by manipulating the correct spinal level.
Paperwork Done Wrong, Done Right
I was visiting a doctor's office recently and a member of his staff brought a stack of forms to his private office and laid them on the doctor's desk. She informed him he needed to complete the forms for patients and a few third parties.
TCM & the Caregiving Population: Treatment Considerations & Our Vital Role
Informal caregiving is increasingly a reality for many Americans who find themselves providing unpaid care for a loved one or a family member with a long-term, terminal, or chronic illness.
4 Things Every DC Should Know About Levels of Care & Prevention
As health practitioners, we help people with their health problems and assist them with health promotion and disease prevention.
Helping Patients With Parkinson's Disease
Parkinson's disease (PD), a long-term degenerative disorder of the central nervous system that mainly affects motor function, has a slow onset over time.
Chiropractic in Texas Is Under Attack
The profession of chiropractic faces an unprecedented challenge in Texas, an attack that is more aggressive, sustained and dangerous than anything previously seen. The medical lobby has launched a coordinated, multi-front assault.
Waist Circumference: A Conversation Starter
New estimates suggest more than two-thirds of Americans are either overweight or obese. The medical significance of this statistic is astounding.
Advancing the "Whole Organ" Spine Model
Historically, the human spine has been organized by body region utilizing specific anatomical landmarks and transition zones.
Getting Unstuck: Healing From Trauma With TCM, Qigong & Movement
We all come into this world vulnerable, with seeds to grow into our strength. Some of us — through a combination of good fortune (i.e., family and culture we are born into, constitutional inheritance, or ability to learn) grow with minimal interruption from traumatic injuries and experiences.
Spiritual Initiation: Opening Your Higher Healing Abilities
People drawn to the field of acupuncture and Oriental Medicine tend to be those who march to the beat of a different drummer.
The Large Intestine Official
The large intestine (AKA colon) is the great eliminator, or as J.R. Worsley called it, "The Drainer of the Dregs." Dregs are defined as the remnants of liquid with its sediment left in a container, or the basest, least valuable portion of anything.
Gather & Grow
I recently attended a faculty seminar held by one of the acupuncture schools. There was a facilitator who led us through some very interesting experiences. The attendees were a diverse group with varying opinions.
VF Works / DMX Works Epilogue: Almost Two Decades Later, the Lawsuits Continue
An article in the March 8, 1999 edition of Dynamic Chiropractic examined whether then-VF Works / Nu-Best Franchising was selling its franchises illegally to doctors of chiropractic.
Reader Beware: Consider the Source
The aftermath of last year's presidential elections brought a running conversation on the role played by "fake news" that was largely presented via social media.
Treating the Lower Pelvis (Pt. 2): Midline Structures and Fascia
My previous article [October 2016 issue] outlined evaluation and treatment of pelvic issues involving the sacrotuberous ligament and the pubic symphysis. Now let's discuss two case studies that illustrate how to address additional problematic areas of the pelvis.
ICA Goes on the Vaccine Offensive
Have you watched the vaccination documentary, "Vaxxed: From Cover-Up to Catastrophe," by Andrew Wakefield MD, director, and Del Bigtree, producer? This is the documentary Robert DeNiro was pressured to remove from his Tribeca Film Festival.
The Acupuncture Channel System (Part 2)
The primary channels (main channels) are introduced in chapter 10 of the Ling Shu, these channels are referenced in many chapters throughout the Su Wen and the Ling Shu. The primary channels have become the main channel system used in TCM.
A Brief History of Acupuncture and Oriental Medicine Doctoral Programs
A doctorate in acupuncture and Oriental medicine has been a goal of the profession since its beginnings in the late 1970s. At that time, however, the maturity of the educational institutions and the regulatory environment made it a goal with only a distant completion date.
AOM Residency at NUNM
Imagine you're a recent acupuncture graduate, worried about making enough income as you forge your new career and seek more in-depth training in a particular treatment style.
Latest Cassidy Study on Stroke Risk Published
The latest study to investigate whether a unique association between chiropractic manipulation and risk of cervical artery dissection / stroke exists has yielded similar encouraging findings, with the authors noting "no excess risk of carotid artery stroke after chiropractic care" and no significant risk difference between patients receiving care from a DC or a primary care medical provider.
December, 2015, Vol. 15, Issue 12
TDR to Facilitate Venipuncture
By Linda LePelley, RN, NMT
A few years ago, a client who had been receiving intravenous medications regularly complained that she was dreading her next scheduled infusion. She stated that it was bad enough having to sit there for over an hour and a half, but they routinely needed to stick her several times before accessing a vein, and it hurt. It hurt a lot.
Ever believing that massage can alleviate most pain, I offered to work on her antecubital areas, with the hope and expectation that reducing the overall density of the involved tissues could alleviate the pain from multiple sticks. I performed the treatment based on the principles of Tissue Density Restoration (TDR) massage (See "The Seven Principles of TDR Massage," Massage Today, July, 2015.)
Before treatment, the density of the tissues of the antecubital area were elevated, rated at G2 (See "The Tissue Density Grading Scale: A Communication Tool," Massage Today, March, 2014) with slight ridging palpable. After heating the areas and applying the massage, the grade was reduced to G1, with no ridges present. I wasn't disappointed, my client later reported that the entire procedure was painless and I was happily surprised to learn that not only was her nurse able to insert the cannula on the first attempt, but the infusion was completed in 45 minutes.
Since this experience, the occasion to suggest massage to family and clients before routine, expected venipuncture has arisen several times. In each case, whether I administered the treatment or the client did it for themselves, the results have been all positive with no complaints. While these are only a few events, they seem to be repeatable, and are worthy of further investigation. It would not only reduce the pain and anxiety for those being punctured, but if the treatment results in an increase in the rate of infusion, there could also be an increase in the number of patients a facility can treat per day as well. Please note this is not intended for persons who have indwelling ports such as used for dialysis, PICC lines, and the like.
TDR Massage is very effective, but the time required to achieve results can become tedious, so when teaching clients to do this massage for themselves, suggest they do it while watching a show or visiting with a friend, to prevent their becoming bored. Once both ante-cubital areas have been massaged to a tension-free and malleable state, a monthly maintenance routine should be established. Warming the tissues and giving them a brief massage to ascertain that there are no ridges or increase of density will prevent future difficulty with venipuncture.
My Perspective on Pain
TDR Massage is focused entirely on the real and existing state of the tissues that are in pain. In nursing school, I was taught that pain is whatever the one who is experiencing it says it is. At the time, I thought this meant that we should treat everyone's pain, even those who were just imagining it. In the years since then, I have consistently and repeatedly found that tissues which are in a state of pain are associated with a palpable elevation in their density, referred to as Elevated Tissue Density (ETD). I've found and relieved painfully dense tissues in many dozens of people who were thought by other care providers to be imagining or faking their pain. By focusing on restoring the density to a softened and malleable state, the ETD as well as the pain is resolved.
When discussing pain and massage, it is important that the terms being used are understood by all of the communicants involved. When I say that I can feel another person's pain, I am not expressing my emotional or empathetic response to their distress. I am saying that with my hands, I can palpate, measure, document, and treat an actual and real state or condition that exists within the musculoskeletal tissues. Anyone who wishes to do so can also learn to palpate and distinguish tissue that is in pain from that which is not. This kind of "feeling" is in no way an energetic or intuitive sense, it is an actuality. I make no claim of any special gift, only that I pay attention to small details and question everything. Pain is real, and it is palpable, not only by the person who has it, but also by anyone else with an educated touch.
Click here for previous articles by Linda LePelley, RN, NMT.
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