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Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
March, 2016, Vol. 16, Issue 03
Restore and Prevent Tender Feet
By Linda LePelley, RN, NMT
Massage therapists see many clients with a variety of foot problems such as bunions, plantar fasciitis, tarsal tunnel syndrome, neuromas, etc. Usually, they have already been to their physician, followed by a podiatrist. When (if the exercises, shots, braces and inserts have failed to relieve their pain) they come to see me about one or more of these conditions, they are usually at their desperate wits end to find relief. But this article isn't about those types of foot problems and pain.
Over the years, I have come to notice a pattern of certain clients who suffer from mild pain and tenderness on the bottoms of their feet, yet they rarely mention it of their own accord. For example, a 68-year-old client had been coming regularly for carpal tunnel treatment and pain surrounding a knee replacement. He made the statement, "Now that my hand and knee are good, the only thing I even notice are my tender feet, and I can sure live with those!" When I asked him why he would want to live with it, he said he had been putting up with it for decades. He said that it was just old age and nothing could be done about it.
A 65-year-old woman mentioned that it was getting harder to find shoes soft enough to walk in. When I questioned her about it, I found that she couldn't walk bare foot in her own house because if she stepped on the edge of a carpet or threshold, it felt bad. She said it had gotten to where standing on the tiles in her shower was uncomfortable. I asked why she hadn't mentioned it before and she told me that, "Nothing can be done about it, my mother had it too, so it's hereditary. It's not bad enough to go to the doctor. Besides, no one can do anything about boney feet, and mine just keep getting bonier, like my mother's."
Perhaps it is because I specialize in pain relief massage, that these and other clients of mine may believe that the tenderness in their feet is not serious enough to complain about. They have told me that what they are experiencing is not bad enough to call it "pain," nor is it as bad as the severe pain they have known others to be in, that it is just a nuisance, that it is just old age, and that everyone should expect to have discomfort such as this.
In my twenty years of experience as a massage therapist and nurse, I've found many people believe that chronic, low grade discomfort is a natural phenomenon which they expect and accept; allowing it to become a part of their everyday lives, making good days a little bleaker, and difficult ones a little bit harder to bear. Many of the serious pain issues I deal with started out as small nuisance irritations which, having been ignored for many years, end up being the source of chronic pain.
Tender Foot Restoration
While this is not intended for advanced foot conditions such as those listed above, which can take three or more visits to achieve desired results, this treatment will not injure or aggravate any of them, and might provide them some relief as well. Start with a warm foot bath if available, otherwise wrap feet in warm towels. Ensure that your work area is warm and free of drafts, as working over a warm heating pad is ideal.
Massage the bottoms of the feet and toes, having your client indicate the places that are most sensitive. You will note that these areas may feel like they are quite boney. Keep in mind that even if some of these tissues have atrophied, they are still alive and can be plumped and restored to normal. You can do that by massaging them until the circulation has softened those hardened areas. Follow the principles of Tissue Density Restoration (TDR) massage ("The Seven Principles of TDR Massage," Massage Today, July, 2015).
It is important that you spend at least 45 minutes on each foot, keep them warm, and do not elicit pain greater than a 2 or 3 on the 1/10 pain scale. You will know you are doing it right as you feel hardened areas soften, smooth out, and become pliable. At the same time, your client will be stating that they never thought their foot could feel so much better. You may be tempted to spend less time on each foot once the client states that it no longer hurts when pressed into, but the best, longest lasting results come from rubbing out every tender spot, and taking the time to do it thoroughly. As the tissues on the bottom of the foot respond and the tenderness eases, manipulate the entire foot and ankle, gently, to encourage and improve circulation to the foot, while continuing to work the affected tissues, until they are uniformly softer and without pain.
Both of my clients whose discomfort I described above, and many others with similar conditions, have experienced complete relief of their tender foot discomfort. For my clients who can reach their feet easily, I encourage them to give them a good massage during a bath, or when applying lotion, at least once a month to maintain the cushioning properties. Otherwise, they should schedule a bi-monthly maintenance foot massage.
Linda LePelley, RN, NMT is a registered nurse and licensed massage therapist with 19 years of clinical massage experience. She developed Tissue Density Restoration (TDR) Massage, an effective treatment for the pain found in hyper-dense tissues. For more information, visit www.MyHealingHands.com.
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