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MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
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.
Click here for more information about Linda LePelley, RN, NMT.
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