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In the Unlikely Event of an FDA Recall ... No News Has Been Good News
East Asian herb product manufacturers have practiced impeccable diligence by complying with current Good Manufacturing Practices (cGMP) and providing the practitioner community certificates of analyses that detail laboratory testing results for things like heavy metals and toxic elements.
Safety First, Protecting the Patient: A Herbal Certification Program by the NCCAOM
The acceptance of acupuncture and Oriental (East Asian) medicine in the U.S. has made tremendous strides over the last 30-plus years. AOM/TCM is no longer "alternative or complementary" medicine. Yet, as acupuncture has become more mainstream, acceptance of herbal medicine has lagged behind.
The Opioid Crisis: "Let's Roll!"
Sept. 11, 2018 will mark the 17th anniversary of the horrific terroristic attack on the U.S. Whenever I think about that day, I am reminded of the heroes on Flight 93 who took action to keep the airliner away from Washington, D.C., by making it crash into the ground near Shanksville, Pa.
A Functional Approach to Type 2 Diabetes
Diabetes is recognized as one of the top chronic illnesses plaguing our society today. Here are some quick statistics on the prevalence of both diagnosed and undiagnosed diabetes:
News in Brief
Chiropractic Takes Leap Forward in France; New ACA President Named; Sherman College Responds To "Choosing Wisely" Recommendations; R.I. DCs Speak at Medical CE Event.
The Veteran's Choice Program & Your Claims
Q: I have recently begun treating veterans under the Veteran's Choice program. I am getting paid just fine for acupuncture codes and evaluation and management services but have been denied all physical medicine codes including infra-red heat 97026, massage 97124 and manual therapy 97140.
Preparing for the Opioid Patient: The Future of the Acupuncture Profession
In the future there will be many more clients with opioid addictions in acupuncture practices. Acupuncture is being promoted as an excellent resource to help with recovery from opioid addiction.
Fixing a Major Practice Hurdle in Wisconsin
Wisconsin Gov. Scott Walker has signed Assembly Bill 834, legislation repealing the requirement that DCs wishing to practice in Wisconsin score higher on Part III and Part IV of the NBCE examination than is required in most other states.
Lancet LBP Series: Relevance to the Chiropractic Profession
The Lancet Low Back Pain Working Group consists of a team of leading international experts on back pain from different professional backgrounds and from countries around the globe. The group published a series of three papers in The Lancet on March 21, 2018, and have subsequently received significant media attention. Here is a summary of the relevant data from these three important papers.
The Pain of Chemotherapy: A Case Study
The primary reason for presenting this case study and patient is to review the pain relief response she experienced from micro-current electro-acupuncture for taxane induced neuropathy.
Standard Process Unveils Nutrition Innovation Center
The North Carolina Research Campus, a 350-acre research center in Kannapolis, North Carolina, just north of Charlotte, is a research collaborative that includes university, corporate and community partners.
Renew Your Passion: The National
It's another August day in Florida with temperatures reaching almost 90 degrees. The sun is shining through the tall windows of the Hyatt Regency Orlando on all the attendees at The National by the Florida Chiropractic Association.
Corporate Chiropractic (Pt. 2): The Dark Side
In a previous DC article (May issue), I tried to make the case that the trend of corporations and franchises delivering chiropractic care might actually be positive.
Practicing Tai Chi Between the Seasons: Balancing the External and Internal Environments
Each morning for the past week, I have found myself to be a bit more tired than usual. There were nights when I went to bed a little late and nights I went to bed early, but it didn't make a difference.
The Spirit of the Points: The Pericardium Meridian (Part 2)
As indicated in part one of this series, the vast majority of our patients, regardless of the presence of physical symptoms, are also imbalanced at the levels of mind and spirit. The ancient Chinese knew that to treat the whole person, all levels must be taken into account so that complete balance and harmony can be achieved.
Leave Acupuncture to Acupuncturists
Colorado acupuncturists are desperately fighting to reverse a recent decision — the passing of HB18-1155 — that adds dry needling to physical therapists' scope of practice. You can support Colorado acupuncturists by signing their Change.org petition here.
Mineral Nutrition for Athletic Performance and Recovery
Research on sports, exercise, and mineral nutrition has been ongoing for decades. It is widely held that strenuous exercise can increase the need for minerals.
VA and Medicare Billing: Case of the Missing Modifier
Indeed, the Veterans Administration is paying directly to chiropractors for care under the VA Choice or PC3 Program. There are currently two administrators for this program: Health Net for the northeast and TriWest for the southwest (approximate geographic regions).
Text Neck: Assess and Adjust
A common presentation in a chiropractic clinical practice is the patient with neck pain and stiffness. Patients usually report limited range of motion on rotation of the head and neck.
Legos Lead to New Patients
It's time to examine a different way of envisioning the marketing and promotional flows in your office. This 10,000-foot perspective I like to call your practice's "marketing Legos." Much like the Legos we all played with as kids – now you get to sort them out in practice!
A Report From the 3rd Annual ASA Council Congress
This past March the American Society of Acupuncturists (ASA) was proud to hold its third annual ASA Council Congress in Denver, Colorado.
The Gut/Brain Relationship: Exploring Brain Diseases
Several thousand years ago ancient Chinese doctors stressed the importance of a healthy diet, and leading a healthy lifestyle as the primary ingredient to maintaining health.
Art of the Associateship: Success Is in the Finances
Finances are an important part of any business relationship. Money serves as the fuel for all business operations and ultimately the long-term success of owners, employees and customers. This is especially true in the world of health care.
Give Obesity the Attention It Deserves: Practice Pointers
During my earlier years in practice, I first became aware of the obesity problem in New Mexico because of an offer to star in a movie.
Low Back Rehab: Hip Mobility
The strength of chiropractic physical rehabilitation is first and foremost CMT, closely followed by our appreciation of a whole-body approach to balancing the entire kinetic chain.
K2: The Supplement for Your Anti-Aging Treatments
While aging as a whole is inevitable, some aspects of aging may actually be caused by a simple vitamin deficiency. That's right – wrinkles, stiff muscles and decreased athletic performance can all be symptoms of just one micronutrient deficiency: vitamin K2.
NIH Agenda: How Will More Drugs Help?
National Institutes of Health (NIH) Director Francis Collins announced in April that his agency will be partnering with drug manufacturers to address the opioid and pain crisis. The project is known as the Helping to End Addiction Long-Term (HEAL) Initiative.
A Five-Step Plan for Marketing the Sale of Your Practice
We spend so much time and energy educating ourselves to be successful practitioners that many of us never stop to consider what comes next. What happens if you have a great practice but you need to move, are getting burned out, or are simply ready to retire and try something else?
A Model for Integrative Health in the U.S.
This past March I met Dr. Benjamin Kligler, national director for the Integrative Health Coordinating Center of the Veterans Administration (VA), at an Integrative Health and Wellness Congressional Caucus briefing, where he presented on the VA health care system.
September, 2015, Vol. 15, Issue 09
Recovering and Returning to an Active Life After 60
By Don McCann, MA, LMT, LMHC, CSETT
In my previous column, I wrote about people over 60 with injuries, surgeries or joint replacements who want to maintain or regain their active lives. Now we'll look at those over 60 with major health issues or failed surgeries who want to recover their maximum potential for an active life.
Molly, a 73-year-old retired business owner, was diagnosed with Rheumatoid Arthritis (RA) and was told by her orthopedic surgeon and rheumatologist that she needed double knee replacements and hip replacements if she wanted to continue to walk. An MRI showed bone degeneration in both knees and hips along with a torn meniscus in the right knee and a ligament tear in the left knee. The surgeons were pushing for the knee replacements as soon as possible as she was in a lot of pain and hardly able to get around.
Jack, a 76-year-old golfer, had been unable to play golf for two years. He was diagnosed with stenosis in his low back and had surgery to enlarge the foramen where the spinal column passed through. Before surgery, he was able to play golf and walk but would be in pain for several days afterwards. After the surgery, his pain doubled, he could not play golf, and there were days when the pain was so bad that even with medication he felt he couldn't walk. MRI's revealed three bulging discs in addition to stenosis. The surgeons didn't want to operate again because the previous surgery had such negative results. Jack came to the office in a motorized wheel chair and was willing to do anything to get out of pain and walk. He was afraid he wouldn't play golf again.
George, an 81-year-old retired executive, injured his right knee in his 40's and had a knee replacement after a long struggle and numerous surgeries. After surgery, George couldn't flex his lower leg more than 10 degrees. He had several procedures where his leg was placed in a machine that forced it to bend which only resulted in more pain and less mobility. George gave up thinking the knee would work properly and limped around with a cane which was now causing him significant low back pain. George wanted to travel but felt he couldn't until he could depend on his leg and walk normally.
Gina, a 76-year-old with osteoporosis, had several vertebral compression fractures and was in severe pain. Even though the compression fractures had been treated with osteoplasty, the severe pain remained. She was also severely bent over due to the kyphosis and was having trouble with digestion. Gina's chiropractor would no longer adjust her because of her fragile bones, and she was in too much pain to even do water aerobics to strengthen and stand more erect.
All of these clients were in pain either from health issues or failed surgeries and were severely limited in what they could do. Each presented unique challenges, and each wanted to regain maximum quality of life.
Molly told me she had watched her father-in-law go through 10 years of RA and surgeries. She didn't want to live in the pain and misery he experienced. Upon examining Molly, it was obvious that she had a significant collapse of her core distortion. The anterior rotation of her left ilium caused a medial rotation of the knee and lateral rotation of the lower leg. This put pressure on the lateral side of her knee where her ligament was torn and where the MRI showed significant erosion on the bone. This put pressure on the inside of the acetabulum of the left ilium where the cartilage had thinned and the arthritic degeneration was most evident. Her right ilium was rotated posteriorly causing the head of the trochanter to jam into the posterior part of the acetabulum eroding both the bone and cartilage. There was a tear in the meniscus on the medial side of her right knee which was accompanied by bone erosion.
The distortion in Molly's legs was caused by the core distortion, and the RA was most severe in the areas of pressure caused by the imbalances of the core distortion. The Cranial/Structural Core Distortion Release (CSCDR) was applied to bring the iliums out of rotation, equalize her leg lengths, and lessen the distortion in her legs. This was followed by soft tissue protocols to bring the legs further into balance and support, and the iliums further out of rotation. After three sessions, Molly reported that she only experienced about 50% of her previous pain. Upon examination, her iliums showed significant improvement and balance so more attention could be paid to the soft tissue that governed the alignment of the knees. After five sessions, Molly's left knee with the ligament tear was stable and in minimal pain only when she overdid it. Her right knee was pain free except on days when low pressure weather systems were coming through causing pain in the bones from her RA. After 10 sessions, Molly was feeling good enough to start a water aerobics exercise program to strengthen her legs and back. Molly's sessions were scheduled once every two weeks and eventually once every four weeks when she could maintain pain free walking and normal life activities.
Jack was in severe pain the day of his first session. It was difficult for him to stand for a structural evaluation. He had a significant anterior rotation of his left hip and posterior rotation of his right hip along with a severely tipped sacrum. The tipped sacrum resulted in significant lordotic curvature causing his bulging lumbar discs. The rotated iliums created a long leg/short leg imbalance with additional distortions in the legs due to the leg length discrepancy. The CSCDR was applied to bring the sacrum/ilium relationship into weight bearing support, thus leveling the sacrum and reducing the lumbar curvatures which lessened the leg length discrepancy. Soft tissue protocols were applied to further balance the iliums and bring the legs into support and balance. Additional work was done with the muscles directly affecting the lumbar vertebrae.
After three sessions, Jack could walk short distances without severe pain and didn't bring his wheel chair. Jack only had one day of severe pain after the third session which he attributed to picking up a box that was too heavy for him. He was seen weekly for 10 weeks at which time his pain was reduced to 20% of what it had been and he was no longer using the wheel chair. The numbness and tingling going down his legs from the stenosis disappeared and Jack was only in pain when he overdid it putting excessive pressure on his low back. He was seen for 10 more sessions spaced two to three weeks apart. Jack was back to walking and pain free, something he thought might be gone forever. As long as Jack was able to maintain his improved structural alignment, there was no compression on the nerves from his stenosis and bulging discs. He was able to return to playing golf and continue enjoying life. He had occasional treatments to help maintain optimal alignment of his low back.
George showed a significant core distortion with the left ilium rotated anterior, and right ilium rotated posterior. The right leg had significant tension and binding along the medial knee due to the distortion in the leg from the core distortion. The CSCDR was applied which helped equalize the leg lengths lessening the leg distortions. This also took pressure off the medial side of George's right knee. There was immediate improvement in the range of motion and strength in his right leg after the CSCDR. Soft tissue protocols were applied to further balance the iliums and hips, specifically addressing the adhesion, scar tissue and atrophy around the right knee. George noticed changes after every session. After five sessions, he had approximately a 70 degree flexion of the knee. George was able to start walking normally and continued to do stretches and strengthening exercises. His low back pain disappeared when his leg lengths equalized and he stopped compensating for his right knee. After approximately 12 treatments, George was walking normally and in no discomfort.
Gina was in severe pain even after osteoplasty. Structural evaluation revealed a significant core distortion with rotations in the iliums resulting in a tipped sacrum and exaggerated curvatures in her osteoporotic spine. The CSCDR was applied which reduced the rotation of the iliums and leveled the sacrum taking pressure off her spine reducing the exaggerated curvatures including the kyphosis in her thoracic area. The entire thoracic rib cage, shoulders and neck were raised up taking pressure off of the areas of the compression fractures. Additional soft tissue sessions were applied to further release the abdominals that were pulling down on the thoracic area to release the neck and shoulders back. After five sessions, Gina's pain was only about 25% of the previous pain, and she was getting around better than before the compression fractures had occurred. Gina was able to maintain with minimal pain while having monthly sessions for the osteoporosis weaknesses. The structural collapse from the osteoporosis led to the compression fractures, but even after the osteoplasty she was not able to be pain free until structural support was achieved with.
All of these clients spent a lifetime in the core distortion which resulted in conditions that led to a structural collapse causing pain and sometimes surgical intervention. Pain free function was achieved by bringing the body into balance and support integrating the CSCDR with specialize myofascial soft tissue protocols.
Click here for more information about Don McCann, MA, LMT, LMHC, CSETT.
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