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News in Brief
Life to Open Branch Campus in Italy; Northwestern Research Arm Benefits From Big Donation.
Introduce Your Patients to Collagen Induction Therapy
Cutaneous (skin) aging generally occurs from either intrinsic or extrinsic processes. Intrinsic aging results from natural skin tissue damage and degeneration.
The Power of Mu Xiang to Treat Irritable Bowel Disease
Bloating and gas pain is something that everyone has had to deal with at one point or another; however, that's usually reserved for holiday dinners and other large gatherings.
The Death of the Travel Card
As long as I have been in practice, the travel card has stood as the primary style of documentation for chiropractic. It is quick, simple and direct. Unfortunately, the rules have changed.
Following the Thinking of the Classics
I have heard about the "best time of day" to carry out certain examinations or therapies. For example, I remember making a note years ago that early morning is the best time to take someone's pulses.
Solving the Pain Puzzle
Legendary former New York Yankees baseball player Yogi Berra once said, "You can observe a lot just by watching." He would have been a great chiropractor. We are trained to become experts with our hands: palpation, adjusting, soft-tissue release, etc.
Avoiding "Just a Pop Doc" Syndrome
Yes, it's harsh. Patients don't like to admit it. They have an unspoken plan when they first visit you: to come one time, get rid of their pain and then get rid of you. They know it's unrealistic, but they'd like to pay nothing for this service.
Treating Chronic Depression with Acupressure
In Traditional Chinese Medicine there already exists a comprehensive theory linking the body and mind.
Micro-Needle Dermal Roller Use in the Treatment Room
Recently micro-needle dermal rollers have been getting a lot of media attention. As a practitioner who specializes in acupuncture facial rejuvenation, I know that skin needling with a dermal roller (also known as collagen induction therapy), promotes the natural reproduction of collagen and elastin, making the skin feel smoother and tighter.
Treating Menopausal Women in Your Practice
I love what I do for a living. It's a great way to trade health for bread. And no topic of health, with the right bedside manner, is taboo.
Treating Acute and Chronic Neck Pain With Ischemic Compression and Exercise
There are many reasons not to manipulate the neck with cavitation: the patient is too old, their neck is too tight, etc. But the most common reason is that plenty of patients are afraid of "the crack," mostly because of the bad publicity about that procedure.
Why Drugs and Supplements Can't Cure Disease
Chronic diseases are the outcome of disease-promoting, goal-oriented behaviors. So, the notion that diseases can be cured with drugs or supplements should be abandoned. Hypertension is the best example of this.
Meat in the Middle
Have you ever wondered what's the truth about meat? Is it really as bad as many people think?
Acupuncture Detox as Part of Drug Rehabilitation
In the U.S., more than 2,000 alcohol and drug rehabilitation programs have added ear acupuncture to their practice. The development of the protocol was determined by Lincoln Hospital as it delivered 100 acupuncture treatments daily.
Implications of Section 2706: The Non-Discrimination Provision Survey
In late April 2014, NCCAOM diplomates received an email survey with the subject line: "End discrimination against acupuncturists" polling CAM practitioners for a Request for Information from the Department of Health and Human Services, released in mid-March.
Step by Step: Long-Term Treatment of Soft-Tissue Injuries Combines Skill and Care
Treating soft-tissue injuries with long-lasting results starts the moment an individual enters the office. When it comes to pain, the only thing that matters to the patient is relief.
DC App – The Next Generation
According to a survey by technology firm CDW, health care professionals gain approximately 1.2 hours per day in productivity simply by using a tablet computer in practice.
It Pays to be a Foodie
If there is an inner foodie in you, just waiting to burst out—this article is for you! Do you want to know how I know? I'm that girl. My middle name might as well be "Foodie." I love food! And if my patients are any indication, many of them do as well.
Foundation for Chiropractic Progress Announces First Group Member
The Michigan Association of Chiropractors has joined the Foundation for Chiropractic Progress as its first group member.
The Acupuncture Now Foundation: What Our Profession Needs
Although acupuncture is growing in popularity it continues to be underutilized due to misunderstandings about its true potential. Only a fraction of those who could be helped by acupuncture know enough to seek it out.
Five Element Acupuncture Can Enhance Your Practice
For eight years I have been teaching and supervising TCM students at an acupuncture college in Colorado, in Five Element acupuncture.
Inspire Your Patients to Make Healthy Choices
Have you tried to get your patients to change their eating habits or their diet and couldn't get them to succeed? Were they confused and unsure of what the right thing was to eat? You are not alone!
Chinese Medicine: The Natural Way to Children's Wellness
As a child, I did not like going to the doctor. For the most part, when I had to go I wasn't feeling good to begin with, and I was heading into a sterile environment to be awkwardly probed by a man in a white coat for a very short, impersonal period of time.
Home Safety: Help Families Avoid Common Injury Hazards at Home
These days, many parents childproof their homes before a baby is even mobile. You will see an array of electrical outlet covers, bumpers on the corners of the coffee table and safety latches on the cupboards.
We Get Letters & Email
Is It Time for a Popeye Moment? The Flaw in Recommending Chiropractic as a Career.
Are You Ready for the 2016 Patient?
In October, Apple released its iOS 8 operating system for the iPhone and iPad. The new system includes Health, a new app that will interface with an ever-growing number of other apps.
Capturing the Essence of Tai Chi
Over the last 12 years, I have been working on one of the few documentaries about Tai Chi. It's called The Professor: Tai Chi's Journey West and it's about Cheng Man-Ching who moved to New York in the 1960s.
Are You Ignoring the 10,000-Hour Rule?
Having trained interns and mentored new practitioners, it has been my observation that their No. 1 clinical concern is adjusting skills. Their second clinical concern is their ability to read X-rays. Physical diagnostic skills are a distant third.
Peer Points: Promoting TCM Knowledge
When Elaine Wolf Komarow, LAc, received her first acupuncture treatment in 1989, she said it changed her life. "I felt more aware, calmer, and happier. I was so fascinated by the changes that I began to learn everything I could about the underlying philosophy of Chinese medicine," said Komarow.
Make Low-Level Laser Therapy Part of Your Evidence-Based Practice
Low-level laser therapy (LLLT), also referred to as photobiomodulation, has been increasingly utilized in the clinical setting over the past decade.
Massage Combats PTSD
Post-traumatic stress disorder (PTSD) is an anxiety disorder that develops in response to a traumatic event. The event often includes physical and/or psychological harm to an individual or a loved one. Triggers of PTSD include violent personal assaults, natural or man-made disasters, accidents, or military combat. Post-traumatic stress is the inability to dissociate the trauma from the past and live without fear of the future. Evidence demonstrates that massage therapy eases suffering caused by this disorder and assists in the recovery process.
Trauma and PTSD
After the September 11th terrorist attacks on the United States, the perspective of the world changed forever. Since, the Indian Ocean tsunami, the Chilean and Kasuri earthquakes, hurricane Katrina, countless wars and famine, PTSD has risen to unprecedented levels. According to the National Center for PTSD, 7.7 million in the United States have suffered from PTSD.
Since October 2001, approximately 1.64 million U.S. troops have been deployed for Operations Enduring Freedom and Iraqi Freedom (OEF/OIF) in Afghanistan and Iraq, according to a major RAND study.1 Most of the 1.64 million will return home from war without problems and readjust successfully. However, 18.5 percent of all returning service members meet criteria for either PTSD or depression.1
Symptoms include: flashbacks and/or nightmares, avoidance/numbing, a feeling of estrangement from others, hyperarousal/hypervigilance, and a feeling of constantly being in danger. Other common symptoms include: sleep disturbance, physical pain, irritability, depression, suicidal thoughts, and no longer feeling at home in one's body.2
However common the disorder, stigma may hinder individuals from receiving treatment. In 2008, it was reported that only half of military service members who have returned from Iraq with PTSD or major depression have sought treatment.1 Stigma includes factors such as being concerned that one will be viewed or treated differently by peers or military leaders if they are receiving mental health treatment. Other barriers to receiving care include not being able to get time off work, lack of information about where to find help and not having adequate transportation to get to the location where care is available. Stigma and barriers seem to affect both genders, especially males, who are not as likely to pursue professional help as females.3
Sgt. Travis Runnels, Combat Veteran of the 1st Infantry Division, U.S. Army, (himself a sufferer of PTSD) said, “Team strength is emphasized within the units and nobody wants to feel like the loose link. Sometimes a cry for help is confused with being weak, instead of taken for the serious disorder it is. Understand that PTSD needs proper medical treatment and sometimes intervention.” Runnels found that massage and alternative medicine were a real compliment to his conventional treatment. However, for a long time he had a hard time with doctors touching him, let alone someone that he was not comfortable with. Ultimately, at the right time with the correct counseling resources, he was able to control his reactions and unwind enough to the point where he was able to receive massage. “Massage helped me to learn to relax, let my guard down, and begin to feel safe and comfortable within my body and mind,” said Runnels.
Traditional treatment includes pharmacology and psychotherapies, cognitive behavioral programs, exposure therapies, and eye movement desensitization and reprocessing (EMDR). Cognitive behavioral treatments include: psychoeducation, anxiety management, exposure and cognitive restructuring. According to the National Center of PTSD,4 specific cognitive behavioral therapies including prolonged exposure, cognitive processing therapy and EMDR are best used as initial treatments of PTSD. Group and family therapies along with alternative methods continue to be studied.4
Treatment is provided by TRICARE Prime, a health care plan for active duty military personnel, the Veterans Administration and the U.S. Department of Defense (DoD). Since 1998, the DoD has required soldiers to complete a pre-and post-deployment health assessment, and more recently has mandated a post-deployment health reassessment to be completed six months after the service member returns home.5
Based on the combined screening, clinicians identified 20.3 percent of active duty and 42.4 percent of reserve soldiers as requiring mental health treatment, according to a 2007 study.6 Mental health treatment by the Veterans Administration is helping those with PTSD; 49-59 percent of those who had PTSD symptoms identified after the first assessment, report improvements six months later.6 However, those who didn't initiate treatment at that time, tend to get worse. Several community health programs are also becoming more readily available, one being a DE-STRESS program (Delivery of Self-Training and Education for Stressful Situations), that utilizes an interactive Web site to complete an eight-week program designed to help manage and treat PTSD.5
A revolutionary change in the treatment of PTSD has begun with a holistic approach at the Fort Bliss Restoration and Resilience Center in Texas.7 The program, created by clinical psychologist John Fortunato, was launched in the summer of 2007 after a long struggle for funding. His six- to nine-month program includes a rigorous 35-hour treatment week that combines group and individual therapies that include alternative therapies such as: massage, reiki, qigong, tai qi, meditation, yoga, acupuncture, chiropractic, exercise, games, hot-stone therapy treatments and "rehearsal therapy", which includes telling your most painful memories over and over until they lose their power.
Fortunato uses acupuncture in the treatment of anxiety, panic and tension-induced pain. Reiki treatments are used to assist in treating hyperarousal symptoms. According to Fortunato, "In order to stay alive, their bodies have been hyperaroused for so long, that they come back and cannot turn it off. Their body doesn't even remember how to relax again, and because of that they don't sleep and are irritable. ... The massage has helped soldiers sleep."
And the holistic healing approach for soldiers is paying off: 12 of the 37 soldiers have returned to their units and only two have ended up having to take medical discharges from the army.
According to a 2005 study,8 positive changes have been shown in biochemistry following massage therapy including reduced cortisol and increased serotonin and dopamine. By decreasing the clients' cortisol levels with bodywork, a client can reduce the constant feelings of hyperarousal and danger. By increasing serotonin and dopamine in the brain, an ease of suffering and anxiety is felt.8
A study on sexual abuse victims suffering from PTSD conducted by Cynthia Price, concluded victims of PTSD showed a significant decrease in physiological and physical symptoms, after massage and body-oriented therapy (in addition to psychotherapy).9
Alternative medicine, massage and bodywork, along with traditional methods, can help victims of PTSD in the recovery process. With PTSD numbers on the rise, and more troops coming home every day, there are plenty of sufferers in need. In the hands of a well-intentioned therapist, massage for clients with PTSD acknowledges and helps to restore the most basic human needs of safety, trust, control, self-worth and intimacy. When these needs are satisfied in the context of a healthy therapeutic relationship, an individual may not only succeed but re-learn or discover for the first time how to thrive.2
For a comprehensive list of PTSD resources go to: http://ptsdcombat.blogspot.com/2007/01/need-transition-help-free-resources.html.