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Let's Clear Up the Collection Confusion
This is an often-misunderstood practice swirling with misinformation. First, a few basics: Insurance is a contract between the patient and the insurance company. The insurance company is simply making a payment for services or care on behalf of the patient.
Shoulder Rehab: Start With the Scapula
The scapula is an incredible display of elegance and movement within the biomechanics of human motion. It's evolved for mobility and stability in the scapulo-thoracic region, giving us the ability to do things that are uniquely human, such as throwing with accuracy.
Five Branches University Has First Hospital TCM Residency
Established in 1984, Five Branches University (FBU) has campuses in Santa Cruz and San Jose, Calif., which serve the communities of Santa Cruz, the Monterey Bay, and Silicon Valley.
The winter season is upon us and offers unique challenges for the clinician and patient alike. To effectively navigate through the winter season there are two main TCM medicinals, Huang Qi and Gan Jiang, to consider, as well as two important formulas which feature these two TCM treasures.
Anti-Aging With Dr. Ping Zhang
Jennifer Waters, TCM practitioner and writer of the Acupuncture Today column, "Talking With the Masters" sat down with Dr. Ping Zhang to discuss aniti-aging with acupuncture.
Acupuncture Points: Broadening Our Scope and Diagnostic Work
As every practitioner knows, the correct diagnosis is everything. Most healing disciplines rely on the use of symptomatology for their treatment implementation. Beyond symptomatology, we have clinical tests to provide more objective findings.
Qigong for Substance Abuse
It is commonly believed that substance abuse, in addition to harming one’s physiological state, hurts the spirit. There is also a belief that one’s spirit does not weaken due to substance abuse, but rather, the person finds solace in addiction due to an already weak spirit.
Scar Reduction With Acupuncture & Microneedling (Part 2)
Protocols & treatment Timing
The Case Report: A Valuable Tool
Case reports are a valuable form of descriptive research. The most basic form of practice-based research, a case report is a detailed account of the history, presenting symptoms, assessment, observations, treatment and follow-up of an individual patient, discussed in the context of prior and potential future research.
A Conversation With Dr. Betty Edmond
This month's column is an exclusive interview with Betty Edmond MD, newly elected CEO/President of the AOMA Graduate School of Integrative Medicine in Austin, Texas.
Low Back Pain in Running Athletes
After 7 million years of adapting to upright postures, the lumbar spine and pelvis have become remarkably adept at managing ground-reactive forces associated with running.
An Education in Gluten Sensitivity
A relatively new syndrome officially documented as non-celiac gluten sensitivity (NCGS) or gluten sensitivity (GS) was officially recognized and published in the new list of gluten-related disorders in 2012.
A New Year and Vision for the ACA
Inadequate pain management coupled with the epidemic of prescription opioid overuse and abuse has taken a severe toll on the lives of millions of people in the United States. Every day, more than 1,000 people are treated in the ER for misusing prescription opioids.
Prepare for the End, From the Beginning: Wealth Building and Retirement with the Tao
Yin and yang flow into and out from one another continually. Beginnings become endings and endings become beginnings again. Wholeness and cycles are the nature of Tao.
An Opportunity & a Responsibility
Nearly 80 Americans die from an opioid-related overdose every day, and spine-related pain is one of the principle drivers of opioid use. This unfortunate situation creates both an opportunity and a responsibility.
Nutrition for Menopause: Front-Line Therapy for All Phases
Of all the changes women experience during their reproductive life, there is no doubt the most dreaded are the three phases of menopause. This is not surprising since all of the symptoms associated with menopause are replete with unpleasantness.
True Practice Mobility for the Chiropractic Profession
When natural disasters occur, chiropractors can literally travel to the other side of the world to offer humanitarian relief in less than a day. The chiropractor's license to legally practice, however, can't make it past the state line.
Flirting With Alternative Therapies
There are about as many adjunct therapies being marketed to acupuncturists as there are acupuncturists. While some may remain purist in their application of traditional Chinese medicine, others choose to explore new horizons of treatment.
We Get Letters & Email
Our Country Needs Us Between Elections, Too; Continuing Care: We Aren't There Yet; Our Associations Need to Do More.
The Acupuncture Channel System (Part 1)
The earliest Chinese reference to channels is in the Mawangdui Medical Manuscripts,1 which are dated to the Warring States period of the Zhou Dynasty (475 BC-221 AD). The text presents 11 channels. There are no acupuncture points listed in those channels.
Another Step Forward for Chiropractic
Chiropractic is now available to 86,000-plus Latter-Day Saints missionaries and you are invited to become a provider. LDS membership in not required; our only concern is that our missionaries get the best quality care available.
Crow Like the Rooster
As we welcome in the Year of the Rooster, we look at some of its major characteristics: confidence and communication, which suits the image we have of the Rooster...strutting in the farmyard, crowing to the others that it's time to wake up.
Palpation Skills in Clinical Practice?
Have you ever thought about the process involved in the way experts make instant decisions as they work? Experts can be shown to have the ability to observe, recognize, interpret, judge, decide and to act appropriately, in a split second – not based on planned decision-making, but more on a foundation of sound knowledge and practiced skills. Consider these examples:
Not Intuition Alone
It would be a mistake to label such improvisation as merely intuitive. Intuition, in expert settings, needs to be based on solid foundations, otherwise we would all be brain surgeons or gifted musicians. This is just as true in manual therapy as in any other field, since skilled manual therapists are also experts.
Consider the words of Donald Schon as he discusses reflection in action: "Often when a competent practitioner recognizes, in a maze of symptoms, a particular pattern, and constructs the basis for a coherent design in dealing with it ... something is being done, which cannot easily be described. Practitioners/therapists make judgments of quality for which they cannot [always] state adequate criteria. It is not difficult to understand why practitioners [therapists] should [sometimes] be puzzled by their own performance in the indeterminate zones of practice."1
I am sure that we can all relate to describing something as deviating from normal when palpating – far more easily than we can describe what that difference is; for example, when tissues just do not feel right. During palpation our hands recognize normality, as well as deviations from it. However, trying to put the perceived differences into words, or to analyze those differences, is not always easy. It seems that many skilled people – in all areas of life – demonstrate know-how as they learn to perform complex actions, without necessarily being able to describe them.
Palpation: Skill PLUS Art
It has been suggested that four basic characteristic signs should be evaluated when seeking evidence of localized musculoskeletal dysfunction.2 The acronym STAR can usefully be applied to describe these features:
Where a combination of these characteristics are located and identified by observation, palpation and assessment, is also where evidence of a dysfunctional musculoskeletal area exists (described as somatic dysfunction in osteopathic medicine).
Of course, this sort of palpated evidence doesn't tell us why dysfunction has occurred, only that it may be present.
Tests, palpation and observation assessments may offer answers to the question what. For example, that the tissues being evaluated are sensitive, asymmetrical, restricted, short, tight, weak, etc., but such findings do not actually offer indications as to what to do clinically.
When we ask why, we can narrow down treatment choices:
What we feel, what we sense, and most importantly, how we interpret the information we gather from palpation and assessment, determines how we treat the problems that we're asked to manage.