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Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Massage Effective for Cancer Pain Relief
Contributed by MK Brennan MS, RN, LMBT; Jolie Haun PhD, EdS, LMT; Beth Barberree BA, MT
Complementary therapies are commonly used by cancer patients for physical, emotional, and spiritual benefits. Among these therapies, massage is often provided for relief of cancer-related symptoms and treatment, most notably the pain. Sook-Hyun, et al, conducted a meta-analysis to review studies in nine electronic databases in English, Chinese, and Korean languages. Twelve high quality studies were retrieved and used for the analysis. The twelve identified studies were conducted between 1990 and 2013 in four countries, and included 559 subjects in total. Nine of the twelve studies found cancer pain was reduced after massage.
Findings of the meta-analysis indicated 40% to 90% of cancer patients report pain due to changes in their bodies from the cancer itself or as a result of treatments such as surgery, chemotherapy, or radiation. Conventional treatment is not always effective in relieving the pain satisfactorily and many patients also use massage and/or other complementary therapies to treat it.
Previous reviews of studies about massage for cancer pain have shown mixed results from not being significantly effective to suggesting that massage therapy can reduce cancer pain by 40.2%. For the purpose of this meta-analysis, randomized controlled trials (RCT) and nonrandomized controlled clinical trials (CCT) with a control group of those who received conventional care or no-massage and patients with all types of cancer were systematically reviewed. The review also included trials that used the Visual Analogue Scale (VAS), Brief Pain Inventor (BPI), Numeric Rating Scale (NRS) and present pain intensity (PPI) to reduce bias due to the use of different pain assessment scales. Evaluation of the methodological quality of the studies was based on the Physiotherapy Evidence Database (PEDro) scale and Cochrane risk of bias for quality of studies in meta-analysis. Studies awarded greater than or equal to six on the PEDro scale were considered a high-quality study.
Soon-Hyun, et al, reviewed the effects of massage therapy according to a number of items including pain relief, cause of cancer pain, type of cancer, massage type, methodological quality of the studies, blinding of studies, pain assessment scales, and time points of the studies. Results from these reviews show that massage therapy largely reduced pain in all types of cancer.
The authors recommended that future studies include the qualifications, affiliation, experience, and clinical expertise of the massage therapists, since these may influence treatment effects. They also recognized that there were some limitations in their study. They included RCT and CCT studies with possible selection bias however, results didn't change when the analysis was restricted to the assessment score in the PEDro scale. Another limitation is the possibility of both performance and response biases in some studies since the comparisons between massage and the control groups cannot be blinded. It was noted, however, that results did not change when either blinded or non-blinded studies were used in the analysis. Additionally, results did not change when the authors restricted the analysis to the time points measured at primary treatment or the following weeks. So, combining different measurement time points may be critiqued, but may not necessarily be a limitation.
Given that there are few long-term studies, the evidence is not sufficient to suggest that massage is an effective long-term treatment for cancer pain. Well designed, long-term studies are needed to draw firm conclusions about the effect of massage on cancer pain but this meta-analysis is a good resource for anyone wishing to pursue this research.
Meta-analysis studies make a significant contribution to advancing the science of a practice such as massage therapy. Analyzing multiple studies across diverse populations with a range of conditions in diverse geographic locations provide the power necessary to make strong inferences about the effects of an intervention such as massage therapy. As the adage goes, "there is power in numbers." Meta-analyses provide the numbers and power which often elude single study designs; this article provides more evidence to support the use of massage therapy with patients receiving treatment for cancer who experience related symptoms such as pain. Massage therapists in the field can share the results of this analysis with their patients who have cancer to provide support for the significant palliative effects of massage therapy.
As AMTA celebrates National Massage Therapy Week during the National Convention in Milwaukee, October 26-29, we invite you to visit our Poster session to learn more about recent studies in massage. Stay updated with more information at our website: www.massagetherapyfoundation.org.