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A Simple Protocol for Holiday Stress
It's winter, a time when we should be deep in reflection, eating warming foods and sleeping long hours. Following nature's rhythms, we restore our bodies and minds in preparation for the renewal of spring.
6 Steps to Make 2017 Your Best Year Yet
People often ask me what defines success. Success, for me, is simple: doing exactly what you want to do in life. Whether it's the kind of practice you run, your life at home, your hobbies or something else, it's achieving anything you put your mind to.
Meshing TCM With Environmental Pediatrics: Where's the Overlap?
Pediatrics has a long history within Chinese medicine dating back to the late Han dynasty (i.e., the late 200s CE), with the two primary areas of emphasis being herbal medicine and xiao er tui na (pediatric massage).
DVT: Know the Signs and You Could Save a Life
I lost a friend several months ago. He died from a pulmonary embolism (PE) secondary to a deep-vein thrombosis (DVT) that originated in his lower leg. Bobby was in his mid-60s, soft-spoken and had a big heart.
Southwest Acupuncture College Brings It to Division 1 Athletes
When Michael Phelps' photograph with the distinctive round marks left by cupping went viral, the Division 1 student athletes treated through the Dal Ward Athletic Center at the University of Colorado (CU) could relate.
Can a Multivitamin Reduce Breast Cancer Recurrence?
There is a great deal of controversy regarding the value of multivitamin supplements in cancer prevention. However, with respect to preventing breast cancer recurrence, an important study was published in the Journal of Breast Cancer Research and Treatment in 2011 by Kwan ML, et al.
Another Chance to Make a Difference
Just a few months ago, "the worst natural disaster to strike the United States since Hurricane Sandy" hit Louisiana. During this storm, one area experienced 31 inches of rain in 15 hours as almost 7 trillion gallons of water rained down in just one week across the state.
Dedicated to Defending Chiropractic
Whether you're a veteran DC or a first-trimester student, the name George McAndrews should be part and parcel of your professional vernacular, as familiar as the word chiropractic.
A Letter to the Profession from the New President at AAAOM
Volunteering for a national, nonprofit organization brings with it such highs, lows, and accomplishments, as well as a steep learning curve.
Herbs for Digestion: The Power of Bitter
Many cultures (and indeed herbal clinicians) around the world have long respected the role of bitter herbs and foods for promoting digestion. For example, aperitifs – drinks consumed before a meal to stimulate appetite and digestion – were originally derived from bitter herbs.
Overuse Injuries in Young Athletes (Pt. 2)
Most overuse injuries are benign, but there are some high-risk injuries that, if unrecognized or inappropriately treated, can result in significant loss in time from the sport or even require leaving the sport.
Assessing Core Stability and ROM: 5 Basic Checks
One of the first steps in addressing core stability is assessing static posture, ranges of motion, and motion of the pelvic bones, sacrum, femurs, lumbar spine and thoracic spine.
News in Brief
New President / CEO Takes Office at Yo San University. Electroacupuncture for Constipation?
A First for the Profession: CCE Accredits First Chiropractic Residencies
The Council on Chiropractic Education (CCE) has awarded accreditation to all five chiropractic residency programs currently administered at Veterans Administration facilities, "the first residency programs in the nation ever to be awarded this distinction, a significant advancement in the evolution of chiropractic education," according to a VA press release announcing the milestone.
Molecular Motors: Tiny Machines Behind the Rhythm of Life
In the clinic, we aim to restore healthy patterns of movement for qi that has gotten trapped or misdirected, or may have even collapsed. We may be focused on freeing stagnation, releasing heat or redirecting counterflow qi, but it often comes down to helping re-establish a flow of sorts.
Little Sticker, Big Impact
It's the end of an election year. Hilary Clinton and Donald Trump were the subject of conversation for everyone, everywhere for the entire 2016 calendar year. I don't think any of us can deny that this election affected us all very deeply on a personal level.
Chiro School Reunion: Whatever Happened to...?
I opened the door to the closet slowly, carefully, since I knew it contained a large number of precariously stacked file boxes. It also held numerous outdated gizmos with electrical cords of various lengths that could trip or strangle a person.
A Q & A About Updated Codes
Yes, indeed there was an update to ICD-10 on Oct.1, 2016. This is a regular update to the diagnosis coding system and this type of update will occur every Oct. 1, just as it did when the ICD-9 system was in place.
2016: A Year in the Life of Acupuncture
Happy Holidays, may you, your family and friends have peace, joy and blessings throughout this special time of year. As 2016 comes to a close, we can look back and celebrate the many events and accomplishments for the profession of acupuncture.
All Fiber Is Not Created Equal
Sometimes the best place to start is at the end. So, the conclusion of this article is that all fiber is good ... but some fiber is better. Let's break it down. There are two main types of fiber: soluble fiber and insoluble fiber.
What We Can Learn From Spine Surgery
Patients with lumbar stenosis presumably present for conservative care to improve their quality of life and avoid surgery. However, providing clear guidance to these patients can be difficult for a number of reasons.
Branding: Set Your Practice Apart
Dr. Brad started his practice seven years ago on a shoestring budget. He created his generic logo in five minutes using a website because he didn't have the time to figure out how to make something special.
Pediatric Massage for Selfie Elbow
Children today are exposed to the use of electronics and technology at a much earlier age. While many times this exposure leads to great exploration and learning opportunities, we are also seeing an increase in the appearance of discomforts associated with the use of today's technology.
Simply stated, the use of computers, tablets and smartphones causes us to hold our bodies in unnatural positions for extended lengths of time. The cause of technology-related injuries is typically overuse mixed with repetitive use.
With today's youth addicted to taking "selfies," capturing their memories in pictures and living in a reality where "If there is no picture, it didn't happen", we have created a selfie-addicted culture.
What is "Selfie Elbow"?
Selfie elbow is a type of tendinitis and can be described as similar to "tennis elbow" (lateral epicondylitis). The feeling of pain and discomfort associated with "selfie elbow" is caused by the experience of inflammation in the tendons that run along the arm from the hand to elbow. The tissues become inflamed due to the form the body holds when taking a selfie. When taking that soon-to-be-treasured picture, the self-photographer extends their arm and at the same time grips their phone firmly to stabilize for the perfect shot. This is not a position we were designed to hold repetitively.
Children may feel tightness in their arms, wrists and even in the hands, but not report it to their parents. They may think it is harmless, will pass quickly and not recognize the trauma caused by overuse. Oftentimes they will use a selfie stick, thinking it will assist with the awkward (and achieve the optimal) selfie-taking position. However, if while using the selfie stick, the arm is still extended, it is not helpful in minimizing the future discomfort.
Symptoms of "Selfie Elbow"
With selfie elbow, the symptoms develop over time. In many cases, the discomfort begins as mild and then slowly worsens with continued, repetitive movements and overuse. Some of the common signs and symptoms of selfie elbow include:
Pediatric Massage for "Selfie Elbow"
Prior to providing any treatment in the form of pediatric massage therapy, you must assess the child's injury, understand which muscles, tendons and ligaments are involved, and make an informed treatment plan.
Lateral epicondylitis or "selfie elbow" involves the tendons and muscles located in the forearm. The muscles in the forearm help to extend the wrist and fingers, while the tendons, also known as extensors, attach the muscles to the bones. The attachment is located at the lateral epicondyle. It is at this attachment site that we find inflammation contributing to "selfie elbow."
The first and one of the best therapeutic approaches is to encourage the child to rest and help rehabilitate their injury by not continuing with the activity which initially caused the inflammation. However, we also should consider employing methods of treatment using ice to decrease inflammation, teaching the child some home care activities, and using pediatric massage to address the self tissues.
With children, use caution with any heat or cool therapies due to their developing nervous systems and possible inability to perceive heat and cold temperature differences quickly. If using cooling therapy, the therapist should do so cautiously and be mindful of site, color changes of the skin and reaction the child is having. The therapist should limit the time cooling therapy is applied to the inflammation site, using a method of less-is-more when it comes to pediatric clients.
Using pediatric massage techniques, the therapist should focus on those techniques which help to decrease stress, anxiety and tension overall; then focus on specific areas to alleviate discomfort.
Once a through assessment is completed and the therapist has gained the child's permission to receive massage, they can begin their therapeutic approach.
Begin by focusing on the back, neck and shoulders of the child. Provide gentle stroking techniques to decrease any tension contained in these muscle areas. This will help the child relax and prepare for focus on the area with pain and discomfort.
Next, the therapist should focus on the forearms. On the affected forearm, start with gentle, static holding to begin to introduce touch therapy. Gently stroke to warm the area. Then, knead the soft tissues, using a gentle, but intentional pressure. Once the tissues are warmed, the therapist should gently hold their hand in a static position on the child's forearm. While the therapist's hand provides warmed contact to the forearm, ask the child to alternate slowly bending their wrist (flexion) in the dorsal and palmar directions.
This movement should be performed slowly, and range of motion should be controlled by child, who will move their wrist on their own, comfortably. If monitored by parents, this movement can be performed at home by the child under a home care plan.
As a preventive measure, children should be encouraged to take breaks from selfies and regularly practice wrist movements of bending the wrist in the flexion motions. If they notice any pain or discomfort, they should bring this to the attention of the parent or therapist and then follow any recommended medical advice.
Please note the information contained in this article is an example plan of treatment. However, each pediatric client may have different health care needs. This information does not replace medical advice.