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Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
Online Marketing Basics: Website Creation
The various online marketing options make it a challenge, especially when all you want to do is help your patients feel better. With such a broad topic, I'm going to share some basics you should know about website creation.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Preaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
Patient Retention Techniques
When talking about techniques to grow your business, we tend to focus on the "large" aspect of the patient base, that is, on strategies to attract new patients. However, it is important to remember that "loyal" is equally, if not more, important.
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
The Ethics of Herbal Prescribing
While teaching ethics classes, I often encounter licensed acupuncturists who are surprised that our use of herbs and supplements has a specific section in the material. It is often an aspect within ethics that clinicians don't think of in practice.
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
Pediatric Massage Benefits for Down Syndrome
Our bodies are made up of cells, inside these cells are our genetic material called genes. Genes are arranged on a rod type structure called a chromosome and carry all of our inherited traits. Normally, each nucleus carries 23 pairs of chromosomes with half being inherited from each parent. In the event that a child has a full or partial extra copy of Chromosome 21, the individual will have a congenital disorder known as Down Syndrome. The most common form of Down Syndrome is often called "trisomy 21," because individuals with this condition have three copies of the 21st chromosome.
According to the National Down Syndrome Society, "One in every 691 babies in the United States is born with Down Syndrome, making it the most common genetic birth condition." The statistics are staggering especially taking into account that there are more than 400,000 Americans currently living with Down Syndrome in the United States. Common symptoms associated with Down Syndrome include potential impairment of cognitive ability, low muscle tone (hypotonia), congenital heart disease and other cardiac needs, seizure disorders, constipation, spinal cord compression, atlanto-axial instability (characterized by excessive movement at the junction between the atlas (C1) and axis (C2)) and physical appearance characteristics including short stature and a broad facial profile. All of which are considerations when we think of safely and effectively applying pediatric massage therapy.
People with Down Syndrome have an increased risk for certain medical conditions, especially as children, and the use of diverse methods of treatment are encouraged. Massage is one type of additional therapy that is gaining popularity with peer-reviewed and scientific studies showing the benefits of massage for children with Down Syndrome, along with parents reporting the benefits they see first hand.
In a five month study, researchers found that "significant, lasting improvement in motor skills" were found in groups of children with Down Syndrome who were massaged by therapists, as well as parents. Additionally "an unanticipated consequence" was an unexpected jump in language skill for children affected by Down syndrome. This study is based around low income solutions for children with exceptionalities and wanted to measure the impact of training parents to massage their own children would have. The results speak to parents using massage as a viable option in helping with their child's healthcare concerns.
Another study found similarly exciting results, 21 young children (average age, two years) with Down Syndrome receiving early intervention (physical therapy, occupational therapy or speech therapy) were chosen for two month study. The study used two groups, one receiving a half-hour reading activity and the other a half-hour of massage therapy. The children were assessed for development and muscle tone on the first and last day of the study. Children in the massage group revealed "larger gains in fine and gross motor functioning and less severe limb hypotonicity" as compared to the children in the reading group at the end of the two month study.
Every child deserves to receive the effects of touch therapy in a unique style customized for their best care. They may benefit from different gentle techniques, varied length of sessions and gentle application. Evidence suggests that pediatric massage may improve muscle tone, increase performance on motor tasks and provide much needed relief from constipation by improving motility.
Pediatric Massage Considerations
A detailed health history and intake form is required before beginning any session, whether it is a hands-on therapeutic provided by a certified pediatric massage therapist or techniques shared with parents. In order to practice best care, the full health profile must be reviewed and a treatment plan developed.
Specific caution should be practiced in relation to any pre-existing cardiac conditions, hypotonicity due to affected muscles and joints, and atlanto-axial instability. In some cases, as much as the therapist may wish to address low muscle tone, the techniques employed may have to be adapted to practice caution in relation to cardiac issues. When atlanto-axial instability is present, no traction should be applied to the neck, and careful positioning is imperative. Always watch nonverbal cues closely, as there may be a delayed response to discomfort and/or pain due to higher sensory threshold. To address constipation, abdominal massage may be applied to improve gastrointestinal function and increase motility. It is important that all massage strokes and techniques follow the direction of the intestinal tract, and are provided at least thirty minutes following eating. The child should be in a relaxed and comfortable position and welcome to massage.
With more and more children being diagnosed with Down Syndrome, it is important that massage therapists wishing to practice pediatric massage therapy become educated in safe and effective approaches, to become a professional, active part of a child's treatment team.