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The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
We're now going to turn to two larger, better-known muscle-tendon units, the biceps and the triceps. Like the biceps, the triceps each crosses two joints: the elbow and the shoulder. Most triceps injuries happen near the elbow.
Anatomy & Injury Causes
The triceps muscle is the primary extensor of the elbow, and therefore functions as an antagonist to the biceps. Located in the posterior shoulder and back of the upper arm, the triceps makes up roughly 2/3 of the arm's muscle mass, and in healthy people it is very strong. As its name suggests, the triceps has three distinct heads, but at the distal end, these merge together into one common tendon. This tendon inserts on the olecranon process, with some fibers radiating into the fascia of the forearm. The most frequent sites of injury at the elbow are the tenoperiosteal junction, where the tendon meets the bone, and the tendon body.
Triceps injuries are a little less common than biceps injuries. They can be caused by athletic activities and exercises that require rapid, forceful extension of the elbow (such as push ups or dips); by lifting much more weight than you are able to; or by repetitive hammering or throwing motions. The triceps is particularly vulnerable when attempting a very strenuous motion starting with the elbow in full flexion — for example, moving from that position into a push-up or a bench press at your weight limit.
The primary test for triceps injury is resisted extension. Place one or both of your hands under the client's wrist as the client holds the arm at a right angle in front of their body. Now, ask the person to push down forcefully as you resist, pushing up with equal and opposite force. Elbow pain on this test indicates that the triceps is injured.
In some cases, the triceps muscle is so strong that even though it's injured, this test fails to produce pain. If you get a negative result but still suspect a triceps injury, take the person into full elbow flexion — so the muscle is stretched, and therefore a little weaker — and then repeat the test. This gives you a much better chance of revealing the injury.
As with the biceps test, if the client can overpower you, it's best to protect yourself from injury by having them lie supine. Lace your fingers together, wrap them around the ulnar side of the forearm just above the wrist, and lean back. In this position, the client would have to pull your entire body weight to overpower you.
The most effective treatment approach for the triceps is a combination of friction therapy, massage therapy, and exercise therapy. The injured portion of the tendon will be painful on palpation. If you have difficulty pinpointing the precise site of injury, try having the person extend their arm against resistance, so that the tendon tightens and pops up, and then palpate the tendon again in that position.
Friction therapy is done with no lubricant so that you can pin the injured fibers against the bone and perform a friction motion against that resistance to break up the adhesive scar tissue. Be careful to take the skin with you, rather than rubbing over it. When performing any friction therapy techniques, work for 10 to 12 minutes at a time, taking breaks as necessary. Remember to change hands frequently so you don't strain yourself. Follow the friction therapy with deep massage to the upper arm, lower arm, and shoulder, and repeat twice a week for four to six weeks.