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News in Brief
Dr. Frank Nicchi Receives Award at ACC-RAC; Sherman College Expands International Influence.
5 Simple Steps to Create an Effective Marketing Calendar
In the educational experience of most healthcare practitioners, business and marketing are overlooked topics.
Teach Your Patients About External Healing Applications
Since the skin is the body's largest organ, and is able to respond to both internal and external stimulations, communicate sensations to the brain, protect the body, breathe and even excrete toxins, it can be an excellent source of healing.
5 Tips for Using Pinterest to Market Your Practice
Pinterest is a very popular, but often under-utilized, social media platform where people can bookmark, or "pin," fun and interesting things from all across the internet.
The Tide is Rising in the Acupuncture Profession
Former President Ronald Regan said, "When the tide rises all boats float." The tide is rising for the acupuncture profession. Many forces outside the profession are helping the tides to rise.
Trouble in the Wellness Waters?
Call me old-fashioned, paranoid or just old, but I do remember graduating from chiropractic college in the late '70s in the midst of the Wilk v AMA lawsuit.
How Much Do You Know About the Benefits of Birds Nest?
Edible bird's nest is the nest made by the Swiftlet bird of Southeast Asia that is usually prepared as a soup and prized in Chinese culture as a healthful delicacy.
Make Every Day Mother's Day
May is a special month for many reasons. After a long, harsh winter, spring is at last in full swing. Memorial Day helps us honor those who have fought and fallen in the name of freedom.
PCOM Granted Regional Accreditation
Pacific College of Oriental Medicine (PCOM) recently announce it has received regional accreditation from the Western Association of Schools and Colleges (WASC). This achievement reflects five years of hard work on the part of faculty, staff, and students.
Apple Takes a Bite Out of Research
The more than 700 million iPhone users have just been given the opportunity to "do their part to advance medical research."
The Challenges of Integrating Eastern and Western Medicine
My Masters thesis was titled, "The Challenges of Integrating Eastern and Western Medicine," which highlighted several reasons why it is hard for these two worlds to mix.
If Your Pro-Chiropractic Governor Resigned, Would You Be Prepared?
John Kitzhaber, MD, recently re-elected to a historic fourth term as Oregon governor, has resigned among alleged ethics violations by his fiancée' and first lady, Cylvia Hayes. I developed a personal friendship with John and consider him a good friend.
Applauding a Legacy of Leadership
Founding Palmer West President, John Miller, DC, HCD (Hon.), FICA (Hon.), a 1954 graduate of Palmer College of Chiropractic, passed away March 8, 2015 at age 83.
Functional Impingement of the Hip (Part 2): Rehab Exercises
I find functionally impinged hips that don't move properly on so many of my patients. (See part 1 of this article for a description of the condition.)
The Acupuncturist's Problem
I want share with you some observations and insights into what seems to be the most common problem my colleagues in the acupuncture profession struggles with. If you also struggle with this problem, I hope you get a valuable "aha" moment from reading this.
Medicine is Clumsy, Don't You Be
All medical systems have clumsiness in them. If the technique isn't, the practitioner is. Everyone in every form of medicine is striving to improve. That is why we call it practice.
Integrating Art with Clinical Practice for Patients with PTSD: The Artemis Project
Are you restricted by those one-on-one clinic dynamics? Why not join colleagues and clients in experimental group settings? Three of us volunteered to do just that in Austin on behalf of women veteranss from all branches of the service.
Talking to Patients About Medial Branch Neurotomy (Part 2)
Even when lumbar facet denervation (medial branch neurotomy) is successful, relief is rarely complete or permanent. Smuck, et al., reviewed 16 articles and found the average duration of >50 percent pain relief for an initial procedure was nine months.
Animal Acupuncture: A Case Study in the Treatment of Traumatic Injury in the Equine
The rise of animal acupuncture in the U.S. began in the early 1970's as a result of the work by members of the National Acupuncture Association in Westwood, Calif.
How Often Should You Treat?
Every now and then I get the urge to come down off my political soapbox and share some clinical and health related information with you. This is one of those times. I hope you enjoy another side of my "view." Fear not, the editorials will continue.
How Often to Treat?
One question I am often asked by clinical massage therapists is, "How often to treat?" In traditional medicine that was practiced for many centuries, therapies like acupuncture and massage were done in 15 to 20 minute segments, five days a week for about one to four weeks depending on the severity of the case. That gave the body a gentle nudge repeatedly to help it achieve health. That was proven from experience to be the best way.
More recently, Russian massage protocols, based on research considered invalid here because our research community didn't make any money from it and because it goes against the "Central Dogma," often utilize 15 to 20 minute sessions, several times a week. Years ago in physical therapy, it was not uncommon for a patient to have prescriptions to be seen two or three times a week for 12 appointments and then have a repeat 12 appointments before evaluating whether or not to continue. Such protocols have become totally impractical in our current modern world. Time and resource limitations of the patient, insurance limitations, and other factors have people receiving less care than they ideally need for physical conditions. Our profession has settled in on the 60-minute time slot as the standard, although shorter and longer sessions are often available.
"Sometimes the hardest part of our job is to motivate people to stay with the program long enough to get the healing they desire." Lawrence Woods – Developer of Neural Reset Therapy® (NRT)
So, how often to see a patient these days? Bottom line – I want to see the patient just as symptoms return or begin to worsen again after the previous appointment. I book a new patient 2 appointments one week apart. After the first appointment they are instructed to keep track of how they feel every 12 hours until the next appointment. They feel better when leaving my office. (If they do not, there is no charge and the next appointment is cancelled – feel better, I guarantee it!). Often they experience some post treatment soreness, but that is different from the original pain complaint(s). That goes away in a day or so and they usually feel better. Yet, then they usually start to experience their symptoms again at some point during the week. At the second appointment, I ask when symptoms returned or worsened. Let's say it was in four days. Then they need to see me every four days. By the way, that is how I phrase it, "You need to see me every four days." Never say, "I need to see you." The patient does not care at all what you need; they only care about what they need. They also expect you to be the professional and tell them what they need. Always frame your recommendations from the patient's perspective. When they can go from treatment to treatment without symptoms, start spreading the appointments further apart. Once they can go a month without return of symptoms, it becomes, "Call me when you need me.
If the condition is chronic, or is re-facilitated by work, home, or athletic activity, then we figure out at what interval intervention is needed to prevent the return of symptoms or to support their desired quality of life. That might be once a week to once every couple months. Every two or three weeks is a very common interval. This protocol has worked very well for me and for hundreds of my students. I hope it helps those of you struggling with this issue.
How Often Does Something New Appear?
I have been reading some blogs and forums lately. These days it seems a hot topic in medical research is that the nervous system is involved in pain and soft-tissue dysfunction. Stop laughing! This is big news to the "researchers" who are "discovering" this. Its making peer reviewed journals and all. Now who would imagine that what we are doing is not really affecting the individual tissues directly but instead is nothing more than stimulus–response. What a concept, but actually I (and a few others) have been teaching for a couple decades now, that our window to the body is the nervous system and that what we are really affecting is the nervous system which then in response to our stimuli gives us a positive (desired) response. This is often why massage does not elicit the desired response, because the therapists provided the wrong stimuli to elicit it. Sadly, too many patients equate the endorphin release from pain and pressure to be "relaxation" because endorphin is pleasant to experience. The tissue probably didn't change much, especially for very long. In the process, therapists are destroying their bodies doing "Deep Tissue Massage."
This comes at an interesting time, as there is a recently developed, unique new massage technology that deliberately and directly stimulates the nervous system to predictably and consistently reset (eliminate) trigger points, hypertonic and ischemic muscles rapidly and easily for the therapist and painlessly for the patient. (Really painlessly – not just "Hurt so good" or to "tolerance".) It is called Neural Reset Therapy® (NRT). It is the first significant advancement in soft tissue therapy I have seen since the 1980's when neuromuscular and myofascial techniques came on the scene. I have alluded to it several times in this column but I promise I will explain it in detail in my next article.
Thank you all for reading my articles. I'll be back this summer or before with some great new, non-political information before I get back onto politics!