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Fish Oil: A Key Component of 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 Acupuncturist's View of Medicinal Marijuana
The use of cannabis for medical purposes is very controversial. Use as a panacea by physicians uninitiated to the proper application of herbal medicine, as well as an excuse for recreational use have greatly confused the issue.
Fertility and Poly-Unsaturated Fatty Acids
Starting or expanding one's family is a major milestone. It's something that more and more people seek out health care advice and support for.
Surprising Reasons for Orthotic Efficacy
Clinical outcome studies show orthotics are effective in the management of a wide range of injuries, including plantar fasciitis, Achilles tendinitis and patellofemoral pain syndrome.
News in Brief
Call for Abstracts Announced - Parker Las Vegas 2016; Logan Adds Doctorate Degree; New Role for Dr. James Edwards.
The Zen Art of "One Point"
We were always told in our Zen Shiatsu training (by Japanese and Japanese American instructors) that our ultimate aim was to to find that "One Point." To be so focused we could touch just one point to transform Qi throughout a client's body.
Patient-Centered Care vs. Payer Restrictions: Your Ethical Obligation
Do you have an ethical obligation to evaluate your patients, make a diagnosis and provide evidence-based, patient-centered health care, irrelevant to the payer restrictions?
Help: A Need at Every Level
One of the great gifts of training in acupuncture is the ability to take good care of oneself. I recently had a bout of frozen shoulder — an inflammatory syndrome which can be debilitatingly painful and take years to resolve.
Dorsiflexion Dysfunction: Evaluation & Manipulation Techniques
Almost every condition from the foot to the hip can be attributed to the inability to dorsiflex the ankle mortice and other joints that participate in dorsiflexion. Let's start by understanding normal versus abnormal dorsiflexion.
The Short Leg Dilemma
When evaluating a new patient, it is common to note a relative shortening of one leg to the other. Some patients will even tell you they have one, and then pull out the store-bought heel lift they read about online.
Harvard Health References Flawed AHA Position Paper
In its special health report, "Stroke: Diagnosing, Treating, and Recovering From a 'Brain Attack,'" Harvard Health Publications includes information from the American Heart Association's 2014 position statement on cervical manipulation and cervical dissection – a statement the American Chiropractic Association emphasized in a letter to Harvard Health mixes "scientific facts with half-truths."
More Chiropractors Required
An intriguing study published in the Journal of the American Board of Family Medicine examines how "chiropractic care affects use of primary care physician (PCP) services."
Improving Communication Between AOM and Biomedical Providers
How comfortable do you feel talking to Western medical providers? If you are like me, you may not feel as comfortable as you would like. Some of my interactions with MD's haven't been the fruitful steps toward integrative medicine for which I had hoped.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 2
In the last issue of Acupuncture Today, the first part of this article introduced the topic of trauma and resilience, and their relationship to the autonomic nervous system response and the concept of the spirit being grounded in the body, and suggested the importance of mindfulness as a tool for healing.
Nuts Reduce Risk of Heart Disease, Cancer and Other Health Problems
Several recent studies suggest regular consumption of nuts may provide a significant degree of protection against certain types of cancer, heart disease, possibly type 2 diabetes and some neurodegenerative diseases.
What's Chiropractic Research Worth to You?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fundraising campaign to support chiropractic research.
Getting a YES: An Effective Strategy for Overcoming Patient Objections
Patients make more excuses for declining care from an acupuncturist than perhaps any other type of doctor. Various reasons hold them back from making a commitment to care.
Modernization of Chinese Medicine
Language – written, spoken, signed, or otherwise is learned as a means to express our individualized perceptions about the world around us. Language is designed to communicate our personal experiences.
The Food Conversation: Nutrition and Your Practice
It's morning and your first patient rolls in with a triple espresso steaming in one hand and a frazzled, desperate look in her eye. "You gotta help me, doc, I am constipated unless I drink one of these, and I am exhausted and anxious all the time."
The New Age of Communication
In the age of technology, everyone, including the patient, is seeking faster, easier ways to communicate. With a wealth of social media, blogs, websites and videos, we are constantly barraged with information – to the point of overload.
Practice Policy (Gone Bad): The Sign
Every once in a while, you see something and think to yourself, That's a really bad idea. Case in point: I went to see my medical doctor the other day. Just after being "roomed," as they say, the nurse checked my vital signs. Then she left.
Oriental Medicine on the World Stage
"Let me win. But if I cannot win, let me be brave in the attempt." This simple, yet powerful statement was lived out time and time again by so many of the athletes from around the world during the Special Olympics World Games in Los Angeles.
A Chiropractor's Guide to Yoga
"Doctor, can I continue to do yoga while undergoing your care?" "Is it OK for me to go back to yoga while I'm getting my back treated?" "It is safe to start my yoga classes again after my neck pain improves?"
Do Some Good and Grow Your Business with Cause Marketing
Cause marketing is truly one of the best ways that you can promote your services as a acupuncture professional. Cause marketing refers to a type of marketing where a business partners with a non-profit organization to help bring awareness to a charitable cause.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 1
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
Change Lives by Supporting Chiropractic Research: Are You In?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fund-raising campaign to support chiropractic research.
Industry News for Performance Health
Two Studies Validate the Effectiveness of Novel Tennis Elbow Exercise Using Thera-Band® FlexBar®
Akron, Ohio - September 14, 2010 - A simple and novel exercise using the Thera-Band® FlexBar® has been found to be effective at reducing the pain associated with chronic lateral epicondylitis -- a.k.a. tennis elbow. Two recent studies support the effectiveness of this inexpensive treatment.
The first study, published in the September 2010 issue of Journal of Shoulder and Elbow Surgery1, measures the effectiveness of an exercise that utilizes the Thera-Band® FlexBar® exerciser, a flexible bar designed for wrist, forearm and hand rehabilitation. The study was conducted by researchers from the Nicholas Institute of Sports Medicine and Athletic Trauma in New York City.
"With up to three percent of the population suffering annually with tennis elbow -- a condition attributed to racket sports but can occur from simple everyday activities -- we felt this population deserved an inexpensive and at-home treatment option to in-clinic machine-assisted or injection treatments," stated Timothy Tyler, PT, ATC, and lead author of the study.
A second study was conducted to investigate the electromyographic (EMG) activity of the wrist extensors and flexors while performing the exercise. An EMG is a method of evaluating and recording the electrical activity of muscles at rest and during contraction. This pilot study was completed by Andre Labbe, PT, MOMT, and presented at the 12th annual Thera-Band Research Advisory Committee (TRAC) meeting that was held July 19-21, 2010 in Athens, Greece.
"Tim's exercise is perfect for lateral epicondylitis and now we know the firing pattern of the involved muscles," added Andre Labbe. "An EMG study supports the validity of an exercise, which is critical when the exercise is being used in clinical treatment."
Tyler's study involved 21 patients who had reported chronic symptoms of tennis elbow for at least six weeks, but had no prior surgical treatment for it. The patients were separated into two groups; everyone in the study received standard physical therapy (PT) for seven weeks. Additionally, the FlexBar test group performed a novel exercise, the "Tyler Twist". This exercise involved eccentric (muscle contraction while lengthening the muscle) wrist extension using the Thera-Band FlexBar. The study showed that the patients performing the FlexBar exercise along with the standard treatment had significantly greater improvements in strength and pain.
"Although this study is limited by its small sample size, its findings revealed a practical and inexpensive at-home treatment that does not require direct medical supervision and has no significant side effects," continued Tyler. "The 'maximal' efficacy of this new treatment would thus likely compare favorably against anything else available and could lower healthcare costs."
Labbe's study involved five healthy subjects who conducted the "Tyler Twist" exercise while being analyzed by EMG test equipment. Data was collected from the wrist flexors (flexor carpi ulnaris and flexor carpiradialis) and extensors (extensor carpiulnaris and extensor carpi radialis). An inclinometer was also placed on the dorsum of the hand to measure range of motion (ROM) of the wrist during the exercise. Each study participant used the red (light resistance) FlexBar and performed five repetitions. The resulting EMG activity reports indicated that the success of the exercise could be due to its ability to activate and strengthen the extensors.
"EMG studies make clinicians aware of muscle activity so that diagnosis-specific exercises, such as this one, can be developed and utilized in treatment, including exercises that may reduce the patients dependency on pharmaceuticals or eliminate the need for surgery," commented Labbe. "While our EMG study suggests that the FlexBar exercise is doing exactly what it needs to do to be successful in treating tennis elbow, we need to replicate this pilot study on actual patients with tennis elbow."
Timothy Tyler is a physical therapist in private practice in New York City, New York. He is also a Research Associate at the Nicholas Institute of Sports Medicine and Athletic Trauma at Lenox Hill Hospital. Andre Labbe, PT, MOMT, is the owner and physical therapist at A & K Physical Therapy, and regularly lectures around the world. Both Tyler and Labbe serve on the Thera-Band Research Advisory Committee (TRAC).
Performance Health / Hygenic Corporation (www.thera-band.com) provided the FlexBars for the study, but did not fund these studies. The studies and abstracts can be viewed at www.thera-bandacademy.com
Hygenic / Performance Health is a leading designer, manufacturer and marketer of a broad portfolio of products for the therapy, rehabilitation, massage, wellness and consumer retail markets. Maker of market-leading Thera-Band®, Biofreeze® and Perform® products, Performance Health / Hygenic Corporation provides evidence-based protocols, education, turn-key dispensing and pain management solutions.