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Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
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.