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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.
First Do No Harm?
There's no questioning the frightening nature of breast cancer, which strikes one in eight women in the U.S. – eclipsed only by skin cancer in terms of prevalence.
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 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.
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.
ACA or ICA: Which Best Represents You?
Last June, I was honored to represent Texas ICA members as their representative assemblyman at the ICA Annual Meeting in Kansas City.
Professional Credentialing and Board Certification: An Ethical Faux Pas
Because of the Affordable Care Act, health care systems are coordinating care through accountable care organizations (ACOs) in order to reduce the cost of care and improve quality of care.
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.
Spieth Thanks His Chiropractor After Historic Masters Win
Jordan Spieth didn't just capture the hearts of golf enthusiasts worldwide with his record-setting, wire-to-wire victory at the 79th Masters Tournament.
Our Biggest Challenges to Compete in Wellness Care
In the first article in this four-article series [May 1 DC], I made the case that chiropractors should either embrace offering lifestyle wellness in their practices or face the possibility of losing their place in the wellness care marketplace.
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.
A Poor Choice for Pain Relief
Acetaminophen is the most popular pain reliever in the U.S., accounting for an estimated 27 billion annual doses as of 2009. With 100,000-plus hospital visits a year by users, it's also the most likely to be taken inappropriately.
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.
Leg-Length Inequality and Pelvic Fixation: A New Approach to the Negative Derifield (Part 2)
As we noted in our previous article, with a positive Derifield (+D), the doctor observes the reactive (shorter) leg in the prone position that becomes longer or "crosses over" in the flexed position.
We Get Letters & Email
A House Divided? (May 1 issue) provoked significant response from readers. Here are several of the surprisingly similar comments we received.
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.
5 Simple Steps to Create an Effective Marketing Calendar
In the educational experience of most healthcare practitioners, business and marketing are overlooked topics.
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.
Marijuana, Apathy and Chinese Medicine, Part 1
This article was written in response to the unheeded acceptance of marijuana as a harmless substance that potentially does good when used for the medical relief of pain.
Rethinking Musculoskeletal Pain – A Public Health Perspective
The American Public Health Association (APHA) is the world's oldest and largest association of its kind, founded more than 140 years ago and boasting over 25,000 members.
Reducing the Autogenic Inhibition Reflex: Making Weak Muscles Strong
The autogenic inhibition (AI) reflex is a sudden relaxation of a muscle in response to excess tension.
Giving Vets the Care They Deserve
The Department of Veterans Affairs (VA) administers the largest integrated health care system in the United States.
Green Tea Improves Cognitive Function in Elderly Subjects
Publishing their results in the journal Nutrients in May 2014, researchers showed that drinking the equivalent of 2-4 cups of brewed green tea (or bottled tea) daily improved cognitive function or reduced the progression of cognitive dysfunction in elderly subjects.
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.