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The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Industry News for Performance Health
Topical Pain Reliever Significantly Reduces Pain During Functional Activities in Knee Osteoarthritis (OA)
Study compared the ability to complete functional tasks and knee pain among patients with knee OA after topical application of either Biofreeze® Pain Reliever or an inert placebo gel.
Researchers in Louisville, Kentucky recently studied the effects of Biofreeze® Pain Reliever on patients with knee osteoarthritis (OA) and found the decline in pain during functional tasks to be clinically significant. OA is a common health problem with symptoms including reduced functioning and joint pain. Prolonged pharmacological management of knee OA is associated with side effects including gastrointestinal, renal and neurological dysfunction. The results of the study were published in September ahead of print in the Journal of Geriatric Physical Therapy.
The purpose of this study, led by Dr. Robert Topp, was to evaluate the ability to complete functional tasks among patients with knee OA pain after a topical application of either 3.5% menthol gel (Biofreeze Pain Reliever) or an inert placebo gel. Dr. Topp had previously published studies on the mechanisms of Biofreeze® topical analgesic, as well as exercise interventions using Thera-Band resistance products in knee osteoarthritis patients.
Twenty knee arthritis patients performed five functional tasks after applying Biofreeze Pain Reliever or a placebo gel on separate days. The researchers recorded changes in performance and pain with each functional task in both conditions. The subjects performed the following functional tasks: six minute walk, timed get up and go, 30-second timed chair stand, and time to ascend and descend a flight of stairs.
Biofreeze Pain Reliever significantly decreased pain in four of five functional tasks, whereas the placebo did not reduce pain in any of the functional tasks. Also, applying Biofreeze to the arthritic knee resulted in improved performance in three out of five functional tasks, whereas the placebo improved only one of the five functional tasks. Statistically, there were no significant differences between the Biofreeze and placebo in pain or performance; however, according to the researchers, “The declines in pain during the functional tasks appear to be clinically significant ranging from 27% to 37% decline in pain following the application (of Biofreeze).”
Menthol, the active ingredient in Biofreeze, is thought to reduce pain through biochemical mechanisms by stimulating cold receptors. The study’s authors concluded, “Using topical menthol to compliment standard pharmacological treatment of knee OA may contribute to enhanced pain relief and improve functional ability, particularly during pain-evoking activities.”
About the Academy
The Thera-Band® Academy was formed to scientifically document the benefits of resistance exercise and pain relief, guide the company in its development of new products and exercise programs, and to promote therapeutic exercise and pain management through professional and consumer education. The Academy web site is a unique resource that connects healthcare professionals and consumers to the ever growing body of knowledge on exercise. Registration is free and provides access to the largest database of rehab exercises, protocols, research and education in the world.
About Performance Health
Featuring leading brands like Thera-Band®, Biofreeze® and Pedigenix®, Performance Health offers a broad portfolio of products for the therapy, rehabilitation, wellness, massage, podiatric and performance markets. In addition to market-leading products, Performance Health provides practice building support, evidence-based protocols, clinical and product education, turn-key dispensing and pain management solutions.
REFERENCE: Topp R, Brosky JA Jr, Pieschel D. The Effect of Either Topical Menthol or a Placebo on Functioning and Knee Pain Among Patients With Knee OA. J Geriatr Phys Ther. 2012 Sep 12. [Epub ahead of print]