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Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
After two treatments for back pain, a patient presents for a third
session complaining of rapid breathing and wheezing that is made worse
during cold weather.
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]