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Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Code Connection: Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. 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.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
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]