Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
July, 2001, Vol. 01, Issue 07
Health Care as a State of Self-Defense
By John Upledger, DO, OMM
I have a friend who was in a car accident not long ago. Brenda* was cruising down the road at 45 mph when another car suddenly crossed her path. By the time both vehicles crashed to a stop, Brenda's face had been slashed by an exploding air bag and her knees had slammed into the dashboard.She was quickly taken by ambulance to the emergency room of a local hospital.
When she arrived, her face was so swollen you couldn't quite tell what she looked like, and her knees resembled small cantaloupes. The doctors took x-rays, found no broken bones, and promptly sent her home with a prescription for painkillers and advice on how to wash her wounded face.
Fortunately, Brenda is married to a cranioSacral therapist who understood the full effect of such a serious impact to the soft tissues. He immediately began icing his wife's knees by the hour to help bring down the swelling. He gave her warm Epsom salt baths to decrease systemic muscle soreness, and he used his hands to gently release the tissues that had recoiled from such a strong blow.
By addressing the soft-tissue injuries as soon as possible, his chances of helping his wife avoid long-term, debilitating pain multiplied exponentially. Still, they were both sure they'd get even more advice when they visited their family doctor two days later.
Indeed, the doctor gave Brenda one more prescription for inflammation - but that was about it. Surprisingly, there was no mention of the most obvious and least expensive courses of treatment: ice; hot baths; massage therapy; and craniosacral therapy. Instead, Brenda was given one more drug and told to wait it out. If the pain didn't subside, she was told, an MRI might be next. After that, who knew?
Thankfully, Brenda had armed herself with a full spectrum of healthcare information. Rather than remain passive, she chose to seek out other options she knew were available to her. She received neuromuscular therapy to release the muscles that had convulsed in an effort to protect her joints and bones. She received myofascial therapy to relieve the trauma to the tissues that ran like a web throughout her body. And she received more craniosacral therapy to alleviate any pressure on her brain and spinal cord, and help ensure that her central nervous system was free to facilitate a full recovery.
It's possible none of that may have happened if Brenda had simply taken her doctor's advice at face value. Unfortunately, it seems that health care these days has become a matter of self-defense. We have moved so far away from the wise family physician who cared for us from the time we were babies, approaching each malady with concern and common sense. Instead, the medical industry appears to be sliced up into small slivers, with each professional tending to focus on his or her own small segment.
In this case, the ER doctors were there to see that no bones were broken. The primary care physician was there to dispense the medication. And (thank goodness) Brenda's family was there to help her address the problem from the point of whole-body wellness. Now, after a series of simple, inexpensive measures, Brenda is well on her way to a full recovery. If she had taken the advice of only her allopathic doctors, she might still be in bed.
All this is to say that no one will ever tend to your health the way you can. As both practitioners and patients, it remains up to you to know what your choices are and demand them. This may seem obvious to you as holistic healthcare practitioners, yet I'm continually surprised at how many people are "stuck" in the general health care system without fully appreciating this point.
Yes, there are many good doctors out there who do everything they can to take care of their patients. (And believe me, insurance companies aren't making it easy for them.) But as I've said in the past, it's the patient's needs that should dictate the course of therapy. You play a crucial role in this state of self-defense.
By the way, by Brenda's third doctor visit, she finally asked if some type of massage therapy wouldn't help her heal faster. "It certainly could," came the reply, "but insurance probably won't pay for it." That may or may not be true, but that's a topic for another column altogether.
*Name has been changed to protect patient confidentiality.
Click here for previous articles by John Upledger, DO, OMM.
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