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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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...
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.
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.
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.
February, 2002, Vol. 02, Issue 02
The First of the 10 Elements: Water
By Robin Zill, LMT
The 10 Elements of the Spa Experience are designed to teach the consumer and professional about the integrated nature of the spa experience. This is the second article in a 12-part series and focuses on the first of the 10 elements: Water.(Editor's note: The graphic of the 10-Element Circle appears on line at www.massagetoday.com/archives/2002/01/16.html.)
Water is transformational by its very nature. The study of water in its many forms has stimulated some of the greatest thinkers and visionaries throughout time. An excellent metaphor for life and vitality, water is central to the human experience. The study of water and its many roles could actually be considered a bridge between science and art. To paraphrase C.S. Lewis, water is one part oxygen, two parts hydrogen, and the rest is magic.
In the spa environment, hydrotherapy and balneotherapy are the most common terms used to describe the use of water. Hydrotherapy is usually defined as "the use of water in any of its three forms, solid, liquid or gas, used internally or externally for the prevention and treatment of disease or trauma, or used to enhance optimal wellness through daily health programs." Balneotherapy is the art and science of bathing for therapeutic and relaxation purposes. This includes partial and full bathing practices. Crenology, not as common in the U.S., is considered the therapeutic use of waters from mineral springs for therapeutic and relaxation purposes. The chemical composition of the water is significant, as is temperature and location.
The Transforming Power of Water
Why is water so magical? Fundamentally transforming, it is used for cleansing, purifying and basic survival. Both the external use of water through compresses, showers, wraps, bathing, and swimming, and the internal uses of water through drinking and other internal cleansing procedures, are critical to the spa experience. Water therapies are homeostatic in nature - they depend upon the body's ability to maintain balance or stability in a changing environment. This process is thermaldynamic in nature: by varying the temperature, the mechanical distribution and/or the chemical composition of water, many different treatments and effects can be achieved.
Temperature variation is the most common tool used in hydrotherapy treatments, because the temperature of the water will determine the extent of the stimulation on the skin. The skin is the portal of entry for hydrotherapy treatments. It connects our outer environment to our inner environment. The nervous system responds to this thermal change, and the stimulus is transferred to the organs via nerves, lymph and blood vessels. As one of the primary functions of skin is to maintain the body's temperature at a comfortable and consistent level, it is critical to maintaining homeostasis or balance within the body. This function primarily uses the circulation of the blood and lymph system. By increasing or decreasing circulation, hydrotherapy can help to affect the body's organs, and therefore assist in natural detoxification, cleansing or elimination processes.
Water is an excellent conductor, which allows it to transfer heat effectively and quickly. Water also possesses the ability to absorb and distribute large quantities of heat.
Water, a universal solvent, can readily dissolve many other substances to form therapeutic solutions: electrolytes, sugars, salts, osmotic baths, etc.
Because the density of water is similar to that of the human body, it produces a buoyant effect upon immersion equal to the weight of the water displaced. This is particularly useful for paralyzed muscles unable to move heavy limbs. Because of the unique qualities of water, hydrotherapy can be truly therapeutic and useful in treating many diseases. The new research on hyperthermia and cancer is just one exciting example. That is why, depending on the treatment, therapists should be well-trained and have a working knowledge of the body, especially the circulatory system. Contraindication for hydrotherapy treatments are similar to those for other heat treatments: pregnancy; heart diseases; acute or inflamed conditions; high blood pressure; varicose veins; other circulatory problems; rashes; and extreme obesity. Also, treatments should not be performed if the client has just consumed alcohol or a heavy meal.
Water, a precious resource, is inexpensive in essence and available as a healing tool in many forms. In the spa setting, how and how much water is used is usually determined by the treatment protocols and equipment selection. This can range from hot towel cabis, hydrocollators, and moist heat packs to Vichy and Swiss showers, scotch hoses and hydrotherapy tubs. Generally, the basic tools the water therapist works with are water temperature; the body area immersed or exposed to water; the duration of the bath, shower or treatment; the mechanical features such as underwater massage wands or shower sprays; and chemical factors such as botanical extracts, salts, seaweeds, and other natural agents.
The environment is also an important variable of the treatment. Often this is determined ahead of time; the therapist may only be able to control temperature and ambience, but beauty and art go hand in hand with bathing. New trends that embrace the importance of environment include Watsu and water dancing pools, floating pools and the innovative liquid sound pool in Germany that combines the floating experience with light and sound.
Exploring the dimensions of water in its many forms is a great way to begin understanding the integrated nature of the spa experience. Please visit the Great Spa Conversation (www.spaelegance.com or visit the ISPA Web site at www.experienceispa.com) to share your insights and connections to water. The spa movement is a cultural expression of the people's new perception of optimal health. Your voice is important.
Click here for previous articles by Robin Zill, LMT.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.