Vaccines & Autism (Part 1)
It turns out chronic inflammation is the driver of autism expression. Unfortunately, those who emotionally embrace the vaccine issue rarely, if ever, consider this relationship, which hinders a rational view of the vaccine issue.
UnitedHealthcare Can't Seem to Keep Chiropractic Down
AA decade ago, UnitedHealthcare announced changes to its chiropractic services policy that declared manipulative therapy for headache unproven.
The Secondary Insurance Plan
I have a patient that has Medicare, but also has a secondary insurance plan that does cover acupuncture. How do I bill Medicare to get a denial so that I may bill this secondary payer?
Why Take X-Rays When You Already Have an MRI?
Let's clear up the issue regarding the efficacy of plain-film studies when an MRI study has already been performed. I review imaging studies primarily for chiropractors, and often their patients have been to other health care providers before finding their way to a DC.
The Classical Texts & Integrative Medicine
The acupuncture profession has been undergoing many changes in the past years. There has been a shift towards a more integrative approach to medicine as more hospitals include integrative departments.
"Community Care" for Vets: It's Really a Big Deal!
As a preamble, while I regrettably never served in the military, I have the highest respect for those who did and those who currently serve.
It's All About That Ki
As an industry are we shifting too much toward a Western mind set? We strive to understand how acupuncture works using imaging and extensive studies. We spend numerous hours of our training learning Western medicine and learning to speak their language. What happened to our core though?
News in Brief
WFC Among Founding Members of Global Rehab Alliance; HealthSource Selects GoChiroTV as Exclusive Digital Signage Partner; Western States' Online Degree Programs Among Best in the Nation; Logan University, University of Missouri-St. Louis Forge Partnership.
End of Life Treatment
TCM looks death in the face. We do not camouflage it as if it were poisonous. "We must allow our patients to die but we cannot allow them to perish," was my first lesson the day I met my teacher as a teenager.
Why the Automatic Denials for Modifiers 25 and 59?
Your experience is one shared by many chiropractic providers who bill through those plans. It appears to be the national trend, but by far is more prominent in Texas and Illinois.
A Resting of the Soul
In my pursuit of being a skilled health care provider, I focus on reading journals, attending classes, staying current on medicinal research, and choosing the correct billing codes. However, most of us would never have started down this career path if there wasn't something more.
Does Dairy Cause Dampness?
The topic of dairy consumption was brought up at a scalp acupuncture seminar I recently attended.
Confessions of a Former Drug Rep: Statins Are Endangering Your Overweight Patients
As I sit at my desk on the sixth anniversary of my successful liver transplant, I can't help but reflect on what caused that life-threatening ordeal. Looking back on my personal situation, I want to offer my insight into what is happening routinely to many patients.
Reducing Hip, Knee & Shoulder Replacements (Part 2)
In the first article in this series, "Early Detection Reduces Hip, Knee, & Shoulder Replacements," I described time tested screening procedures and perspectives as indicators of when to encourage your patients to seek further medical evaluation.
The Certified Practitioner
Certified Chinese herb practitioners often identify themselves with the credentials "LAc" (Licensed acupuncturist).
Doc, Are You a Social Media Holdout? Your Future Is Now
Whether you like it or not, to compete in any business, even chiropractic, you really should know and consider using social media. It is no longer a small, sleepy, local world we live in; it has become a far-reaching community.
Autoimmunity, Gut Health and Diet: Connect the Dots
According to the National Institute of Health (NIH), autoimmune disease is recognized in approximately 24 million individuals in the U.S., consisting of more than 80 various disorders that contribute to the top 10 causes of death in female children and women of all age groups.
Valuable Adjunctive Therapies
Based on the latest CDC statistics, more than 795,000 Americans have strokes per year, 140,000 of which are lethal. Approximately 87 percent of all strokes are ischemic with an estimated health care and missed work cost of $34 billion annually.1
A Bold Strategy to Take Chiropractic to New Heights
Building public awareness of an entire profession requires strategic planning – especially when it pertains to the exploration of ground-breaking marketing tactics that target new audiences with key messaging about the value of chiropractic care.
Treating Pain With Nutrition
Back in 1910, when D.D. Palmer published The Chiropractor's Adjuster and introduced the world to what he called the "triad of health" – thoughts, trauma and toxins – he explained that the body can only be made optimally healthy if all three aspects of health are addressed.
#TechPain: Causes, Solutions
For the past several decades, the science of ergonomics has blossomed. The workplace is much safer and life is generally more pleasant thanks to the application of ergonomic principles.
The Hidden Hip in LBP: Critical Screening Tests
In 1998, Harvey used this test on 117 elite athletes and found excellent interrater reliability to differentially assess iliopsoas, quadriceps or TFL/ITB tightness.
Facebook Marketing 101
Many of the health care practitioners we work with have smaller practices. The provider tends to wear many hats – office manager, salesperson and healer.
Blockchain Health Records?
Keeping data secure has become a nightmare for the average consumer. Just consider general user account hacks on Yahoo (3 billion records compromised), eBay (145 million records compromised) and Facebook (87 million records compromised), to health record breaches involving Anthem Blue Cross (78 million records compromised) and TRICARE (almost 5 million records compromised).
Art of the Associateship: It's OK to Trust, But Verify
Trust is a valuable part of any business relationship. It serves as the foundation for all business operations and ultimately long-term success for owners, employees and customers. This is especially true in the world of health care.
Trending: CBD / Hemp Oil
A recent survey of DCs regarding cannabidiol (CBD) / hemp oil provides food for thought as to the viability of CBD-based products as a component of chiropractic patient care. Here are some observations from the executive summary of the survey:
Help Shape the New Neck Pain Best Practices Guideline
The Clinical Compass (originally the Council on Guidelines and Practice Parameters – CCGPP) has issued a call for interested chiropractic clinicians to help shape a new best practices guideline for chiropractic care of neck pain.
NCCAOM: A Route to National Certification
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is offering a route to achieve national certification—without having to take any of the NCCAOM exams. This is specifically for California licensed acupuncturists that meet the eligibility requirements.
May, 2003, Vol. 03, Issue 05
Three Key Principles of Sports Massage
By Michael McGillicuddy, LMT, NCTMB
What Is Sports Massage?
I am always amazed when I travel around the country and ask massage therapists who advertise "sports massage" to define it. While visiting a spa in the Orlando, Fla., area, I saw sports massage listed on the spa menu.I asked a therapist, "What do you do when someone asks for sports massage?" to which the therapist replied, "We do real deep work."
I have attended numerous workshops in which the presenters explained that sports massage is massage that helps athletes perform better. Even providers of sports massage workshops differ in their philosophies regarding application and technique. I was lucky to learn from great instructors such as Benny Vaughn, Jack Meagher and Aaron Mattes early in my education, although, even after taking their workshops, I was not always clear on how to apply the concepts I had learned. At some point, you realize that no matter how many great teachers you have learned from, and no matter how workshops you have taken, know one knows it all. So, how do you decide what is right for you? I've always tried to listen to each presenter's ideas, then set out to apply them in practice, to see if they worked for me. Some concepts worked; others didn't.
Defining "Sports Massage"
Sports massage is the specific application of massage techniques, hydrotherapy protocols, range of motion/flexibility protocol and strength-training principles utilized to achieve a specific goal when treating an athlete. Notice my use of the phrase, "specific application ... to achieve a specific goal." So, how do you decide what application and goal is appropriate for a particular treatment?
Three Key Principles of Sports Massage
Three specific principles are vital to understanding what type of sports massage to apply to an athlete at any given time. I call these principles the "when, what and why" of sports massage: Timing, Technique and Intent.
Timing refers to when the massage is given: pre-event or post-event; during recovery; during a maintenance period; or when an athlete suffers an injury that requires rehabilitation. Technique refers to what application you utilize, and can include a number of different techniques: effleurage; friction; pettrisage; vibration; shaking; compression; broadening strokes; direct pressure; cross-fiber friction; range of motion; and stretching. Intent refers to your reason(s) for treatment: as warm-up; to increase blood flow; stimulate neurological pathways; aid recovery from exertion; increase flexibility; improve strength; or improve posture.
Let's look at a few examples of how timing, technique and intent work. If you need to provide a pre-event massage, and the intent is to warm-up and increase blood flow, I would use techniques such as friction, compression, shaking and stretching. If you need to provide a post-event massage, and the intent is to aid recovery from exertion, I would use effleurage, pettrisage, compression, broadening strokes and range of motion. If you are working with an injured athlete, and your intent is to assist proper formation of scar tissue, I would use effleurage, compression and cross-fiber friction, followed by ice treatment and movement.
As you can probably tell, understanding sports massage is never as simple as learning one technique or type of modality ... or just "working deep." A sports massage therapist who understands the three key principles of sports massage should be able to apply the appropriate treatment at the appropriate time. Every sports massage therapist should ask himself or herself the following questions before beginning a session:
Mastering the application of sports massage takes years of education and experience, not to mention a love of athletics. No one modality, technique or approach works every time. It is the love of what you do, and the people you work with, that enable you to perfect your sports massage technique. I hope this information is helpful, and I hope you enjoy being a part of the massage therapy profession.
Click here for previous articles by Michael McGillicuddy, LMT, NCTMB.
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