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.
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.
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?
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.
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.
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.
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.
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.
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.
#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 Certified Practitioner
Certified Chinese herb practitioners often identify themselves with the credentials "LAc" (Licensed acupuncturist).
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.
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.
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.
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?
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.
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.
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:
"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.
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.
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.
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.
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.
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.
Does Dairy Cause Dampness?
The topic of dairy consumption was brought up at a scalp acupuncture seminar I recently attended.
CBD for Athletes: The Advantages of Cannibidiol
For athletes, pain is often part of their sport or activity. And to a certain extent, it is to be expected. However, after pushing themselves to the limit, soreness and fatigue set in, hampering their ability to perform and recover.
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
May, 2005, Vol. 05, Issue 05
Parkinsonism Redux: The Movers and the Shakers of the World
By Ruth Werner, LMP, NCTMB
My last article on Parkinsonism generated more feedback than usual, and it was wonderfully supportive of the positive influence massage can have on the lives of people who live with this disorder (www.massagetoday.com/archives/2005/03/14.html).I heard from so many people with such wonderful things to offer that I decided, instead of moving on to another topic, I'd recap what some of they had to say. The fact that I am listing these resources and techniques is not an endorsement, and I haven't explored them myself; however, I encourage interested readers to get more information from the organizations provided here. My heartfelt thanks to all those who wrote, and in particular to the people quoted below, who quickly and enthusiastically gave me permission to use their letters in this article.
I have worked with many people over the years with Parkinson's and other chronic illnesses both in my private practice, and as part of my work as supervisor of the massage therapy program at HospiceCare of Boulder and Broomfield Counties in Colorado. Through this work I have developed a particular style of bodywork called Comfort Touch, which is safe and appropriate for the elderly and the ill, and easily adapted for those in medical settings.
I demonstrated on a volunteer as she sat in a chair, explaining the rationale behind the techniques I use (slow, broad, encompassing pressure directed into the center of the part of the body being touched, e.g., nurturing acupressure), and then I had the participants practice a simple sequence - shoulder, arms, hands - on each other. They were all so enthusiastic about the work. Those receiving the touch felt it to be very relaxing, and the givers of Comfort Touch felt it enjoyable to give. In just a few minutes, they felt calmer, more grounded, and a bit more hopeful in coping with their disease.
Mary Kathleen Rose, BA, CMT
I am surprised that you did not mention Daybreak Geriatric Massage Institute in your article. This would probably be of interest to some of the readers. We have been the certified geriatric work modality since the early 90s, and have published many articles on working with many challenges, including Parkinson's and ALS. We teach beginning and advanced levels of classes. I, along with four other teachers (all are RNs or OTs, as well as massage therapists), teach about 60 workshops per year both nationwide and internationally.
Sharon Puszko, PhD, CMT
Shortly before my husband was diagnosed, I took several short-term training courses in massage therapy. I began giving him regular weekly massages. Not much happened. He felt a lot better after the massages, but not really that much better than you or I would feel.
About a year later, I took a weeklong massage course, where in the process of the training, I gave and received a massage every day. It was that daily massage that made an impression on me. I felt so much better after seven days of regular massages that when I got home, I told my husband that was the program I felt he should go on - daily massage (by the way, my husband takes no chemical drugs to treat his condition). As I am sure you can guess, the daily massages I gave him brought about remarkable changes, including restoration of facial expression; 90 percent elimination of tremor; sleep patterns returned to normal; handwriting improved; aches and pains almost completely reduced; and continued improvement of joint movement.
Although the PD was still progressing, we both felt that we had slowed its progression down. I continued with the daily massages for one year, after which time I discovered the FSR. (Forceless Spontaneous Release put forth by the Parkinson's Recovery Program in Santa Cruz, Calif.) In the early days of his condition, the daily massages made all the difference. I know they helped him and he knows they helped him. There were three factors that were essential that I would like to share with you: 1) Deep work was detrimental; 2) Very slow movements were essential; and 3) One massage a week didn't do a thing. He needed at least one massage a day.
My mother is one of many Parkinson's patients undergoing treatment. There is discussion online at , which can be browsed, joined or queried. They have found that studies indicate in Parkinson's the brain areas thought to be dead are dormant, with undifferentiated cells, which can be brought back and the patient becomes "symptom free," undiagnosed as having Parkinson's - the best one can say, because the medical establishment categorizes Parkinson's as "incurable." This categorization itself is quite debilitating for people who have the condition, which the practitioners at pdrecovery.org prefer to call "reverse of the stomach channel."
I was a massage therapist for 21 years. When I moved back into my parents' home to help them; one of the reasons that help was needed was my father's Parkinsonism. His lower legs and feet were in great need of massage but were exquisitely sensitive. I began by working gently on his quadriceps, which let him understand the pressure and motions that would eventually be used on his calves and feet.
I proceeded after a week to "shank work" and finally incorporated his feet. He was happily surprised at how his tolerance for touch increased, and I cherished the half-hour sessions for all that I received during them.
Thank you for your article in Massage Today. In addition to informing your readers, it led me down a lovely memory trail. PWP rely upon a sense of humor to help them meet challenges. As "they" like to write in their listserv group: always remember, "People with Parkinson's are the real movers and shakers of the modern world!"
Deanne Charlton, retired massage therapist
To all of these contributors, I owe great thanks for their generosity and dedication. I am humbled to be in the same business with all of you.
Readers: Next time I will continue in the CNS dysfunction vein with an article on amyotrophic lateral sclerosis, or Lou Gehrig's disease. I'd like to hear from anyone working with clients who live with this disease to share your experiences with other readers. Please write to me and let me know what you do and why, if it works, and why you think so.
As always, many blessings,
Ruth Werner, LMP, NCTMB
Click here for previous articles by Ruth Werner, LMP, NCTMB.
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