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.
September, 2005, Vol. 05, Issue 09
Consumer Reports Survey Shines Positive Light on Massage Therapy
Public Gives Massage Consistently High Marks
By Editorial Staff
Twelve years ago, a groundbreaking study co-authored by Dr. David Eisenberg took a hard look at the use of alternative medicine in the United States.1 Published in The New England Journal of Medicine, Eisenberg's study found that one out of every three adults in the U.S.had used some type of "unconventional therapy," with massage ranking as the third most-popular therapy in the study. Subsequent studies by Eisenberg and other researchers have found that the use of alternative therapies has remained relatively stable, and that massage is being used to treat a wide variety of conditions, ranging from back problems to fatigue, arthritis, and muscle sprains.
As these reports indicate, "alternative medicine" has become something of a misnomer. Just as the scientific world has investigated the use of alternative medicine by the American public, so have more mainstream media outlets. A case in point is Consumer Reports, a monthly magazine with a subscription base estimated at more than 4 million. In late 2004, Consumer Reports surveyed its readers regarding their use of both alternative and conventional therapies. The results of that survey, published in the August 2005 issue of the magazine, reveal that massage is one of the most popular forms of alternative care on the market, with both doctors and patients finding it extremely valuable in the treatment of certain conditions.
More than 34,000 readers participated in the survey, which asked them to rate the effectiveness of both conventional and alternative forms of care for their two most problematic health conditions experienced during the past two years. Readers were asked to rate each treatment depending on whether it helped "a lot," "somewhat," "a little," or "not at all." Respondents based their opinions of the effectiveness of care on personal experience, rather than scientific measurements.
Forty-seven percent of the respondents reported trying at least one alternative remedy in the past two years, a figure slightly higher than reported in the Eisenberg studies, yet in keeping with other national surveys on alternative medicine use. In addition, women were more likely than men to have tried, and liked, "hands-on" treatments such as massage, chiropractic and acupuncture.In terms of managing individual conditions, deep-tissue massage ranked first out of five methods of treating fibromyalgia (deep-tissue massage, prescription drugs, general exercise, physical therapy, and over-the-counter drugs), and first out of 10 methods of treating osteoarthritis (deep-tissue massage, prescribed exercise, physical therapy, general exercise, prescription drugs, chiropractic treatment, acupuncture, special diet, glucosamine, and over-the-counter drugs). Specifically, for both conditions, more readers said deep-tissue massage "helped me feel much better" than any of the other treatment strategies. Over-the-counter drugs finished last in both categories.
Massage also received high ratings among readers who turned to alternative treatments for back and neck pain. In both categories, deep-tissue massage ranked a close second to chiropractic treatment, with nearly three-fourths of readers saying massage either "helped me feel much better" or "helped me somewhat."
In another sign of massage therapy's popularity and effectiveness, massage appeared to have the approval of many of the doctors Consumer Reports' readers spoke with. Of those readers who had used an alternative therapy, approximately 75 percent told their doctors about it. Twenty-five percent of those readers told Consumer Reports their doctor suggested the alternative treatment in the first place. In fact, massage was the second most frequently recommended alternative treatment by the readers' doctors, ranking just behind the combination of glucosamine and chondroitin.
In a review of the Consumer Reports survey, published on WedMD.com, Dr. Tiffany Field, director of the Touch Research Institute in Miami, Fla., observed that the right amount of pressure applied to the body's muscles and soft tissues could produce a "cascade" of biological effects responsible for the positive sensations associated with massage.
"We are finding that moderate pressure is essential for any of the effects we see from massage," Field said. "That may be one way chiropractic works, because typically a chiropractor applies moderate pressure. So does just about any sport that you do - or any self-massage exercises like yoga. Anything that stimulates the body's pressure receptors will help."
It has been 12 years since the publication of David Eisenberg's landmark study on "unconventional medicine." While the Consumer Reports survey can't be considered in the same vein (scientifically speaking) as that study, several important points from the survey's results are evident - and in some ways, just as relevant. First, alternative medicine is continuing to increase in popularity; nearly half of those taking the survey reported using at least one form of alternative treatment in the previous 24 months. Second, the American public is relying more and more on alternative forms of care such as massage therapy to help them. And third, the survey shows what millions of Americans already know: Massage is popular, safe and extremely effective for a variety of complaints and conditions.
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