The Truth About Malpractice Claims Against DCs (Pt. 1)
Over the past 20 years of active practice, I have seen a number of scary case scenarios regarding signs, symptoms and patient presentations in my office. These presentations scream, This patient is going through an event or This patient does not need chiropractic care, they need emergency care.
Dietary Supplements That Help Restless Leg Syndrome
It is estimated that 7-10 percent (possibly up to 15 percent) of the U.S. population has restless leg syndrome. It is a bit more common in women than men.
A Simple Miracle: Treatment for Mysterious Foot Pain
Under the old ICD-9 diagnosis codes, there was actually a diagnosis for "adventures in medical mismanagement" to describe patients who had been run down the rabbit hole of poor case management and care. I encountered one of those patients in my office today.
When Computers Cause UCS: Adjusting Strategy
With the widespread use of mobile devices such as smartphones and tablets, the incidence of "text neck" has reached almost epidemic proportions. But there is another challenge to the spinal health and well-being of our technology-driven society.
News in Brief
A Comprehensive Model of Spine Care; Dr. Christine Goertz Appointed Vice Chair of PCORI Board of Governors.
Cynicism and Burnout: It Can Happen to You
Trying to achieve fulfillment as a doctor in today's health care environment is a "rigged game" and physicians are programmed to burn out. At least this is the opinion of Dike Drummond, MD, in his thehappymd.com blog.
Electrotherapy Gives Hope for Patients With Spinal Cord Injury
There has been little optimism for recovery from a spinal cord injury because the central nervous system does not repair itself well. The severity of the injury depends on the affected area.
A Soy Isoflavone That Packs a Punch: Genistein
Soybeans contains unique substances called isoflavones, most notably genistein and daidzein, which have been shown to block the buildup the dangerous type of testosterone in the prostate gland linked to prostate enlargement and prostate cancer.
VA Choice Claims Denied? Here's How You Can Get Paid
The VA Choice Program (PC3 as well) indeed pays for chiropractic care including manipulation (CMT 98940-98943) and some physical medicine services.
Malpractice Insurance: Understanding the Cover Letter
Purchasing medical liability insurance is quick, easy and not terribly expensive. The benefits are clearly listed on a certificate—but do you really know what you are getting with that peace of mind?
Goodbye, Year of the Dog: Two-Thousand-Eighteen Comes to a Close
As Year of the Dog (2018) comes to a close we can look back and see the progress this profession has made. For example, the International Classification of Diseases (ICD) added traditional medicine codes, which were released in June.
ACA Champions H.R. 7157; ICA Voices Major Concerns
While the American Chiropractic Association recently penned an open letter – signed by not only the ACA, but also the Congress of Chiropractic State Associations, Association of Chiropractic Colleges, Clinical Compass and a number of state associations.
Acupuncture is a Science-Based Medicine
A longstanding patient of mine came in for a routine treatment after she recently began seeing a chiropractor for neck pain. She saw him a couple of times and wasn't getting the relief she had hoped for, so he recommended she let him do dry needling.
VA Chiropractic Reduces Veterans' Use of Opioids?
Utilization of pain medication – particularly opioids – has been massively high in among veterans for decades, but Veterans Administration guidelines that recommend nonpharmacological first-line treatment options create a greater opportunity than ever for VA chiropractors to make a dent in the opioid and overall pain-management crisis.
A New President for AOMA: A Conversation With Mary Faria
Dr. Faria was formerly a health care executive for over 30 years, the last 17 of those years as vice president and chief operating officer of Seton Southwest Hospital in Austin. She chairs the board of Austin Mayor's Health and Fitness Council.
2018 Gallup-Palmer Report: Key Findings
The fourth annual Gallup – Palmer College report is out; here are some of the key findings excerpted directly from the executive summary regarding Americans' experiences with chiropractic care relative to the management of neck and back pain:
Reality Check: Do We Need to Try Harder?
While waiting for a flight to a recent chiropractic event, I overheard the ticket agent at the gate next to mine on his cellphone. His side of the conversation went something like this: "Where are you now? How long before you think you can be at the gate? OK, that will work, see you soon."
Knocking Down the Doors: Big Media Success for F4CP
Three articles authored by a DC or a chiropractic organization and promoting the value of chiropractic care – par for the course if you're Dynamic Chiropractic, but if you're Forbes, BOSS Magazine and Becker's Spine Review, three media outlets tailored toward high-level executives and decision-makers, we're talking about an entirely different story.
A Guide to CBD Dosing: The Correlation Between Dose & Potency
There is an abundance of information available about the daily use of whole plant hemp CBD oil to help maintain and support a healthy lifestyle, however there remains a lack of sound guidance on CBD oil dosing.
Exercise Therapy Following Motor Vehicle Trauma (Pt. 2)
In cases of cervical spine trauma, particularly trauma related to a motor vehicle accident, my plan is to teach the patient one exercise per session and build a progression. This is an effective approach I call an "activation circuit."
Reaching for Our Roots: Healing Digestion With a Simple Traditional Therapy
Are you ignoring a powerful tool in your doctor's bag? Many acupuncturists realize that Spleen Qi deficiency has reached epidemic proportions in the U.S. Yet, we don't prioritize educating our patients about the importance of warm, cooked foods.
Bad for the Back! Exercises That Can Prevent Healing
The questions "Who gets well? Who doesn't? Why?" prompted the following observations based on my close to 40 years of chiropractic practice.
Year in Review: DC's Best of the Best for 2018
As 2018 winds down, let's highlight the most popular articles in Dynamic Chiropractic by month (December – this issue – excluded, of course).
The Top 5 Strategies to Manage Your Reputation Online
You don't need an acupuncture website anymore! Okay, maybe that statement is a little over the top. But it's not that far from the truth. A recent study on Google searches revealed that 34 percent of all searches resulted in no clicks at all.
The Raw Food Debate: Practitioners Discuss Nutrition & TCM
Licensed acupuncturist and fellow blogger Elissa Gonda joins this month's column for a conversation about raw food diets. She brings her perspective on the healing potential of a raw primal diet.
Map It: Understanding the Customer's Journey
One of the biggest marketing mistakes most practice owners or administrators make is not putting themselves in their prospective or current patients' shoes. How do they think and feel about you and your practice? What makes them take action?
Acupuncture in Hospital Systems: Transitioning From Tolerated to Celebrated
I've had the pleasure of working with Susan Luria, Director of University Hospitals Health Systems Connor Integrative Health Network (CIHN) for the past year on the Integrative Health Policy Consortium (IHPC) Board of Directors and Federal Policy Committee.
April, 2006, Vol. 06, Issue 04
For Better Client Outcomes, Just Add Water
By John Upledger, DO, OMM
If you have been following this column since I first began writing it back in 2001, you probably already know how passionate I am about working with dolphins. Since 1954, when I was in the Coast Guard and first had the opportunity to swim with wild dolphins, I have had a deep inner urge to do more with these wonderful creatures.
In an article called "The Magic of Dolphins" (from London's Sunday Express, April 2, 2000), Jane Phillimore said, "After swimming with dolphins, many people report not just a sense of well-being, but also improved learning and cognitive abilities, concentration, communication and social skills - which seems to last for weeks, even months." We explored this potential firsthand in 1996, when The Upledger Institute set up a pilot therapy program treating clients with CranioSacral Therapy at the Dolphin Research Center in Grassy Key, Fla.We were so encouraged by the results that we now hold Dolphin-Assisted Therapy intensive programs every summer in the Bahamas.
Yet for those practitioners not near dolphins, we have found equally dramatic results when we simply work with clients in water. "The relative weightlessness of the body in water lets you tap into an environment that can boost the effects of CranioSacral Therapy," said Upledger Institute Vice President Roy Desjarlais, LMT, CST-D.
David Dolan, LMT, who developed Ocean Therapy, a four-day experiential UI workshop also held in the Bahamas, agrees. "What the ocean water adds to light-touch, subtle-energy techniques is multifaceted. Water in itself is a healing medium that reduces gravity and friction, making three-dimensional movement almost effortless. As joint range of motion increases, the nervous system is able to move into a parasympathetic response (relaxed state). Muscles lengthen, tensions release, and internal natural healing processes begin to work more effectively."
"Everything we do in the treatment room is multiplied when working in the water," said UI staff clinician Sheryl McGavin, MBA, OTR/L. "For clients who have hit a plateau in their progress or have particular body issues hampered by the confines of the massage table, the water adds that extra element that can gently urge them to their next stage of healing."
Sheryl said she was first attracted to this aspect of therapy when working with Bob, a client who had fallen 40 feet off the stack of a tugboat onto the deck below. He had multiple cranial fractures, a ruptured kidney that was later removed, and numerous extensive injuries. He also had been in a coma for quite a while. Sheryl found the treatment table simply wouldn't allow for the movements Bob's body seemed to want to make in an effort to release his tissue' restrictions. But in the water, all that changed. When his body had the freedom to move wherever it wanted, the results started coming much more quickly.
"Bob had a lot of back and neck pain and stiffness that severely affected his gait and sleep patterns," Sheryl said. "This area improved tremendously for him after our work in the water, making walking much more effortless." Secondary to his original injuries, Bob also had lost most of his vision and was considered legally blind. "Surprisingly, his eyes started to track together after each water session," Sheryl said. "Now we're seeing great improvements in his vision. That was something none of us expected."
If you feel inspired to add the benefits of water to your therapeutic repertoire, I offer you these tips:
Whether you choose to work alongside dolphins or simply to add the benefits of water to your therapeutic sessions, I encourage you to follow your instincts. The more we learn, the more our clients benefit in sometimes surprising yet always welcome ways.
Click here for previous articles by John Upledger, DO, OMM.
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