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.
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.
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.
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.
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.
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.
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...
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.
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.
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.
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.
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.
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.
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.
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.
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.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
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.
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.
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.
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.
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.
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.
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.
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.
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.
December, 2006, Vol. 06, Issue 12
Rotator Cuff Problems
By Joel Schwartz, DC
The most common cause of shoulder pain is a problem with the rotator cuff muscles and tendons of the shoulder. You may have heard of these muscles before in conjunction with injuries to baseball players, tennis players, golfers or other athletes.The truth is, these injuries affect most of us to one degree or another.
The diagram above shows two pictures of the rotator cuff tendons and muscles. They are small in size as far as muscles go. They are extremely vulnerable to injury for five reasons.
These problems present a truly unique opportunity for the massage therapist. With proper training, you can have the best tools for the non-drug or non-surgical treatment of these injuries, as they respond very well to exacting soft tissue work and exercise. So, really no other health care practitioner has an advantage over you here.
Although there are many causes of rotator cuff problems, one very interesting and common cause is impingement. Understanding impingement is critical to being able to successfully treat rotator cuff problems. Impingement exists when shoulder joint structures get pinched as the arm is raised. The structures that can get pinched are the subacromial bursa, the supraspinatus tendon and the tendon of the long head of the biceps brachii. These important structures are located in the subacromial space.
The subacromial space is located underneath the coracoacromial arch. This arch is a bridge-like structure spanned by the coracoacromial ligament, which runs between the acromion process posteriorly and the coracoid process anteriorly.
Why do structures of the subacromial space get pinched? This occurs for basically two reasons. First, the height of the subacromial space might be decreased. This could be due to a bone spur growing off the undersurface of the acromioclavicular joint, or sometimes the acromion itself might be hooked and projecting downward into the subacromial space. Secondly, the proximal humerus can fail to glide inferiorly in the shoulder joint socket as the arm is raised. If the proximal humerus does not glide downward, it will rise up when the arm is raised and the tendons and bursa will be pinched between the humerus and the coracoacromial arch. The humerus can fail to glide downward either because the rotator cuff is weak or the shoulder joint capsule is tight in its posterior and inferior portions.
The weakness in the rotator cuff and tightness in the shoulder joint capsule can be treated with therapy. Bone spurs and the actual anatomy of the acromion cannot be changed, but better movement and control of the shoulder joint can make them less of a factor in impingement. Correcting the factors causing impingement will have a huge positive effect in the client with rotator cuff problems.
How do you correct these factors?
Treating the rotator cuff in this manner allows you to provide a service to your clients they cannot easily get elsewhere. Most people still have these problems treated with rest and medication, which provide no long-term benefit in preventing re-injury. Thus, you provide a much-needed service and all that is required of you is to acquire the necessary skills. I hope this will wet your appetite for learning about this interesting area.
Joel Schwartz, DC, is a certified Soma practitioner and a certified neuromuscular therapist of the St. John Method. He is the author of The Rotator Cuff Exercise Manual and was the keynote speaker at the Interdisciplinary Health Care Symposium at Portland State University. He can be reached at "> .
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