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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
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.
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.
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.
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...
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.
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.
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.
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.
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.
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.
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.
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.
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.
January, 2007, Vol. 07, Issue 01
Massage for Cancer Patients: Indicated or Contraindicated?
By William C. Handley Jr., LMT, Oncology Massage Therapist
Years of constant research have developed numerous new treatments to eradicate cancer or at least prolong the quality of life of a person living with cancer. As a cancer survivor, I can give firsthand testimony that most cancer patients feel abandoned in the time they need the most support."You have cancer" will be some of the scariest words you will ever hear in your life!
Most of the family members and loved ones of a person diagnosed with cancer will tell that person they will be with them and support them all the way through their battle with the disease. I'm sure, without a doubt, that their intentions are true. But in the eyes of the person living with the cancer, the support usually comes from a distance. Due to fallacies and myths, most people that are intending to support a person living with cancer actually will distance themselves from the person fighting the disease. These fallacies, myths, and lack of education and facts can lead the supporters to think they can hurt a person battling cancer by touching them, hugging them, or even that they can catch the cancer by being in contact with them. This simple distance is more noticeable to the person living with cancer because they need the close support and touch of their loved ones. When you have a life-threatening disease, a touch or hug develops a lot more meaning than just contact.
Massage therapy is one of the most relaxing forms of touch available. Massage therapy also has many health benefits, but there have been concerns that massage therapy actually can cause the cancer to spread. Most massage therapy schools taught that cancer was a contraindication for massage. The two main concerns of how massage therapy could spread cancer involved its effects on circulation and the cancer tumors. Research continues to dispute the original concerns that massage therapy can spread cancer. The support to dispute this myth grows each year through credible experts and numerous studies.
Oncology massage therapy actually is a combination of many styles of massage incorporated into one session. The differences in the styles and techniques used with cancer patients are noticeable, both visually and physically. Oncology massage is a non-invasive technique, specifically adapted for individuals of all ages and types of cancer. Cancer patients should only receive massage therapy from a therapist educated in oncology massage. A therapist uneducated in the adaptations of these styles and proper techniques actually can cause the cancer patient to develop different conditions and even cause the death of the patient. There are contraindications and precautions for a cancer patient to receive massage therapy. This list has grown over the years to become more complete and ensure that those who are educated in oncology massage also are educated in what they should not do and what they should be cautious of.
Acceptance of massage therapy for cancer patients from medical professionals has been a continuing educational process for the medical institutions, physicians and the oncology massage therapists. The medical institutions require credentials and protocols for treatment and procedure manuals. This means a massage therapist must be able to produce documentation and certification that he or she has had education in massage for cancer patients, in addition to the standard education in massage therapy. The therapist also must have detailed protocols for treatment that give an outline of the therapy plans for each stage of cancer, such as: pre- and postsurgical protocols, chemotherapy and radiation protocols, lymphedema protocols and scar tissue protocols. The therapist also must provide a correctly formatted procedure manual under the requirements of a joint commission.
The physicians must be educated in the benefits of oncology massage and how to properly refer patients with a correct prescription and diagnosis. This is another educational responsibility of the oncology massage therapist - to meet with these physicians and provide them with hard, undeniable evidence of medical studies. The best evidence has been patient testimony after a physician sends their first referral.
The oncology massage therapist must obtain additional education and training through qualified instructors. There are now several classes available in this modality of massage therapy. Cheryl Chapman and Tracy Walton offer very informative continuing education classes. Gayle MacDonald recently joined with Dr. Sandy Canzone and developed a 300-hour certification course in oncology massage. Sloan-Kettering Memorial Cancer Center also offers a continuing educational course in oncology massage therapy. Courses such as these are vital and should eventually be mandatory for a massage therapist to be able to provide massage therapy for those living with or surviving cancer. Mandatory requirements will help give a more credible recognition and acceptance of this therapy.
Standard massage therapy performed by a generally licensed massage therapist and without additional specialized education in cancer should be considered a contraindication for cancer patients. However, oncology massage therapy provided by a properly educated oncology massage therapist is a definite indication for those living with or surviving the disease.
William Handley Jr. currently heads up the oncology/mastectomy massage therapy program at Cabell Huntington Hospital in West Virginia and is the director of Tranquility Massage Therapy. He is a cancer survivor and the first certified cancer/mastectomy massage specialist in W.V., where he developed and implemented the state’s first oncology/mastectomy massage therapy program.
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