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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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...
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
March, 2007, Vol. 07, Issue 03
Non-Contagious Skin Rashes, Part 2: Eczema
By Ruth Werner, LMP, NCTMB
For most people, eczema is an irritating, annoying inconvenience. For some, however, it can be much more challenging.
In January, we began a discussion on non-contagious skin rashes by looking at contact dermatitis.We looked at how frequent unprotected exposure to harsh chemicals or conditions can lead to contact irritant dermatitis, and how Type IV allergies (for instance, to nickel or latex) can lead to contact allergic dermatitis. Most importantly, we concluded that the implications for massage are relatively simple: Be sure the skin is intact and that no triggers for skin reactions are in massage lubricants.
In this issue, we will take on a more complex non-contagious skin rash: eczema. For most people, eczema is an irritating, annoying inconvenience. For some, however, it can be more challenging:
What Is Eczema?
Eczema, from the Greek ekzeo (to boil over), is a fairly common condition that affects about 10 percent to 20 percent of infants and young children, and about 15 million adults. While it was once considered a fairly simple, if poorly understood, skin rash, eczema turns out to be a complex immune system disorder with many overlapping factors. Symptoms are brought about by a combination of many factors, including fatty acid deficits with damage to the protective lipid layer that helps keep skin waterproof; T-cell abnormalities; and the presence of damaging amounts of pro-inflammatory chemicals and antibodies.
Although eczema clearly is related to immune system problems, it can cause reactions to very minor triggers, including a rapid change in temperature, rough textures in clothing, over-exposure to sunlight, detergents, sweating and others. Eczema's relationship to other allergies is easily demonstrated: The vast majority of patients either have severe hay fever and/or asthma, or they have family members who do.
Types of Eczema
Several different types of eczema have been identified. Some of these can be tricky, because they resemble other skin conditions that may be contagious. This is yet another reason why massage therapists shouldn't touch skin anomalies they haven't discussed with their client first!
Atopic dermatitis: This is the most common variety of eczema. It is usually red, flaky and dry, occurring in the creases on the sides of the nose and other skin creases, like knees, elbows, ankles and hands. When the skin gets rough and thick, this is called lichenification.
Seborrheic eczema: This form of eczema involves yellowish, oily patches, usually in the skin folds around the nose or on the scalp.
Dyshidrosis: In this condition, intensely itchy blisters filled with fluid appear on the hands and feet. It is of particular interest to massage therapists for two reasons: It resembles athlete's foot, a contagious condition, and it involves breaks in the skin - possible portals of entry for infection.
Nummular eczema: This form of eczema appears in small circular lesions, often on the legs and buttocks. It looks just like ringworm, another contagious condition, and it can be intensely itchy.
How Is Eczema Treated?
Mild cases of eczema often can be treated successfully with careful choices about skin triggers; mild soap, well-tolerated emollients, and gentle textures may be all that some people need. Essential fatty acid supplements that help to strengthen the lipid layer in the skin also might be recommended. If food-related triggers can be identified, then these must also be avoided, of course.
More severe cases may be treated medically with topical or systemic anti-histamines or steroidal anti-inflammatories. Steroids have serious long-term side effects, however, and ultimately lead to more skin damage, so they are temporary solutions at best.
One new development in the treatment of this kind of immune system overreaction is a group of drugs called topical immunomodulators. Originally designed to help limit tissue rejection for organ recipients, some of these have been re-purposed for skin problems with significant success. In adults, they can help clear up the signs of eczema without long-term skin damage. In children, however, they have been linked with a low but significant risk for developing some types of cancer, so they are being watched carefully.
The key question for massage and this type of non-contagious rash is whether the skin is intact. If no breaks, cracks, scabs or oozing is present, massage with a soothing, non-irritating lotion or oil can be extremely helpful. It is important to take care not to increase itching at affected areas, of course. Although it won't change the way this hyperactive immune system behaves, massage may at least offer some temporary relief from the discomfort and frustration that this stubborn condition can cause.
Mr. Shaberman documented his experiences with eczema in a series of articles in The Washington Post, starting here: www.shaberman.com/eczemaboy_post.htm. His last piece was on his experience in clinical trials using a topical immunomodulator, which cleared up his eczema in a period of two weeks.
It's up to you, readers! We can keep going with skin conditions (tell me which ones you'd like to learn more about), or we can pick up something new. Let me know: What's on your table?
Many thanks and blessings.
Click here for previous articles by Ruth Werner, LMP, NCTMB.
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