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.
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?
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."
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.
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?
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.
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.
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).
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.
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.
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.
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.
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.
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."
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.
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.
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.
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.
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.
News in Brief
A Comprehensive Model of Spine Care; Dr. Christine Goertz Appointed Vice Chair of PCORI Board of Governors.
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.
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.
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.
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.
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.
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.
March, 2008, Vol. 08, Issue 03
Help Your Client Achieve a Natural Labor: Four Simple Tips for Pain Relief
By Michelle C. Larson, MAc, BA, LMT
Most women are nervous about labor pain whether their goal is an unmedicated labor or not. Pain is part of the right of passage into motherhood, but there are many simple things you can do to make it more comfortable and assist your body in the natural process of birth.
As massage therapists, we have a wonderful opportunity to assist expectant moms in creating the best birth experience possible. Over the last year and a half, I studied natural pain relief techniques for labor and delivery. Using my background as a massage therapist, acupuncturist and labor doula, I applied the principles of hydrotherapy, massage and acupressure to find the most effective and fundamental techniques.
My goal was to decrease anxiety, keep labor progressing and decrease pain. The following are four procedures you can use with your clients to make labor and delivery less stressful:
Hot Foot Bath
Place her feet in hot water, deep enough to cover the feet and come above the malleoli. This will not only feel relaxing, but also will help to draw energy downward and promote descent of the baby. By relaxing the muscles in the feet and legs, her pelvic floor also will relax. As she relaxes her mind, she will find a decrease in pain during contractions.
Many hospitals will have plastic tubs you can use for this purpose. Simply ask the nurse. This also is a great treatment to use at home in early labor before you head to the hospital or birth center. If you like, you can add essential oils such as rosemary or lavender to enhance the energetic effect of the hot foot bath and add a wonderful aroma. Keep in mind some women are very sensitive to scents during labor.
"Mind over matter" works. Here is a tried-and-true meditation you can guide her through at any stage. Have her close her eyes between contractions, ask her to take her mind deep inside. "With every inhale imagine breath in life and energy. Each breath is as nourishing and energizing as your favorite dinner. You are drawing in energy from the world around you, filling yourself. Even though you are tired, you are becoming more and more energized. With every exhale allow your pelvic floor to relax and open, exhaling out any tension, fear and anxiety. Focus on the relaxation."
Starting the next contraction with this new-found relaxation will make it more productive and less painful. The pressure and stretching of the pelvic floor can be very frightening. This fear will cause a woman to tense these muscles which will delay labor and make it more uncomfortable.
Here are three simple, very effective acupressure points. You can use them at any stage of labor, but not during pregnancy. These points have a very strong, energetic action and are not to be used during pregnancy. Have her talk with her primary care provider to decide when she is ready for labor to begin, because these acupressure points can stimulate contractions.
With all of these techniques, the key is to communicate. Invite her to let you know what seems to work and what doesn't. Application of pressure over these points can be done with thumbs, hands, elbows or massage tools. You can use these points as little or as often as you'd like. As long as it feels good to your client, keep going.
Essential oils are a wonderful way to relax and ease tension. Not only is the scent therapeutic but also the application of the oils on the skin. Most oils are not to be used during pregnancy because they have a strong moving effect and can stimulate contractions. During labor, however, this is exactly what you want.
You can use a few drops of your favorite essential oil in a diffuser to scent the entire room, or place a few drops on a tissue to enjoy a light fragrance. A drop of essential oil applied to your fingertips during an acupressure massage will enhance the effect of the treatment.
Keep in mind that a scent she really likes normally may not be pleasing during labor. It's best to use the oils in such a way that you can easily remove them from the room or take the scent away if you find it becomes aggravating.
Lavender is one of the most commonly used essential oils. It provides very relaxing, nourishing feminine energy and helps to sooth pain.
Rosemary is very invigorating and uplifting. If labor has been slow and you find energy fading, the lively scent of rosemary is a huge help. This is also a good one to use during acupressure to stimulate the points.
Orange is a sweet smell that also is very invigorating. Use orange as you would rosemary for an extra energy boost or during your acupressure massage.
Massage therapists often are asked to assist a regular client during labor. This can be very intimidating, especially if you have never been through the birth experience. Use these simple techniques to feel empowered to confidently assist her. And remember, not all births go as planned. A successful birth ends with a healthy mom and a healthy baby; the process is unique and can never be planned.
Michelle Larson is a certified massage therapist with a masters degree in acupuncture and a bachelors degree in holistic health. As a faculty member of the Cortiva Maternity and Infant Massage Program, she travels nationally teaching continuing education for professional massage therapists.
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