Vaccines & Autism (Part 1)
It turns out chronic inflammation is the driver of autism expression. Unfortunately, those who emotionally embrace the vaccine issue rarely, if ever, consider this relationship, which hinders a rational view of the vaccine issue.
UnitedHealthcare Can't Seem to Keep Chiropractic Down
AA decade ago, UnitedHealthcare announced changes to its chiropractic services policy that declared manipulative therapy for headache unproven.
The Secondary Insurance Plan
I have a patient that has Medicare, but also has a secondary insurance plan that does cover acupuncture. How do I bill Medicare to get a denial so that I may bill this secondary payer?
Why Take X-Rays When You Already Have an MRI?
Let's clear up the issue regarding the efficacy of plain-film studies when an MRI study has already been performed. I review imaging studies primarily for chiropractors, and often their patients have been to other health care providers before finding their way to a DC.
The Classical Texts & Integrative Medicine
The acupuncture profession has been undergoing many changes in the past years. There has been a shift towards a more integrative approach to medicine as more hospitals include integrative departments.
"Community Care" for Vets: It's Really a Big Deal!
As a preamble, while I regrettably never served in the military, I have the highest respect for those who did and those who currently serve.
It's All About That Ki
As an industry are we shifting too much toward a Western mind set? We strive to understand how acupuncture works using imaging and extensive studies. We spend numerous hours of our training learning Western medicine and learning to speak their language. What happened to our core though?
News in Brief
WFC Among Founding Members of Global Rehab Alliance; HealthSource Selects GoChiroTV as Exclusive Digital Signage Partner; Western States' Online Degree Programs Among Best in the Nation; Logan University, University of Missouri-St. Louis Forge Partnership.
End of Life Treatment
TCM looks death in the face. We do not camouflage it as if it were poisonous. "We must allow our patients to die but we cannot allow them to perish," was my first lesson the day I met my teacher as a teenager.
Why the Automatic Denials for Modifiers 25 and 59?
Your experience is one shared by many chiropractic providers who bill through those plans. It appears to be the national trend, but by far is more prominent in Texas and Illinois.
A Resting of the Soul
In my pursuit of being a skilled health care provider, I focus on reading journals, attending classes, staying current on medicinal research, and choosing the correct billing codes. However, most of us would never have started down this career path if there wasn't something more.
Does Dairy Cause Dampness?
The topic of dairy consumption was brought up at a scalp acupuncture seminar I recently attended.
Confessions of a Former Drug Rep: Statins Are Endangering Your Overweight Patients
As I sit at my desk on the sixth anniversary of my successful liver transplant, I can't help but reflect on what caused that life-threatening ordeal. Looking back on my personal situation, I want to offer my insight into what is happening routinely to many patients.
Reducing Hip, Knee & Shoulder Replacements (Part 2)
In the first article in this series, "Early Detection Reduces Hip, Knee, & Shoulder Replacements," I described time tested screening procedures and perspectives as indicators of when to encourage your patients to seek further medical evaluation.
The Certified Practitioner
Certified Chinese herb practitioners often identify themselves with the credentials "LAc" (Licensed acupuncturist).
Doc, Are You a Social Media Holdout? Your Future Is Now
Whether you like it or not, to compete in any business, even chiropractic, you really should know and consider using social media. It is no longer a small, sleepy, local world we live in; it has become a far-reaching community.
Autoimmunity, Gut Health and Diet: Connect the Dots
According to the National Institute of Health (NIH), autoimmune disease is recognized in approximately 24 million individuals in the U.S., consisting of more than 80 various disorders that contribute to the top 10 causes of death in female children and women of all age groups.
Valuable Adjunctive Therapies
Based on the latest CDC statistics, more than 795,000 Americans have strokes per year, 140,000 of which are lethal. Approximately 87 percent of all strokes are ischemic with an estimated health care and missed work cost of $34 billion annually.1
A Bold Strategy to Take Chiropractic to New Heights
Building public awareness of an entire profession requires strategic planning – especially when it pertains to the exploration of ground-breaking marketing tactics that target new audiences with key messaging about the value of chiropractic care.
Treating Pain With Nutrition
Back in 1910, when D.D. Palmer published The Chiropractor's Adjuster and introduced the world to what he called the "triad of health" – thoughts, trauma and toxins – he explained that the body can only be made optimally healthy if all three aspects of health are addressed.
#TechPain: Causes, Solutions
For the past several decades, the science of ergonomics has blossomed. The workplace is much safer and life is generally more pleasant thanks to the application of ergonomic principles.
The Hidden Hip in LBP: Critical Screening Tests
In 1998, Harvey used this test on 117 elite athletes and found excellent interrater reliability to differentially assess iliopsoas, quadriceps or TFL/ITB tightness.
Facebook Marketing 101
Many of the health care practitioners we work with have smaller practices. The provider tends to wear many hats – office manager, salesperson and healer.
Blockchain Health Records?
Keeping data secure has become a nightmare for the average consumer. Just consider general user account hacks on Yahoo (3 billion records compromised), eBay (145 million records compromised) and Facebook (87 million records compromised), to health record breaches involving Anthem Blue Cross (78 million records compromised) and TRICARE (almost 5 million records compromised).
Art of the Associateship: It's OK to Trust, But Verify
Trust is a valuable part of any business relationship. It serves as the foundation for all business operations and ultimately long-term success for owners, employees and customers. This is especially true in the world of health care.
Trending: CBD / Hemp Oil
A recent survey of DCs regarding cannabidiol (CBD) / hemp oil provides food for thought as to the viability of CBD-based products as a component of chiropractic patient care. Here are some observations from the executive summary of the survey:
Help Shape the New Neck Pain Best Practices Guideline
The Clinical Compass (originally the Council on Guidelines and Practice Parameters – CCGPP) has issued a call for interested chiropractic clinicians to help shape a new best practices guideline for chiropractic care of neck pain.
NCCAOM: A Route to National Certification
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is offering a route to achieve national certification—without having to take any of the NCCAOM exams. This is specifically for California licensed acupuncturists that meet the eligibility requirements.
July, 2008, Vol. 08, Issue 07
The Basics of Facelift Massage
By Rita Woods, LMT
Last month, I introduced basic facelift massage work by giving you a list of benefits, as well as touching on the potential unseen benefits within the autonomic nervous system. This month, I want to talk about the difference between facial massage and facelift massage, and general guidelines for working on the face.While there are similarities between facelift massage and facial massage, you won't get a firming and lifting effect unless you specifically address the muscles involved. It's sort of like general Swedish work versus more specific or focused work such as rehab, deep tissue, etc. With facelift massage, you must be very specific and deliberate with your strokes. It really is best to take a class to learn the detail required to maximize results.
I make it a point to ask my workshop participants and fellow therapists if they work on the face during a regular massage session. About half of them spend very little time, if any, on the face. One explanation they give for this is their client doesn't want their face to feel greasy or to get oil in their hair. Another reason is simply because they don't feel comfortable working on the face. Let's face it, you really are in the client's face and it takes special care not to impose upon their personal space.
Both of these reasons for avoiding the face - client refusal and lack of confidence - are key components that must be addressed in order to start doing good face work. First, there is the lubricant. I have refused to allow therapists to work on my neck and face because they use way too much lubricant. I don't want to walk out with oil on my face and hair, and I'll bet your clients don't, either. Please don't use the same oil or lotion you use on the body for the face. Use something intended for the face or use very little oil. Jojoba actually is quite good for the face and will do if that's all you have. Just remember to use it sparingly. Let's look closer at these issues.
Choosing a Good Lubricant
When I work on the face, I use moisturizer for normal to dry skin. I am using a product intended and created specifically for the face. Formulating chemists of good-quality products put a lot of thought into creating the perfect product. They understand the chemistry and physiology of the skin and will work with it. Notice I said "good-quality products." That doesn't mean you should go buy a moisturizer off the drugstore shelf and use it. Many of the cheap moisturizers contain mineral oil and other petroleum ingredients as their main source of moisture. They moisturize by creating a physical barrier by which moisture can't escape from the body. That's not what I suggest. Rather, look to a line of high-quality skin care products and get the moisturizer with plumping (lessening the appearance of wrinkles) and anti-aging benefits.
Now, your product actually is doing part of the work for you. I use normal to dry because it has slightly more oil, which allows it to stay on the skin just a little longer. That allows me to use it as a massage lubricant. Apply the product to small sections of the face at a time to prevent reapplying as you progress. By following these simple guidelines, you will avoid the pitfall of the greasy face and your client will be able to enjoy the benefits of your work.
As a therapist, you know the importance of confident touch. Confident touch is a blend of good technique and good people skills. It comes from within and flows through your hands to your recipient. Both parties instinctually know if you have confidence or trepidation. Of all the places we work on the body, no place requires you honor the client's space more than the face. They will also feel shaky hands and unorganized strokes, so be prepared to practice and develop a routine for the face. These stokes will differ from facelift massage to general facial massage, but a good rule of thumb is to always lift rather than push or pull down. Here are some tips for building confident touch:
In our workshops, we go over the anatomy of the face in great detail. We learn which muscles cause which expression lines and learn techniques to specifically address each of these areas. That creates our pattern and flow of work. I found students had trouble remembering the sequence, so I incorporated Styrofoam heads as part of our study. We literally get markers and number the sequence and regions on the heads. The students then take their heads back to their office where they can just glance up and be reminded of what to do next.
Let's face it, many of us received very little face training in massage school. This work, however, especially facelift massage, quickly is becoming a very large market. Boomers want it, and they have disposable income. From a business perspective, it's the smart thing to do. From a therapist's perspective, it's very easy to perform. That's a winning combination.
Click here for previous articles by Rita Woods, LMT.
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