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.
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.
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."
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.
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.
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.
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.
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.
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."
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?
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.
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.
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.
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?
2018 Gallup-Palmer Report: Key Findings
The fourth annual Gallup – Palmer College report is out; here are some of the key findings excerpted directly from the executive summary regarding Americans' experiences with chiropractic care relative to the management of neck and back pain:
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.
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.
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.
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).
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.
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.
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.
News in Brief
A Comprehensive Model of Spine Care; Dr. Christine Goertz Appointed Vice Chair of PCORI Board of Governors.
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.
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.
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.
July, 2008, Vol. 08, Issue 07
Suffering for Profit
By Ralph Stephens, BS, LMT, NCBTMB
Never has the direction of our profession been brought into focus more clearly than by the recent legislative activities of our major professional associations. With little, if any, understanding of the professional regulatory mechanism, our associations are working hard to pass massage licensing laws, state by state. They obviously only have themselves in mind, not the profession and certainly not the public.
At one time, the AMTA was the association working for regulation and the ABMP was the association working against it. Times have changed. The two have now teamed up against us. Most professions, through their associations, are constantly working to expand their scope of practice to better serve the public. Not our associations. They are working for themselves so they can say, "We passed a law." Never mind the laws they are passing are deeding away huge portions of our traditional scope of practice. Who cares about joint mobilization, stretching and exercise? We'll trade them for a new law. One new law defines what a massage parlor is relative to us. Great - we've just legally defined adult entertainment as a part of massage.
On pessimistic days, I see our profession merging into adult entertainment, with the boundary being very unclear and no one really caring. How many hours does it take to train a prostitute? What anatomy must they know?
Of course, there is no set amount of anatomy a massage therapist must know. One hundred hours sometimes is specified, but 100 hours of what? According to the recently passed law in Massachusetts, therapists are forbidden from doing exercise, period. Better not be seen in a health club if you are a therapist in that state. A new law being proposed in a major northeast state will forbid us from doing joint mobilization, among other things. This precedent will now be the standard demanded by the dark forces of allopathy for all future laws and, of course, they will now add even more demands to limit us. The physical therapists have been given the charge to negate us. We're letting them win.
Any muscle-head in a health club, with no qualifications whatsoever other than large biceps, can give the public stretches and exercise, but massage therapists can't. Thanks, AMTA and ABMP - great job. You've done a great job of selling us down the river.
If you like the laws being passed by your associations, you should let them know. However, if you don't, it's even more important to let them know. Call the AMTA at (877) 905-2700 or the ABMP at (800) 458-2267. No law is always better than a poorly written or bad law. Laws that restrict our traditional scope of practice are bad laws.
Who is the winner and who is the loser when bad laws are passed? The associations and the schools win. The schools get to keep grinding out minimally trained therapists and the associations keep signing them up. As usual, the public loses because they are denied the full potential of massage therapy care in the name of profit for schools and associations. It's amazing the human suffering we justify in the name of profit, isn't it? At one time, this profession offered an alternative to the profit-driven allopathic model. I fear that time is nearly gone. Only you, through your involvement, can save alternative health care. Do you care?
More Sauce, Please
Do you know what the massage lubricant you're using is made from? There is some very dangerous stuff being sold as massage oil, lotion and gels. As lotion gets cheaper and cheaper, do you really think it's getting better and better? You put it on your patient/client for an hour or so at a time, now and then. You put it on yourself every session. Many colleagues are developing skin reactions to massage products. Worse, some are developing liver problems. Even clients are reacting negatively to some of the products being put on them. Read the labels on your massage products. If you see terms such as Quaternium-15 (or any of the Quaterniums), which are harsh; skin-sensitizers; BHA/BHT, which are linked to cellular changes in lab experiments; or maybe glyceryl cocoate ethoxylate (a water dispersant that can cause skin irritation/sensitivity), you should seriously consider why you're exposing yourself and your patients to these chemicals, and maybe find a cleaner, more natural product.
By the way, just because something says it's natural or even organic on the front label doesn't mean it really is. For example, Splenda, the artificial sweetener, starts with pure sugar, but there is little resemblance to the natural substance once it is processed. It's buyer beware, as it should be. However, that places the responsibility on you, the buyer, to become educated and aware of exactly what you are buying or using.
Even More on RLS
Interesting information continues to come in on restless leg syndrome (RLS). The following comes from Valerie Whiting, MS, OTR/L, LMT, in Knoxville, Tenn. I find it quite insightful, as it correlates with some qigong information I have come across recently that says a lot of our problems come from lack of walking in a full and correct gait pattern. "The RLS folks have habitual short stride length, so the limit may be from hip, knee or even ankle injury, but the problem is that stretch doesn't occur as it does naturally in a long, easy walking stride. Personally, I find that with people sitting on the job, tight quads limit the stride length. That concept is the base of my assessment for RLS complaints." Send in any RLS information you would like to share and I will pass it along in a future issue.
As this is the July issue, Happy Birthday, America! Have a great 4th of July. See you in September.
Click here for more information about Ralph Stephens, BS, LMT, NCBTMB.
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