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.
October, 2008, Vol. 08, Issue 10
Ehlers-Danlos Syndrome (EDS)
By Ruth Werner, LMP, NCTMB
I love when readers e-mail me with suggested topics for future articles, particularly when the topic allows me to discuss how massage can help manage a condition that may not be familiar to the majority of massage therapists. The following is one such e-mail I recently received:
Ehlers-Danlos Syndrome: What Is It?
Ehlers-Danlos syndrome (EDS) is one of a group of genetic connective-tissue disorders. In EDS patients, a genetic mutation (or a combination of them) causes the body to produce faulty collagen, elastin or other extracellular matrix. It's a fairly rare disease, affecting only one to two people out of 10,000. About 50,000 people in the U.S. have been diagnosed with EDS, but it occurs on a wide continuum of severity, so mild cases might not be recognized until the gene is passed on to children in a more extreme form.
When the genes that control connective tissue production malfunction, the result is that our fascia, tendons, bones and the scaffolding that essentially holds us together don't have appropriate strength or resilience. Consequently, joints might be hypermobile and prone to arthritis, the skin might be delicate and stretchy, and wounds tend to heal slowly and poorly. In some cases, the connective tissue of the eye may be compromised, leading to detached retina, myopia, and changes in the globular shape of the eyeball. Perhaps the most dangerous consequence of EDS is damage to the valves of the heart. Mitral valve prolapse is more common among EDS patients than in the rest of the population.
Types of EDS
EDS is a result of a variety of genetic anomalies. Up to 11 different subtypes have been identified, but they usually are grouped by a primary symptom rather than by the exact location of the genetic defect. Classic EDS shows skin that is fragile and heals slowly with excessive scar tissue. Joints are poorly supported and prone to injury. Hypermobility EDS involves a high risk of joint dislocations, pain and arthritis. Vascular EDS is a serious and extreme form. It affects the connective tissue of the blood vessels, heart and other structures, including the gastrointestinal tract. Complications with this type can include aneurysm or rupture of blood vessels. Other types of EDS are much more rare and can involve problems ranging from hyperkyphosis to easily dislocated hips to extremely loose and saggy skin.
Treatment and Massage
EDS is treated according to symptoms or related problems. Basic coping strategies include learning good movement and postural habits to preserve joint function; avoiding contact sports or activities that might stretch joints beyond a healthy range of motion; and taking special care of skin wounds.
Massage and bodywork are appropriate for people with EDS as long as the cardiovascular system is healthy and hypermobility of the joints is respected. The delicacy of the skin also might be an issue, and these patients are prone to bruising. As my correspondent experienced with her client, the muscles that cross hypermobile joints are likely to be excessively tight, as they take on the duty of joint stabilizers. Stretching joints (especially hips and shoulders) to the full extent of their range is probably not appropriate, and care should be taken for how clients are positioned on the table to avoid stressing these areas.
Massage certainly will not reprogram defective genes so connective tissue becomes stronger. However, if it is carefully applied and limitations in range of motion and skin health are respected, it can be a wonderful additional strategy to deal with the chronic joint pain and muscle spasm that frequently accompany this disorder.
For next time: The floor is open. We could look at other connective-tissue disorders related to genetic mutation, like Marfan syndrome, muscular dystrophy or osteogenesis imperfecta. Or we could pick up an entirely new topic - it all depends on what shows up in my inbox. So let me know: What's on your table?
Click here for previous articles by Ruth Werner, LMP, NCTMB.
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