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.
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
"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.
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.
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.
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.
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.
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?
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.
Does Dairy Cause Dampness?
The topic of dairy consumption was brought up at a scalp acupuncture seminar I recently attended.
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.
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.
The Certified Practitioner
Certified Chinese herb practitioners often identify themselves with the credentials "LAc" (Licensed acupuncturist).
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.
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.
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.
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.
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.
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:
CBD for Athletes: The Advantages of Cannibidiol
For athletes, pain is often part of their sport or activity. And to a certain extent, it is to be expected. However, after pushing themselves to the limit, soreness and fatigue set in, hampering their ability to perform and recover.
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.
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.
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.
#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.
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?
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.
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.
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).
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.
May, 2009, Vol. 09, Issue 05
How Often Do You Get A Massage?
By Sharon Puszko, PhD, LMT
When was the last time you received a massage? This is not a rhetorical question; I really want you to answer this question for yourself. If you have to pause to think about the answer, then chances are you have gone too long without one. I know our lives are rather full between tending to clients and family, running errands, paying bills, and everything that comes with managing a household. But, as the saying goes, one cannot heal others unless they first heal themselves. Taking care of yourself is just as important to a massage therapist as taking care of your clients.
Remember all the reasons massage is valuable for your clients? You share with them how massage can help to alleviate joint and back pain, manage fibromyalgia and migraines, speed recovery from injury, increase blood circulation and manage stress, etc. Well, all of these reasons apply to you as well. While we all enjoy the laying on of hands, we can't experience all the benefits of a massage vicariously through our clients: we must lay our hands down once in a while and let someone else do the work so we can practice what we advocate.
In order to best serve your clients, it is important to keep in touch with how receiving massage feels to you. Without regular massages, we can easily lose perspective on how issues of touch affect a client in terms of pressure, temperature, and the frequency of repetitive strokes. Weekly or monthly massages allow us to experience new techniques or ways to modify existing ones for a certain group of clients. For example, as a specialist in geriatric massage, I find it helpful to trade massages with colleagues who work with other modalities.
Getting a massage is also important for us as practitioners because it helps prevent injuries common to the profession, such as repetitive stress injuries, muscle strains and carpal tunnel. This advice sounds familiar, doesn't it? I am sure you have mentioned this to more than one of your clients in the past several months. Now it is time to listen to your own advice! Just like athletes, our body is our tool and our work depends on it functioning well. It is for this reason that we must care for our bodies/tool with the same degree of intensity that dancers, swimmers, and runners do.
In a recent survey I gave to students at the Daybreak Geriatric Massage Institute, only 6 percent reported that they receive a massage once per week with the majority responding that they receive a massage 6 times per year or less. The main reason respondents gave for not receiving regular massages was that they cannot afford it more often. Ideally, we should be receiving a massage weekly; if that is not possible than we should strive for a massage every other week. Here are some common reasons given for not receiving regular massages, as well as some suggestions for overcoming these obstacles:
I do not want to spend the money. I have to respect this response. Many of us may have experienced a change in our clientele recently, and we must adjust the way we manage our finances accordingly. If you do not feel comfortable spending money on a massage, please consider trading with someone. Probably the most common person to trade with would be another massage therapist. However, if that is not an option for the therapist you like (e.g. he or she only accepts cash), perhaps another form of trade would free up some money to get a massage from the person you prefer. For example, maybe you could trade a massage for a haircut, yard work, babysitting, marketing opportunities, or something else. By not spending money on these other things, you would be able to put aside the money needed for a massage.
I have not found a practitioner with whom I want to trade/pay. The Internet is a wonderful tool for finding people with similar interests. Visiting local massage schools is a great way to connect with fellow practitioners. Check the free daily papers for events related to massage, or postings from local massage therapists. Word-of-mouth also goes a long way, so the more people you talk to, the better chance you have to meet other therapists. Once you start finding people, it is simply a matter of trial and error until you find a practitioner whose work you enjoy, and with whom you can arrange a form of payment.
I do not have the time. Really? I believe we all have time for what is a priority to us. Yes, we are all busy, especially those of us who are caretakers of young children, aging parents, or other family members. What rings more true is to say "I do not believe receiving a massage is a priority in my busy life right now." I urge you to reconsider, for all the reasons mentioned. Every massage therapist can find one hour (one and a half, including travel time) each week, or every other week, for something that is a priority. Your challenge, therefore, is to re-categorize massage as a priority in your life.
The bottom line is this: We cannot be an effective massage therapist if we do not take good care of ourselves. It is imperative that we listen to our bodies and respond accordingly to its needs. So please, try turning off your ringer, take a deep breath, lay yourself down on the massage table instead of standing by it, and let someone take care of you for a wonderful change of pace towards self-care and being the best therapist you can be.
Click here for more information about Sharon Puszko, PhD, LMT.
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