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.
June, 2010, Vol. 10, Issue 06
Tai Chi: A Bridge Between You and Your Clients
By Sharon Puszko, PhD, LMT
Over the past year, I have written quite a bit on wellness opportunities for massage therapists as part of the self-care series in Massage Today. Until I reflected on this, it never occurred to me how many different and interesting ways there are to take care of one's self! A recent visit with a friend of mine, a gerontologist who works at St.Vincent's Hospital in Indianapolis, opened me up to yet another avenue of pursuit for wellness that complements the work therapists do. She shared with me the success she has had with her arthritis patients since starting a new tai chi regiment with them.
I have previously written about the benefits of yoga, and while tai chi is similar, it is more accessible than yoga, as it is a little less demanding on the body. While both yoga and tai chi integrate breathing with body postures and focus on aligning the body and mind, there are significant differences between them. Yoga originated in India, includes schools that are very vigorous, and originally included a spiritual component to the practice. Tai chi is a form of martial arts that originated in China, focuses on aligning the body and mind, and uses solely low-impact movements. While traveling through China, many times I witnessed people in parks practicing tai chi, as well as men in business suits starting out their workday by practicing tai chi in their office.
That being said, my research led me to Dr. Paul Lam, a world authority in the field of tai chi practice and instruction. He is a physician in Australia and has trained over 10,000 instructors across the globe through his Tai Chi for Health program. After answering my questions, I was amazed by the many benefits of tai chi, not only for massage therapists, but also for our clients, especially those who suffer from arthritis. Dr. Lam was such a wonderful source of information.
The following is my interview with Dr. Lam:
How would you describe tai chi to the layperson?
Tai chi originated in ancient China where it is considered a martial art. There is much more to tai chi than one can see, but basically, tai chi consists of slow, continuous whole-body movements, strung together in a form. Like dance, the movements are learned and follow one after the other. The essential principles of tai chi include integrating the mind with the body, fluid movements, controlled breathing and mental concentration. The central focus is to enable the qi (pronounced chee), or life force, to flow smoothly and powerfully throughout the body. Total harmony of the inner- and outer-self comes from the integration of the mind and body. This can be achieved through regular practice.
We know there are many benefits to practicing tai chi. When thinking about massage therapists, and the work they do, what do you think are the most beneficial aspects of tai chi for them?
Treating patients can be emotionally and physically draining for massage therapists. Tai chi can strengthen your mental balance and improve your physical energy as well as your internal strength. It is an excellent way to help therapists revitalize themselves. Once a therapist learns tai chi, he/she can then apply the tai chi principle as they treat their patients. These principles enable the therapist to work with better posture, using more internal energy and causing less muscular strain. This increases the therapeutic effect and minimizes the chance of injury. The therapist can use tai chi principles to regenerate their internal energy so they will not feel as tired as they usually do.
Is it more beneficial for massage therapists to practice tai chi before or after giving a massage?
Practicing tai chi is always beneficial at any time, especially before and after a session with a client. Practicing tai chi prior to seeing clients only takes a short period of time and helps to warm up and stretch the body. After a session, it can help one wind down by restoring physical and mental energy.
Are there different routines to do in the morning and in the evening?
There are many forms of tai chi, and one should choose a form based on individual preference. You can learn many different sets of tai chi or focus on one simple set. Whether one practices the same set or different sets in the morning or evening does not matter. The benefit of practicing tai chi and the key to improving in it is to adhere to the essential principles, which remain the same regardless of which style or set one chooses.
If someone wants to begin tai chi for the first time, where should he/she start?
I believe going to a good teacher, one who is suitable for your needs, is the best way to begin the practice of tai chi. Our instructors for the Tai Chi for Health programs are taught how to teach the program safely and effectively and can be an excellent place to start. Actually, massage therapists are one of the professional groups qualified to learn to teach in our Tai Chi for Health program within a relatively short period of time, so you might already know a colleague who teaches tai chi, and just didn't realize it!
While Dr. Lam believes the best place to start is in a classroom, he also suggested DVDs and books on tai chi for those who cannot attend a class. For more information on Dr. Lam including a list of his intructors, DVDs and books, go to www.drpaullam.com.
Click here for more information about Sharon Puszko, PhD, LMT.
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