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.
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.
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.
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:
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.
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.
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.
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 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.
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."
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.
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.
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.
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."
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.
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.
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.
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.
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.
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.
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.
News in Brief
A Comprehensive Model of Spine Care; Dr. Christine Goertz Appointed Vice Chair of PCORI Board of Governors.
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?
January, 2013, Vol. 13, Issue 01
VacuTherapies and the Professional Athlete
By Stacie Nevelus, LMT, CMCE
VacuTherapies can be an amazing addition to any bodywork session, especially when working with professional athletes. I find that professional athletes want deep, effective bodywork to help maintain their bodies so they can compete on a professional level.Whether they need therapy through training, in season or for injury rehabilitation, VacuTherapies techniques provide athletes with a highly beneficial therapy without pain or discomfort. VacuTherapies encompass various cups from a manual pump method to a mechanized vacuum, truly a modern protocol using an ancient tool.
This modality brings various benefits to an athlete. It will increase range of motion, restore and maintain flexibility, release fascia, reduce acute and chronic pain, decrease restriction of movement from micro scarring from old injuries and allow the practitioner to do passive range of motion with cup placement. With routine work, it can enhance performance and help keep these incredibly active professionals injury free.
I use a wide variety of cups with sizes ranging from the diameter of a pencil to 6 inches in diameter. This enables me to address and work on soft tissue in various parts the body in a very specific way. I can use smaller cups to breakdown post-surgical scars or choose to work with the largest six inch cup on an NFL lineman for his back and legs. I can adjust the variable vacuum pressure from the lightest of suction for hypersensitive areas to stronger suction for deeper work. When I introduce these therapies into a session, athletes soon realize the benefits and the difference the modality offers them. It is unlike anything else they've experienced and they respond so quickly that it can simply be one session to become pain free.
One of the biggest benefits I find with using vacuum therapies is that it is such a comfortable treatment for the athlete. A common myth is that good sports therapy should be deep and painful, like the saying, "No pain no gain." When the tissue is prepared with this modality, it sedates the nervous system, allowing the athlete to receive deep applied therapy with ease. The practitioner benefits as well, because it is much less demanding on their body to do the work.
What Athletes Say
Bronson Arroyo, starting pitcher with the Cincinnati Reds says, "When parking the cups, any deep work after that is less painful. It's nice to have an alternative that doesn't crush you. Moving the cups around slowly, pulls tightness out of an area." David Baas, starting center with the New York Giants says, "I have always been used to someone digging their elbows into me to relieve my muscle tension. That changed with massage cupping. It opened my eyes to whole new idea of massage. Its unique ability to get results with less pressure is a bonus all around for patient and therapist. It has helped me extend my career and I would recommend it to anyone."
By simply gliding the cup over soft tissue, VacuTherapies create vasodilatation almost instantly, bringing oxygen rich blood and nutrients to the muscle and tissue. This results in life and vitality in otherwise stagnant tissue. Adam Jones, center fielder with the Baltimore Orioles and two time All-Star and Gold Glove award winner, describes the work: "The work you've performed on me over the last three years has helped me increase the amount of games per season. I honestly have felt better and healed faster with the cups. Massage with cups are big-time body flushes and make me feel fresher. It gives me my legs back."
By creating this blood flow, it's as if a map is created, showing me where the blood flow is readily available to the tissue. It also shows me the areas that are ischemic. When I see this demarcation, it indicates to me that there is possible adhesion, restriction or scar tissue. I simply use this information to help me work more specifically with the athlete to address their areas of concern, to free up the tissue and to get them optimal performance and always feeling at their best. In addition to blood flow being brought to the tissue, I am able to draw out inflammation without adding to it. It also releases debris left behind from old injuries and I am able to open up the body's lymphatic system and clear the debris down to cellular level.
Sometimes athletes get injured on the field due to a sports trauma. With mechanized vacuum therapies, I have been able to help athletes quickly recover from various injuries or surgeries and get them back on the field. I worked with a professional baseball outfielder in the American League after he completed surgery for a sports hernia he encountered during the season. After talking with him, we decided that his recovery goals could be accomplished with these techniques. We needed to get him moving freely, regain his range of motion and decrease the scar tissue that had accumulated after the surgery to have him back on the field and starting on opening day. We agreed on two sessions per week with vacuum therapies for the duration of spring training. At the first session, the scar tissue present was about the size of a golf ball. By the second session, it had a softened perimeter and was much improved. In approximately five sessions of consistent work, I was able to dissolve the adhesion that had been created after his surgery. I continued the work to keep the surrounding muscles pliable and to ensure that he had his full range of motion and was able to move without hesitation. We were so successful that he was able to join his team on opening day.
When an athlete presents with an acute injury, I like to use the micro magnetic cups during their treatment session. These magnetic cups are amazing at decreasing the hypersensitivity that comes with a fresh injury. The cups allow me to shift the polarity and the PH of the injured tissue. I follow up the magnetic treatment with some simple drainage of the area to decrease the inflammation that has been created from the injury. I find this helps facilitate a quicker healing process for the athlete and get them safely back to work.
One of my favorite areas to treat on athletes is the hips. Whether in training or in season, keeping the hips open is key to performance enhancement with less injury ... no matter what the sport. VacuTherapies can yield profound results as the tissue is released and allows the athletes to have a larger range of motion without the restrictions of the hypertonic muscles. By simply parking the cups over key trigger points and incorporating passive range of motion, the whole gluteal compartment can release in a matter of minutes. Any hands-on work I do after this application is much easier on me as the practitioner, since the tissue is already released, and definitely easier for the athlete to receive the deeper massage work. By working with the cup on the target tissue, the vacuum lifts and creates space between the layers of the tissue. It stretches the fascia and essentially puts a handle on the belly of the muscle.
I had a USA Master's Track and Field All-American athlete come to me complaining of a restriction in her right hip. She was a competitive high jumper and simply had no more spring in her jump. She is a physical therapist and had tried various modalities on herself without success. In the first session, which included massage cupping, I used specific cups and parked them over the trigger points so that she could gain more flexibility and spring. She returned for the second treatment just prior to a national competition and I used a larger cup over the gluteal compartment. What I saw next amazed me because I had never seen it before and I have yet to see it since. There was a large dent in her tissue as it gathered in the cup. This clearly indicated to me the adhesion she had was deep. Healthy tissue will present with a nice rounding in the cup once the vacuum is applied to an area. Later that week, she went on to compete nationally and received several medals in her events. Two sessions with vacuum therapy included seemed to address what was plaguing her for many months and returned the spring back to her jump. By creating the vacuum, we were able to create space between the layers of the tissue. The adhesion was possibly created from an old trauma, or simply the heat created in the exertion of the tissue causing it to fuse together. She continues to come to me as needed, but every time I park a larger cup on her right gluteal area, there is no dent to be found. The adhesion will not return unless new trauma is created.
VacuTherapies allow me to prepare the tissue before using any other massage modality, and can also be used to achieve a desired result without the addition of other work. I enjoy the variety of cups and techniques used to accomplish an array of bodywork that is so highly beneficial for the professional athlete. From training to in season, or in the case of injury, VacuTherapies offer me a remarkable tool for the multi-faceted athlete.
Stacie Nevelus, LMT, CMCE, specializes in therapeutic and sports massage, as well as VacuTherapies. She is a certified educator for ACE Massage Cupping and MediCupping and provides national workshops for massage therapists and other healthcare professionals. Stacie focuses on her private practice in Florida, as well as working nationally with MLB and NFL professional athletes. For more information, visit www.StacieNevelus.com.
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