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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
April, 2013, Vol. 13, Issue 04
The Danger of Hidden Toxins
By Ann Brown, LMT
As a massage therapist, your job is hands-on wellness. Every client that comes to your massage table wants to feel better, and as a massage therapist, you are trained to use your time with that client to their benefit. If you do your job well, that client will want to come back, but there is always competition ready to turn your client's head. You have to be different – better in a memorable way – than your competition.
As you consider how you develop your brand and what you are known for in your client's mind, think about how the wellness service you offer can go beyond the massage table. Think about how your focus on holistic, natural health can help your client to lead a life of wellness. Sharing knowledge of how to lead a cleaner, non-polluted life at home will give added benefit to your client and may be the differentiator you need to build even tighter guest loyalty and more repeat business.
When the client comes to the massage table, you connect with the guest through the skin, the body's largest organ. The strokes and techniques you apply may provide immediate relief and lingering benefits, but what happens after the massage session is over? Do you ask your client about what is coming into contact with his or her skin? Many hidden toxins linger in everyday products. By educating yourself on research and risks, you can share valuable information on how to avoid toxicity with your clients who seek a higher level of wellness.
The quality of drinking water is a common concern, and you may already be using a filter to eliminate pathogens or contaminants. Your bathing water, however, may also have a negative impact on your health. A chemical commonly used to disinfect public water supply, chlorine reduces the level of pathogenic bacteria in the water we drink, but it may also damage beneficial bacteria in our bodies. Several studies connect chlorinated drinking water with toxicity issues. According to Chris Kresser, an internationally known integrative medicine practitioner, chlorine in your water supply can combine with organic matter to form compounds called trihalomethanes (THMs), also known as disinfectant byproducts. A common THM, chloroform is a known carcinogen. THMs are toxic when consumed, inhaled, or applied to the skin.
Several studies of communities with chlorinated drinking water show concerning results, such as increased risk of bladder, kidney and rectal problems, poor birth outcomes, spontaneous abortion, birth defects and low birth weight, among others. More studies are needed to provide substantial research, but Kresser argues that it is reasonable to assume a harmful relationship between chlorinated water and beneficial intestinal flora. For example, a strong connection exists between asthma, acne, autoimmune disorders and the health of our intestinal flora.
While you may try to protect yourself with filtered water, your daily shower or bath may be allowing the chlorinated water to adversely affect your body's systems via skin absorption. Kresser cites studies from Rutgers University and Kyungpook National University in South Korea to provide supporting evidence that the health risks of chlorine may be related to dermal and inhalation exposure. A single, 10-minute shower equates on average to ingesting two liters of water. Chlorine-filtering shower heads and bath filters will remover chlorine from your water, but be aware that another toxin, chloramine, may not completely be removed by such a filter. Very potentially damaging to the lungs, chloramine may also release ammonia. Whole house water filters address chlorine, chloramine and other toxins, or look for a Vitamin C shower filter – an effective and inexpensive way to remove up to 99 percent of the chlorine and chloramine in your water.
Educating Your Clients
Suggest that your clients check with their local water supply company and ask about the disinfecting agents used in the community water supply. Advise them to pay attention to the toxins that may be entering their bodies via skin absorption and to limit their chlorine and chloramine exposure.
Laundry detergent is also another very common and hidden source of toxicity for many households. A 2008 University of Washington study found that 99 percent of laundry detergents released cancer-causing chemicals – substances deemed as hazardous and toxic by the Environmental Protection Agency. Among the most damaging of these chemicals, nonylphenol ethoxylate is also used as an ingredient in pesticides and, through your skin, can enter your blood stream and cause serious damage to heart and muscle function.
Formaldehyde is also a cancer-causing ingredient found in many detergents and those pleasant fragrances many consumers enjoy are phthalates, which can build up in your skin and body. According to the U.S. Centers for Disease Control and Prevention, phthalates are linked to liver cancer. In addition, the chemicals in laundry detergents may damage your reproductive systems and interfere with your hormones.
You can find simple recipes for homemade laundry detergents on the web (check out www.motherearthliving.com, for example). Making your own detergent saves money, the environment and your health. Make up a batch and give small packets of the powder to your clients as a gift, reinforcing your dedication to their health and your expertise as a wellness provider.
More studies are needed on the subject of toxins in our water and common household products, but based on what we do know, it is wise to protect ourselves from toxicity risks as much as possible. Share your own passion for natural, toxic-free living with your clients and solidify your position as a true wellness provider in their minds.
Ann Brown, a licensed massage therapist, is a member of the International Spa Association's board of directors and serves as spa director at Spa Shiki at The Lodge of Four Seasons in Lake Ozark, Mo. She also provides management consulting services through Spa Insight Consulting.
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