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.
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.
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.
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.
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?
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.
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.
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.
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.
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.
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.
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.
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.
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."
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.
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.
News in Brief
A Comprehensive Model of Spine Care; Dr. Christine Goertz Appointed Vice Chair of PCORI Board of Governors.
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.
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?
ACA Champions H.R. 7157; ICA Voices Major Concerns
While the American Chiropractic Association recently penned an open letter – signed by not only the ACA, but also the Congress of Chiropractic State Associations, Association of Chiropractic Colleges, Clinical Compass and a number of state associations.
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).
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.
When Computers Cause UCS: Adjusting Strategy
With the widespread use of mobile devices such as smartphones and tablets, the incidence of "text neck" has reached almost epidemic proportions. But there is another challenge to the spinal health and well-being of our technology-driven society.
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.
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."
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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