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.
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.
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.
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.
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.
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?
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."
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.
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.
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.
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).
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.
News in Brief
A Comprehensive Model of Spine Care; Dr. Christine Goertz Appointed Vice Chair of PCORI Board of Governors.
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.
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:
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?
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.
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.
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.
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."
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.
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.
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.
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.
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.
May, 2013, Vol. 13, Issue 05
Pediatric Massage for Healthy Childhood Development
By Tina Allen, LMT, CPMMT, CPMT, CIMT
"Mommy, my tummy hurts!" This is commonly heard in many households throughout North America everyday. Childhood abdominal pain has many different characteristics and can be dull, sharp or feel like cramping.Recurrent abdominal pain in children is one of the most common physical complaints heard by pediatricians. However, only about one in twenty is found to have a physical explanation for the symptoms. Pediatricians judge severity based on whether children stop playing or not, and how their eating and bowel habits change. There are many different causes of tummy aches, but the most common include dietary, overeating, common illness/flu, anxiety, stress, over scheduling and psychosomatic causes.
Parents have a variety of options to address their child's stomach aches and many find themselves waiting in an emergency room in the middle of the night trying to find out the cause. While a trip to the hospital is valid when you have a major health concern, pediatric massage can be very beneficial in many cases, and let's them skip the trip to ER.
About Pediatric Massage
When we speak about pediatric massage, one of the first thoughts is that this may be a modality utilized for children with special healthcare needs, in a hospital or other healthcare setting. As much as pediatric massage can be safely applied for many childhood diagnoses, pediatric massage isn't only applicable for involved medical conditions. There are many common discomforts associated with childhood that can be addressed by the use of nurturing touch. Research suggests pediatric massage therapy can help children to sleep better, enhance their body image and calm their behavior.
Nurturing touch is essential in promoting physiological, neurological and psychological development and function, and meets the need for tactile stimulation. Touch therapy may provide comfort, relaxation, reduction of stress hormones and relief from chronic conditions such as asthma, nausea, constipation, headaches, muscle aches and growing pains. Many children who receive massage therapy may also experience additional benefits including enhanced pulmonary and immune function, enhanced body image, increased bonding and attachment, healthy sense of boundaries and an overall sense of well being.
Children have different physical, emotional and developmental needs than adults, which is why children's massage is specially designed to address individual childhood considerations. Massage can also be useful in targeting discomforts specific to children and can be very helpful in easing common aches and pains associated with sinus and chest congestion, stomach aches, eye fatigue and ear aches.
Connecting with Children
Massage is adapted for each individual child client on a specific case-by-case basis. With each child, it is important to build a rapport and trust in your professional relationship. You will practice and learn to ask permission effectively and understand both verbal and non verbal cues. Having the child's permission prior to beginning massage establishes respect and understanding of the benefits of healthy touch.
Each child needs to know they can trust you and that you will listen to their requests. Learn how to explain massage to children in age appropriate language. By learning to appropriately ask permission prior to massage, you'll encourage children to develop healthy boundaries and become more secure as they grow older. It is very empowering for a child to have the ability to direct their therapeutic session, and at times even refuse it. Once they trust you, they can relax and just feel the many benefits of the massage.
When introducing nurturing touch to children, it may be beneficial to use names for massage strokes that children can relate to. Use words that may help to describe feelings associated with tactile stimulation such as hugs, rain and marching. You may use the technical names for your massage techniques, but this may be more confusing to children. Using language they understand makes communication much easier and more effective.
Finding a Comfortable Setting
Providing touch therapy for healthy children may not mean working in a hospital or healthcare environment, but rather in your own private practice. Many massage therapists work in their private setting and so, considering adding pediatric massage to this practice makes perfect sense.
You should consider setting up your practice to be more inviting to child clients. With some adjustments, most private practices can be excellent settings for pediatric massage. Consider if the room is inviting to children and offers some different options for where to receive the massage session. Many children do not wish to lie on a massage table, but would rather sit in a chair, on a mat on the floor or, on occasion, hide under your table. Either way, finding the best way to make your client comfortable is key.
Some children may feel more comfortable if you make a house call. This could involve packing up a therapy mat or table, some tactile toys and linens. However, look at this as an adventure is not only your learning to connect, but teaching a child that their comfort is to be respected. When working with children, we are now establishing life long clients for the future.
Click here for more information about Tina Allen, LMT, CPMMT, CPMT, CIMT.
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