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.
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 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?
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).
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.
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.
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.
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.
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.
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.
#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.
The Certified Practitioner
Certified Chinese herb practitioners often identify themselves with the credentials "LAc" (Licensed acupuncturist).
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.
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.
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.
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?
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.
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.
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:
"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.
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.
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.
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.
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.
Does Dairy Cause Dampness?
The topic of dairy consumption was brought up at a scalp acupuncture seminar I recently attended.
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.
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
August, 2014, Vol. 14, Issue 08
Using Massage to Ease Traumatic Brain Injury Symptoms
By Tina Allen, LMT, CPMMT, CPMT, CIMT
The Brain Injury Association of America states that traumatic brain injury (TBI) is the leading cause of disability and death in children and adolescents nationwide. The age groups most at risk for brain injury are newborns through age four and teens from 15 to 19 years of age.Every year, an average of 564,000 children are treated for brain injuries in the emergency room and 62,000 children with brain injuries are hospitalized. This is a staggering amount of children suffering with chronic symptoms that often do not have a definitive treatment in mainstream medicine.
Definition of TBI
There is a big difference between a bump on the head and a traumatic brain injury. TBI is caused by a bump, blow or jolt to the head or a penetrating head injury that disrupts the normal function of the brain. The severity of a TBI may range from "mild," i.e., a brief change in mental status or consciousness to "severe," i.e., an extended period of unconsciousness or amnesia after the injury. The majority of traumatic brain injuries that occur each year are concussions or other forms of mild TBI.
The results of a TBI can affect almost every aspect of the child's life. Ongoing issues arise through development, many times children appear to look okay and are assumed to be so, but it is not uncommon for educational, behavioral or social problems to emerge years after an injury. With the injury in the rear view, it is harder to make the connection between these issues and the past injury.
Developmental delays or issues in development may not be seen until years following the incident, although they were initially caused by the TBI. Unlike adults, children are still developing, making these injuries even more devastating and potentially crippling in the long term. Scientific research has indicated that TBI in childhood can be followed by a significant decrease in cognitive, social or behavioral skills at the time of injury and also by a later "stall" (possibly years later) during which failure to develop cognitive, behavioral or social skills affects learning and the ability to maintain friends, relationships and a career.
After the accident and initial diagnosis, the patient and family must consider a wide variety of treatment options. This has led many of the 5.3 million Americans living with disabilities resulting from traumatic brain injury to use complementary and alternative medicine.
Massage and TBI
Massage therapy has long been used to ease pain, provide comfort and address cognitive and neurological issues. Currently, there are many massage therapists who focus their practice solely on headaches, sports related concussions and other TBI related issues.
In addition to possible complications with a TBI, the practitioner has other concerns outside of simply following the typical known contraindications and precautions associated with pediatric massage therapy. Children are still developing and have not reached their full cognition levels. This can make communication challenging, until you learn how best to communicate with the individual patient. As always, the therapist should seek guidance from the parents and healthcare team on how to best to seek permission and proceed with safe communication.
A detailed health history and medical intake form should be completed by the parents and any questions should be answered before beginning the session. Physicians, other healthcare staff and parents will look to the massage therapists for careful scrutiny of a child's healthcare needs prior to providing massage therapy, and in devising an effective treatment plan. For a child with medical and healthcare related needs, communication with healthcare personnel provides massage therapists with essential information to develop an effective plan and approach for care.
It is best to understand the specific indications for which massage therapy has been sought, and discuss any concerns with the parents, patient and healthcare team prior to beginning the first session. Each session may not be the same as the last, and so it is best to see your patient as an individual that requires an individual treatment plan and approach at potentially each and every session. There is not one protocol that fits the mold for every child, but with a unique approach, there is great potential to make a beneficial difference.
As we continue to see the rates of traumatic brain injury, and head injury rise, it is important that massage and healthcare practitioners research safe and effective approaches for appropriate therapeutic care.
Click here for more information about Tina Allen, LMT, CPMMT, CPMT, CIMT.
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