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:
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.
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.
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.
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.
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.
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?
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.
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.
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.
#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).
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.
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.
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.
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.
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.
The Hidden Hip in LBP: Critical Screening Tests
In 1998, Harvey used this test on 117 elite athletes and found excellent interrater reliability to differentially assess iliopsoas, quadriceps or TFL/ITB tightness.
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).
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?
Does Dairy Cause Dampness?
The topic of dairy consumption was brought up at a scalp acupuncture seminar I recently attended.
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.
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.
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.
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.
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
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.
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.
January, 2015, Vol. 15, Issue 01
Massage Therapy During Childbirth May Reduce Labor Pain
By Massage Therapy Foundation Contributor
Contributed by Derek R. Austin, PT, DPT, MS, BCTMB, CSCS; MK Brennan, MS, RN, LMBT; Jolie Haun, PhD, EdS, LMT
Labor hurts. Labor is an often painful and sometimes long process causing much distress to women during the birthing process.Recent research published in the International Journal of Therapeutic Massage and Bodywork reports on an evaluation of the effects of massage therapy in managing labor pain. The article titled, "Massage Therapy and Labor Outcomes: a Randomized Controlled Trial" was published in December 2012. This randomized controlled trial (RCT) was conducted with pregnant women at the British Columbia (BC) Women's Hospital in Vancouver. Findings indicate massage therapy appears to be an effective pain management technique during labor.
Previous randomized trials have reported reductions in mothers' pain when massage therapy is provided during childbirth. However, these trials have been limited by small sample sizes and using non-massage therapists for the massages, and not all of the results showing effects have been statistically significant.
This study by Janssen et al. is the first published study on labor pain where massage therapy was provided by a regulated massage therapist. In British Columbia, registered massage therapists have to complete two years of massage training and normally work under insurance.
Seventy-seven women participated in this RCT. Thirty-seven women received massage during labor and 40 women received standard care. The standard care group received routine medical care without the massage intervention. The women in both study arms were also able to use non-invasive pain management techniques. There were no dropouts, meaning that all 77 women who began the study finished the study and responded to research follow-up.
Exclusion criteria included co-morbidities or complications during pregnancy. Inclusion criteria included first time term pregnancy, single gestation with the maternal age between 18 and 35. In the massage group, Swedish massage was administered by a registered massage therapist during active labor for up to 5 hours. Women could choose to pause the massage or have it administered intermittently, and massage was stopped if the participant decided to have epidural analgesia. Five hours was chosen as the maximum time that the massage therapist would work with the participant.
The primary effects were based on the timing of epidural analgesia with respect to cervical dilation. The authors hypothesized that massage therapy would lengthen the time before a woman would choose to use epidural analgesia as measured by greater cervical dilation.
The secondary effects were on measures of labor pain and outcome. The authors looked at many factors, specifically contraction pain, length of stages of labor, need for narcotic or other analgesia, cervical dilation at the time of epidural insertion and mode of delivery. There were no adverse effects or events reported in the study.
The researchers found that women in the massage therapy group received epidural analgesia at higher cervical dilation than the women in the routine care group, although they were admitted on average at a less advanced stage of labor. The analysis of variance showed about a 1cm difference, which was not statistically significant. Similarly, pain levels on the McGill Pain Questionnaire were consistently lower in the massage group, but were not statistically significant. This study did show a trend toward a delay in epidural injections, which may result in a reduction of assisted vaginal deliveries and decreased time between the first two stages of labor.
The authors suggest that continuing massage throughout labor might have stronger effects on pain that could be statistically significant. Perhaps massage therapy can further reduce pain once epidural analgesia is given; in this study, massage was stopped if the patient chose an epidural.
While it is the largest study to date of massage therapy in labor, this study still involved only 77 women, just 1% of the approximately 7500 births that take place annually at BC Women's Hospital. Future research should expand sample sizes, which would help identify significant effects of massage therapy to support conclusive findings of the effects of massage in this context. It would be very interesting to see what the overall effects would be if a hospital were to provide massage therapy during even 10% of annual births.
In the current study, 60% of women asked to participate were willing to receive massage therapy during labor, indicating that massage is well-accepted by women giving birth. There were also no cases of a woman or her support person(s), nursing or the medical staff asking the massage therapist to discontinue treatment.
This research demonstrates that massage therapists can effectively integrate into an obstetrics healthcare team to provide pain relief during childbirth. This research provides implications for the continued growth and application of massage modalities in the role of health care.
If you are interested in performing research like this study on massage and labor pain or on any other topic, check out the Research Grant Contest from the Massage Therapy Foundation. The MTF will be awarding up to $30,000 for a one-year project period. For more information, visit www.massagetherapyfoundation.org/research-grants/. The deadline to apply is March 2, 2015. Research is funded by the Massage Therapy Foundation by help from your donations.
The MTF has ongoing efforts such as this monthly review to support research literacy among massage therapists. Please consider donating to MTF to support these continued efforts to promote research literacy among massage therapists. To learn more about the effects of massage therapy, you can review the Massage Therapy Foundation article archives, read accepted MTF Research Grant abstracts, or search PubMed for massage therapy studies.
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