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.
February, 2015, Vol. 15, Issue 02
Reducing Hypertension with Massage Therapy
By Massage Therapy Foundation Contributor
Contributed by MK Brennan, Beth Barberree & Renee Stenbjorn
Elevated blood pressure has often been called the "silent killer" due to the fact that one may never know that hypertension is a problem until a heart attack or stroke strikes. One in every three adults in developed countries has hypertension, including approximately 50 million adults in the U.S., according to information from 2009 cited in this month's article, "Durability of Effect of Massage Therapy on Blood Pressure," which was published in the International Journal of Preventive Medicine.
Clinicians have known that hypertension is a predictor for an increased risk of cardiovascular disease and myocardial infarction. To help reduce the prevalence of hypertension, there is a new recommendation to increase awareness of and treatment for patients with "pre-hypertension." Pre-hypertension is defined as systolic blood pressure readings between 120–140 and diastolic readings between 80–90. Treating pre-hypertension may be one way to prevent hypertension and is the rationale for carrying out this study.
This month, we present information about a clinical trial conducted through the Isfahan University of Medical Sciences in Iran and published in May 2013. Changing lifestyle and using non-pharmacological treatments for pre-hypertension is recommended by many clinicians. Within these non-pharmacological treatments, complementary and alternative therapies are commonly used with massage therapy being the most popular. There have been studies that indicate massage is effective in reducing blood pressure, but not necessarily over a long period of time. This study explored the sustainable effects of using massage therapy in the treatment of pre-hypertension.
The study was a single-blind clinical trial that used a simple random sampling of pre-hypertensive women. Randomization to either the massage group or the relaxation without massage group was done by having the patients from a cardiovascular center choose a card from a box. On the cards was written either "control" or "test." Inclusion criteria was two separate blood pressure measurements with the average reading of less than 140/90 and more than 120/80, no disease that affects blood pressure, no skin disorders in the massage area, no medication that affects blood pressure, no specific diet, no obesity and no stress or lack of relaxing techniques use. Demographic information indicated that there was no significant difference between the individuals in the test and control groups. There were 25 individuals in each group.
The control group relaxed without a massage in the same environment as those in the test group who received a massage. They laid on a bed with eyes closed and deep breathing with self-muscle relaxation techniques. Blood pressure was measured before and after each session as well as 72 hours after the test period. Both the test and the control group were asked not to change their life-style and diet, and measurements were done with calibrated equipment.
The Swedish massage sessions were scheduled three times a week and lasted 10 to 15 minutes each using non-aromatic lotion on the face, neck, shoulders and upper chest of the individuals. Superficial and deep stroking was used in the massage protocol. There were a total of 10 sessions during which the subject's blood pressure was checked by one of the researches before and after each intervention.
Following the 10 sessions, the results showed that both systolic and diastolic blood pressures were lowered in the massage group immediately after the final session when compared to the control group. Additionally, there continued to be a significant difference between the test and control groups 72 hours after the finishing the study.
The researchers acknowledge that their study has limitations that include the fact that the study subjects were only women and there were uncontrollable variables as the subjects dealt with daily incidents and stress. They also recommend that post intervention, different measurement timelines be explored, which would give a better sense of the sustainable effects of the massage on blood pressure. That said, the results of this study led to a shift in patient care practices to include massage as a suitable non-pharmacological intervention to manage pre-hypertension.
Does this study peak your interest in pursuing research? Do you have a project in mind? Now is the time to look at applying for a Massage Therapy Foundation Research Grant. The deadline is March 2, 2015. For more information, visit www.massagetherapyfoundation.org/research-grants/.
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