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.
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.
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 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.
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.
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.
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.
News in Brief
A Comprehensive Model of Spine Care; Dr. Christine Goertz Appointed Vice Chair of PCORI Board of Governors.
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?
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.
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.
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.
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.
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.
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.
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).
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.
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.
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?
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.
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."
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."
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.
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.
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/.
Click here for more information about Massage Therapy Foundation Contributor.
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