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.
March, 2015, Vol. 15, Issue 03
Massage May Contribute to Symptom Improvement for Anorexia Patients
By Massage Therapy Foundation Contributor
Contributed by Beth Barberree, S. Pualani Gillespie and Jolie Haun
Do you ever wonder why there is limited literature on massage therapy and certain conditions, such as anorexia? Research in the field of massage therapy is relatively new, so it's important to examine the effects of massage on different conditions to determine if large-scale studies are warranted.This is why pilot projects, like the one featured in this month's review by Dr. Caroline Smith and colleagues out of the University of Western Sydney, Australia, are so important. This work was published earlier this year in The Journal of Alternative and Complementary Medicine, and found that although patients with anorexia can be a challenging population, massage therapy had a positive effect on their nutritional health and dietary behaviors.
The research team used a randomized control trial to compare the effect of acupuncture with an active control group, acupressure and massage in a population of inpatients with anorexia nervosa (AN). AN is a chronic illness affecting adolescents and adults, with frequent relapses occurring in many individuals and can result in patients needing hospitalization if the patient's weight drops so low that there is a significant medical threat. Treatment aims focus on restoration of healthy weight, normalization of eating behaviours and often involves a multi-disciplinary care team including nutritionists and psychological support. Smith et al (2014), explained that there is a need for new adjunctive therapies that improve the effectiveness of existing treatments and lead to improved outcomes with this patient population. This motivated their current study, "Acupuncture and Acupressure and Massage Health Outcomes for Patients with Anorexia Nervosa: Findings from a Pilot Randomized Controlled Trial and Patient Interviews."
Potential participants were drawn from inpatients at a private hospital who were over age 15 and had an AN diagnosis. Those who were medically stable and met inclusion criteria were briefed along with the medical team about the study, with 26 patients being randomized to the acupuncture group or the active control group. The two groups were similar in their symptomatology, and most were female, in their early 20's, single and living with their parents. Almost 25% had used complementary medicine in the past.
Treatment as usual was administered to 20 participants and the intervention was delivered by qualified practitioners twice a week for the first three weeks, followed by weekly treatment for three weeks. The acupuncture group received acupuncture at five common points and additional points based on the Traditional Chinese Medicine diagnosis. The specifics of the acupuncture application are available in the full article. The active control group received acupressure, with conscious and gradual direct pressure to the center of the point being worked on, and light massage. The massage was applied after the acupressure to the back and shoulders using Swedish massage techniques including effleurage (sliding/gliding) with forearms, fingers, the heel of the hand and the whole hand. Tissue depth was both superficial and deep effleurage, depending on the needs of the participant. The movements included circular, longitudinal and transverse strokes.
The primary outcome measure was body–mass index (BMI), and secondary outcomes included eating disorder psychopathology, anxiety and depression. These were measured at baseline and at six weeks following completion of the interventions. A semi-structured interview was conducted, as well asking questions about their interaction with the practitioner, what happened, how they felt, whether it made them feel differently and what they attributed any change to. Between-groups comparison of the acupuncture and active control groups showed no differences in the primary and secondary outcome measures with such a small number of participants. The data do however show a trend of improvement toward normative levels, as well as clinical improvements in participants' quality of life. In addition, clinical patterns of change pertaining to patient behaviors occurred; in the acupuncture group relating to restraint and eating concern in the acupressure and massage active control.
Analysis of the interviews yielded an overreaching theme of seeking and obtaining therapeutic support, which captures the two subthemes of seeking support and positive response to treatment. Overall, the study was viewed as a positive supplement to the usual care normally provided to the patients. Participants described both interventions positively, reported positive experiences regarding the relationship with their practitioner, and experienced a sense of calmness and relaxation. When asked further about what might have contributed to this, the majority of participants could not separate the practitioner from the intervention, and indicated that both were equally important and that it was the combination that worked. Interestingly, a noted difference between groups was that in contrast to the massage group, the effects from acupuncture were broader as they pertained to greater improvement in psychosocial wellbeing.
The authors recommend further research with additional practitioners to examine the complexity of the interventions and impact of patient-therapist interaction. Additionally, a larger sample of participants would provide for more statistical power to tease apart differences between the experimental groups in the treatment of AN.
With new approaches to treatment of AN needed, this study provides good preliminary support for both acupuncture, and also acupressure and massage, to safely improve well-being for patients. The work also supports previous research that suggests massage may be beneficial in treatment of AN, and that a positive therapeutic relationship between patients and practitioners improves patient symptoms.
The findings of the current study not only support the use of massage therapy with patients with anorexia, but also support the growth of the field of massage in general. How so? As researchers continue to examine the efficacy of massage therapy using pilot research, resources can be appropriately allocated to support large scale studies to study the effect of massage therapy with diverse populations, such as patients with anorexia. Continued publication of pilot and large-scale controlled studies that speak to the effects of massage therapy will contribute to a body of conclusive literature. As such, the field will be supported by evidenced-based practice validated with diverse patient and client populations.
Does this article bring to mind a special population of patients who you think could benefit from massage therapy? Why not apply for a Massage Therapy Foundation Community Service Grant by April 1, 2015. Visit www.massagetherapyfoundation.org for more information.
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