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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
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.
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...
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
April, 2015, Vol. 15, Issue 04
If You Bet the Ranch, You Might Just Lose It
By Ralph Stephens, BS, LMT, NCBTMB
Did you know that the effectiveness of massage on muscle tissue is about to be decided? Oh yes, and by real research. Woo-Woo! No wait, woo-woo wouldn't be real research, or would it? It certainly is in the case of the pseudo-science of meteorology.Of course, we all know by now (because we've been told) that research is the only way to the "truth" of something. (Except in the pseudo-science of meteorology!)
If it can't be measured and proven by a double blind controlled study, then it is poppycock or that dreaded anecdotal evidence over thousands of years, which of course means nothing because the research cartel didn't make any money off of it. Or worse, the anecdotal evidence contradicts the "Central Dogma" or a cash flow.
But fear not – athletic trainers at the University of Kentucky have set out to prove whether or not massage is effective on muscle tissue. So, true to form, the ATC's at UK have built (or had built for them) a fascinating machine to do "massage" on muscles. They are really excited to finally be able to prove whether massage works or not and feel their research will shed light on whether massage can speed up muscle repair after exercise or injury. This could be huge. Rock-on, UK!
But wait, if they prove that the machine's roller running over the skin covering a muscle does speed up muscle repair, have they validated massage? Not at all, they have validated a roller machine. Do you think this study might cause more people with muscle injuries to be prescribed massage therapy? More likely, the company that built this machine, or (if built by the University's fabrication department) some company who does build machines and gets or buys the rights will be endorsed and machines will be used for the therapy. After all, that is all that was validated by the research.
The beloved "evidence" would be that the machine achieved "X" and the hands-on massage therapist (you) might get some "trickle down" if the research is positive for massage. What if the massage machine doesn't make a positive difference? I can guarantee you massage will be discredited and the media hype will be huge.
Will this research prove anything about the effectiveness of manual massage done by a trained human? Not really. Their little roller machine might come close to duplicating the effect on tissue of a small hand doing effleurage ... oh, excuse me a gliding stroke. If they have gotten fancy, it might have some ability to approximate vibration. But it will not tell if deep friction, petrissage, sustained/static pressure and all the combinations of strokes, movements, stretching, etc. have a positive effect or not.
Further, part of massage, a very important part by the way, is the interaction between the therapist and the patient. That dreaded interaction that research has such a time with. That transference of "energy" that the evidence based crowd so despises which occurs in a massage. That interaction, that adaptability, that constant interaction with the patient's tissues that a skilled therapist does naturally, and that poorly trained therapists seldom figure out as they push oil around. A very real problem with massage research is – what skill level of therapist is doing the researched massage? What good is research that proves a highly skilled therapist can accomplish "x" with massage and then the majority of practicing therapists cannot duplicate it? Likewise, if a study is done using inexperienced therapists or perhaps students, the results could sell the potential of massage short.
Am I against research? Absolutely not. I am a founding member of the Massage Therapy Foundation and have contributed to their research efforts. I am fascinated by research and there is a lot to be gained by it. However, those who are betting the ranch on massage becoming validated by research and thus "accepted" by the allopathic cartel (that's MD's and hospitals) are going to lose the ranch. It is the public we need to reach and be accepted by. It is their demand that might get us into the allopathic system. They are much more impressed and responsive to testimonials of success and how massage can benefit them than they are of research proving some minutiae.
Click here for more information about Ralph Stephens, BS, LMT, NCBTMB.
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