Multichannel Access: Software for a Better Customer Experience
It is no secret that today's consumer has high expectations when it comes to how and when they can contact a business. In fact, one of the reasons clinic management software has become so popular with acupuncture practitioners is they allows customers to book appointments and make payments online day or night.
The Benefits of Going Paperless
The benefits of going paperless in your practice are profound. If you haven't done it yet, here's why you should.
That's a Wrap: Compression Bands for Contemporary DCs
Over the past decade, compression bands have been increasingly utilized in trainer and manual therapy offices. I was first introduced to the compression band by Kelley Starrett, author of Becoming a Supple Leopard, and have since been using it as a teaching tool.
Possession: Blocks to Healing
Before we can approach treatment of a patient's primary elemental imbalance (AKA "Causative Factor" or "CF"), a number of specific energetic blocks must be considered and, if present, removed in order for treatment to be effective. I cannot emphasize this enough.
Time-Saving Tips for Your Practice & Life
Of all the finite resources we possess, perhaps the most valuable one is time. There never seems to be enough time to accomplish everything that must be done, and all too often we sacrifice things in our personal life to meet the demands of our practice.
An Update From the Acupuncture Now Foundation
Since launching the Acupuncture Now Foundation (ANF), our volunteer leadership has continued to work to achieve our vision of "Creating a World Where the Benefits of Acupuncture are Known and Available to All.
Vaccine Injury? The Autism Debate (Part 2)
As suggested in my first article on this topic [August 2018],1 my impression is that the vaccine authoritarians and radicals have not helped to mold a proper social / political environment for addressing the issue of vaccine injury.
The international standardization conference was held this year in Shanghai, China (June) - this was the ninth plenary session. Meetings for technical committees, or working groups also took place at the conference.
Easy, Inexpensive Tools for a Successful Practice (I Promise)
Successful practitioners are the ones who know how to run a business, first and foremost. I became a licensed acupuncturist in 2006. After having worked in chiropractor's offices for nine years, I opened my own office in 2015: four treatment rooms, a back office and a waiting room.
Depression & The Secondary Vessels
As an acupuncturist I see many people suffering from depression. I often think depression is the major imbalance of our culture. I have a patient I've been working with for several years. Her major challenge is chronic stubborn depression.
Bringing Acupuncture to Ohio
The jolt of seeing a woman conscious and talking during surgery left a lasting impression in 1971 when acupuncture was on the national news.
A Historic First for Chiropractic Assistants
The New Jersey State Board of Chiropractic Examiners will begin issuing licenses as early as Nov. 1, 2018 to chiropractic assistants who have undergone a 500-hour training course and passed a competency exam.
Your First Impression Always Deserves a Second Chance
Doctor, have you ever had a patient you just couldn't "warm up to"? You know, the kind of patient who "irks" you, who has a hidden agenda to get something you haven't anticipated, perhaps causing you to want to hide in a closet when they come in for treatment.
Food for Thought: An Examination of Diet & Digestion
Even an acute poison can become an excellent drug if it is properly administered. On the other hand even a drug, if not properly administered, becomes an acute poison. — Charaka Samhita
Chiropractic Management of Patellofemoral Arthralgia
Patient reports with pain in the front part of her right knee, especially during and after her weekly Zumba class. She states there has been no injury of which she is aware. No outward sign of injury is observed.
X-Ray: To Be or Not to Be - That Is the Question
For the past year, I have been asked by many practicing chiropractors, college presidents, faculty and others what my opinion is on the "Choosing Wisely" guidelines the American Chiropractic Association (ACA) recently adopted for its members.
The Origin of Blood
The Roman doctor, Galen, (2nd century AD) did pivotal work to prove that blood, which he thought was produced by the liver, and the cardio vascular system existed. He conceived that the arteries and veins were two separate networks.
Travel-to-Treat Coverage Finally Becoming a Reality?
Long-awaited legislation poised to hit the president's desk extends liability insurance coverage from one state to another for DCs and other state-licensed health care professionals who care for athletes / athletic teams that cross state lines.
Working for Someone Else: Know the Rules of the Game
Many of us decide to become acupuncturists because we are healers at heart and want to focus on treating patients, not because we want to own and operate a business. So we work for someone else, which can have great advantages, especially as a new graduate.
The Importance of the Scapulohumeral Rhythm
The shoulder has the greatest range of motion of any joint in the body. What is often overlooked in shoulder mechanics is that motion in the shoulder is not purely at the glenohumeral joint.
Lead Patients to the Fountain (and Foundation) of Youth
We're all seeking the fountain of youth and marketers are capitalizing on it. (Global demand for anti-aging products, treatments and services was valued at 140.3 billion in 2015, according to Zion Market Research.)
It's Time to Reward Yourself
An interesting study recently published in the Journal of the American Heart Association (JAHA) confirms what we all learned when we were children – and serves as food for thought as to how you can improve your practice and your personal life.
The Science Behind the Efficacy of Cosmetic Acupuncture
The beauty industry continues to boom and grow constantly, from topical creams, lotions and potions all the way to cutting edge cosmetic surgeries.
Support Patients With Multi-Channel Customer Service
It's no secret that today's consumers have high expectations when it comes to how and when they can contact a business. In fact, one of the reasons clinic management software has become so popular is that they allow patients to book appointments and make payments online day or night.
UHC Up to Its Old Tricks With Latest Headache Policy
A decade ago, UnitedHealthcare announced changes to its chiropractic services policy that declared manipulative therapy for headache unproven and ineligible for reimbursement.
Neck Pain: Activation Exercises
In observing patients and studying rehab, I have learned that tight muscles are weak muscles and that stretching is sometimes less effective than muscular activation. There is a delicate balance between joints that move too little and joints that are hypermobile.
More Access to Chiropractic Instead of Opioids: H.R. 5722
With the opioid epidemic both an ongoing public health crisis and a hot topic extending well beyond the health care industry, Congress continues stepping up to the plate.
A New NCCIH Director ... One That Backs Acupuncture
The third time is a charm—the National Center for Complementary and Integrative Health (NCCIH), a division of the National Institutes of Health (NIH), announced it's newest director, Dr. Helene Langevin.
September, 2015, Vol. 15, Issue 09
Recovering and Returning to an Active Life After 60
By Don McCann, MA, LMT, LMHC, CSETT
In my previous column, I wrote about people over 60 with injuries, surgeries or joint replacements who want to maintain or regain their active lives. Now we'll look at those over 60 with major health issues or failed surgeries who want to recover their maximum potential for an active life.
Molly, a 73-year-old retired business owner, was diagnosed with Rheumatoid Arthritis (RA) and was told by her orthopedic surgeon and rheumatologist that she needed double knee replacements and hip replacements if she wanted to continue to walk. An MRI showed bone degeneration in both knees and hips along with a torn meniscus in the right knee and a ligament tear in the left knee. The surgeons were pushing for the knee replacements as soon as possible as she was in a lot of pain and hardly able to get around.
Jack, a 76-year-old golfer, had been unable to play golf for two years. He was diagnosed with stenosis in his low back and had surgery to enlarge the foramen where the spinal column passed through. Before surgery, he was able to play golf and walk but would be in pain for several days afterwards. After the surgery, his pain doubled, he could not play golf, and there were days when the pain was so bad that even with medication he felt he couldn't walk. MRI's revealed three bulging discs in addition to stenosis. The surgeons didn't want to operate again because the previous surgery had such negative results. Jack came to the office in a motorized wheel chair and was willing to do anything to get out of pain and walk. He was afraid he wouldn't play golf again.
George, an 81-year-old retired executive, injured his right knee in his 40's and had a knee replacement after a long struggle and numerous surgeries. After surgery, George couldn't flex his lower leg more than 10 degrees. He had several procedures where his leg was placed in a machine that forced it to bend which only resulted in more pain and less mobility. George gave up thinking the knee would work properly and limped around with a cane which was now causing him significant low back pain. George wanted to travel but felt he couldn't until he could depend on his leg and walk normally.
Gina, a 76-year-old with osteoporosis, had several vertebral compression fractures and was in severe pain. Even though the compression fractures had been treated with osteoplasty, the severe pain remained. She was also severely bent over due to the kyphosis and was having trouble with digestion. Gina's chiropractor would no longer adjust her because of her fragile bones, and she was in too much pain to even do water aerobics to strengthen and stand more erect.
All of these clients were in pain either from health issues or failed surgeries and were severely limited in what they could do. Each presented unique challenges, and each wanted to regain maximum quality of life.
Molly told me she had watched her father-in-law go through 10 years of RA and surgeries. She didn't want to live in the pain and misery he experienced. Upon examining Molly, it was obvious that she had a significant collapse of her core distortion. The anterior rotation of her left ilium caused a medial rotation of the knee and lateral rotation of the lower leg. This put pressure on the lateral side of her knee where her ligament was torn and where the MRI showed significant erosion on the bone. This put pressure on the inside of the acetabulum of the left ilium where the cartilage had thinned and the arthritic degeneration was most evident. Her right ilium was rotated posteriorly causing the head of the trochanter to jam into the posterior part of the acetabulum eroding both the bone and cartilage. There was a tear in the meniscus on the medial side of her right knee which was accompanied by bone erosion.
The distortion in Molly's legs was caused by the core distortion, and the RA was most severe in the areas of pressure caused by the imbalances of the core distortion. The Cranial/Structural Core Distortion Release (CSCDR) was applied to bring the iliums out of rotation, equalize her leg lengths, and lessen the distortion in her legs. This was followed by soft tissue protocols to bring the legs further into balance and support, and the iliums further out of rotation. After three sessions, Molly reported that she only experienced about 50% of her previous pain. Upon examination, her iliums showed significant improvement and balance so more attention could be paid to the soft tissue that governed the alignment of the knees. After five sessions, Molly's left knee with the ligament tear was stable and in minimal pain only when she overdid it. Her right knee was pain free except on days when low pressure weather systems were coming through causing pain in the bones from her RA. After 10 sessions, Molly was feeling good enough to start a water aerobics exercise program to strengthen her legs and back. Molly's sessions were scheduled once every two weeks and eventually once every four weeks when she could maintain pain free walking and normal life activities.
Jack was in severe pain the day of his first session. It was difficult for him to stand for a structural evaluation. He had a significant anterior rotation of his left hip and posterior rotation of his right hip along with a severely tipped sacrum. The tipped sacrum resulted in significant lordotic curvature causing his bulging lumbar discs. The rotated iliums created a long leg/short leg imbalance with additional distortions in the legs due to the leg length discrepancy. The CSCDR was applied to bring the sacrum/ilium relationship into weight bearing support, thus leveling the sacrum and reducing the lumbar curvatures which lessened the leg length discrepancy. Soft tissue protocols were applied to further balance the iliums and bring the legs into support and balance. Additional work was done with the muscles directly affecting the lumbar vertebrae.
After three sessions, Jack could walk short distances without severe pain and didn't bring his wheel chair. Jack only had one day of severe pain after the third session which he attributed to picking up a box that was too heavy for him. He was seen weekly for 10 weeks at which time his pain was reduced to 20% of what it had been and he was no longer using the wheel chair. The numbness and tingling going down his legs from the stenosis disappeared and Jack was only in pain when he overdid it putting excessive pressure on his low back. He was seen for 10 more sessions spaced two to three weeks apart. Jack was back to walking and pain free, something he thought might be gone forever. As long as Jack was able to maintain his improved structural alignment, there was no compression on the nerves from his stenosis and bulging discs. He was able to return to playing golf and continue enjoying life. He had occasional treatments to help maintain optimal alignment of his low back.
George showed a significant core distortion with the left ilium rotated anterior, and right ilium rotated posterior. The right leg had significant tension and binding along the medial knee due to the distortion in the leg from the core distortion. The CSCDR was applied which helped equalize the leg lengths lessening the leg distortions. This also took pressure off the medial side of George's right knee. There was immediate improvement in the range of motion and strength in his right leg after the CSCDR. Soft tissue protocols were applied to further balance the iliums and hips, specifically addressing the adhesion, scar tissue and atrophy around the right knee. George noticed changes after every session. After five sessions, he had approximately a 70 degree flexion of the knee. George was able to start walking normally and continued to do stretches and strengthening exercises. His low back pain disappeared when his leg lengths equalized and he stopped compensating for his right knee. After approximately 12 treatments, George was walking normally and in no discomfort.
Gina was in severe pain even after osteoplasty. Structural evaluation revealed a significant core distortion with rotations in the iliums resulting in a tipped sacrum and exaggerated curvatures in her osteoporotic spine. The CSCDR was applied which reduced the rotation of the iliums and leveled the sacrum taking pressure off her spine reducing the exaggerated curvatures including the kyphosis in her thoracic area. The entire thoracic rib cage, shoulders and neck were raised up taking pressure off of the areas of the compression fractures. Additional soft tissue sessions were applied to further release the abdominals that were pulling down on the thoracic area to release the neck and shoulders back. After five sessions, Gina's pain was only about 25% of the previous pain, and she was getting around better than before the compression fractures had occurred. Gina was able to maintain with minimal pain while having monthly sessions for the osteoporosis weaknesses. The structural collapse from the osteoporosis led to the compression fractures, but even after the osteoplasty she was not able to be pain free until structural support was achieved with.
All of these clients spent a lifetime in the core distortion which resulted in conditions that led to a structural collapse causing pain and sometimes surgical intervention. Pain free function was achieved by bringing the body into balance and support integrating the CSCDR with specialize myofascial soft tissue protocols.
Click here for more information about Don McCann, MA, LMT, LMHC, CSETT.
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