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.
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.
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.
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:
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.
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.
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.
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.
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.
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).
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.
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.
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.
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.
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."
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?
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."
Acupuncture is a Science-Based Medicine
A longstanding patient of mine came in for a routine treatment after she recently began seeing a chiropractor for neck pain. She saw him a couple of times and wasn't getting the relief she had hoped for, so he recommended she let him do dry needling.
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.
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?
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.
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.
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.
News in Brief
A Comprehensive Model of Spine Care; Dr. Christine Goertz Appointed Vice Chair of PCORI Board of Governors.
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.
March, 2008, Vol. 08, Issue 03
Medial Wrist Pain
By Ben Benjamin, PhD
Question: If passive radial deviation causes pain on the medial side of the wrist, what structure is likely to be injured?
Answer: The ulnar collateral ligament of the wrist.
The wrist joint is located at the junction where the bones at the base of the hand meet the two long forearm bones, the radius and the ulna. The small bones of the wrist are uniquely shaped and fit together like a jigsaw puzzle in two rows of four bones each. The row closest to the fingertips is called the distal row; the row nearest to the forearm is called the proximal row. These bones are joined to one another and to the radius and ulna by an intricate network of ligaments. The ligaments provide stability while allowing movement among the individual wrist bones and between the wrist and arm bones.
The ulnar collateral ligament of the wrist, also known as the internal lateral ligament, is a fibrous band of tissue located at the medial side of the wrist. (Be careful not to confuse it with the ulnar collateral ligament of the elbow, an entirely separate structure.) This ligament attaches at the styloid process of the distal ulna and inserts primarily on the triquetrum bone, with some fibers running to the pisiform and hamate bones. It functions to protect the wrist joint by limiting radial deviation (i.e., the side-bending movement of the wrist toward the thumb).
To assess the wrist for damage to the ulnar collateral ligament, grasp the forearm a few inches above the wrist with one hand and grip the medial part of the hand with the other. Stretch the ulnar side of the wrist by moving the hand laterally toward the thumb side, while stabilizing the arm with your other hand. Be sure the client's hand is relaxed. Note whether this produces discomfort at the medial side of the wrist. If it does, the ulnar collateral ligament is likely to be injured. (It is also possible for pain in this region to be caused by a fracture of the triquetrum bone or the styloid process of the ulna, so be sure your client sees a physician to rule out those conditions.)
Although injuries to the ulnar collateral ligament may occur throughout the ligament, they most commonly occur at the attachments - and primarily at the origin. To locate the ligament origin, place your thumb or index finger against the styloid process at the distal edge of the ulna. To locate the distal attachment, move distally to the attachments at the triquetrum and the pisiform bones.
The most common cause of ulnar collateral ligament injury is sudden or repeated trauma. Sudden trauma to the wrist often occurs when we try to protect ourselves by extending our hands to break a fall. Jobs or activities that require using the wrist in repetitive actions for many hours each day (long hours working on a computer, for example) make this area vulnerable to injury. Injuries also can result from performing the repetitive motions involved in playing an instrument without adequate rest and recovery.
Ulnar collateral ligament injury is common in karate students who practice hitting objects with the medial surface of the hand. It is also a frequent problem in massage therapists, drummers, carpenters, construction workers, house painters and athletes who use their wrists in stressful positions.
Click here for more information about Ben Benjamin, PhD.
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