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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
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.
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.
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.
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.
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.
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...
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
October, 2009, Vol. 9, Issue 10
Hydrotherapy: Water, Water, Everywhere
By Judith DeLany, LMT
Water is indisputably the most essential nutrient for the human body. Adults are composed of approximately 60 to 65 percent water, with somewhat less in elderly and much more in infants. In Job's Body, Deane Juhan jokingly quotes, "A human being is a container invented by water so that it can walk around."2 It is not surprising that the therapeutic application of water - in any of its many forms - is enjoyed throughout the world.
Hydrotherapy is almost as old as the hills from which the water runs. In fact, it has been historically accounted in a number of ancient civilizations, including Russian, Turkish, Chinese, Greek and Native American. Although it serves as a safe, effective and inexpensive treatment, hydrotherapy in modern times is often overlooked as a powerful healing tool.
Massage therapists classically use water therapies in their practices. Hot or cold packs, ice massage, steam (cabinets and rooms), and the massaging jets of a hot tub are just a few common hydrotherapies. Sheet wraps, cold and warming compresses, neutral baths, local immersions and soaks that contain minerals, such as magnesium found in Epsom salts also offer significant benefits.
Heat-based applications engorge the tissues with blood, while cold treatments reduce local swelling and congestion. In Water Therapy, Chaitow notes that while short applications of cold increase circulation, longer applications of cold (more than a minute) reduce the flow of blood to the area by contracting the local blood vessels, and depress circulation and metabolism.1 A short duration of heat increases blood flow with vessel dilation while a longer duration depresses circulation and metabolism drastically. Alternating hot and cold for short durations produces a circulatory interchange, improves drainage and increases oxygen supply to muscles, skin and organs. Chaitow suggests that the final application be cold so as to avoid leaving the tissues in a state of engorgement (potentially leading to congestion).
Practitioners can benefit from self-application, whether this is cold to calm inflammation, heat to increase blood flow to ischemic muscles or contrast hydrotherapy. Plunging the hands and forearms into bins of tolerably hot and then very cold water eight to 10 times, can have extraordinary benefit for these overused (and usually under-treated) muscles. After contrast hydrotherapy, the muscles can be more easily massaged and stretched. This technique requires only a little preparation and very little expense. You will need:
Common sense contraindications include avoiding heat applications on swollen or inflamed tissues, recent wounds and acute injuries. Cold should be avoided on those who are cold-intolerant (as in Raynaud's disease) or who have moderately poor circulation.
One extremity at a time can be treated or, if the pans are large enough, both can be done simultaneously. It is also possible to put one arm in the cold bin while the other is in the hot, then switch them to contrast the temperature. However, be prepared for unusual sensations, as the body is not accustomed to receiving mixed signals from thermal receptors.
Fully submerge the arm in the hot water for two to three minutes. Switch to the cold water and hold there for a similar time. Continue alternating between hot and cold for two to three minutes each. If massage therapy is to be used, the session may end with hot water. The massage strokes will provide a final drain of the tissues. If no massage is to be performed, it is best to end with cold to avoid producing congestion.
Contrast hydrotherapy can be a significant treatment all by itself or it can be a precursor to superficial and deep tissue treatment of the muscles. The muscles can also be stretched much more easily and with less discomfort after contrasting the temperature.
Judith DeLany serves as director of NMT Center, writes textbooks for Elsevier Health Sciences, and lectures internationally in the field of neuromuscular therapy. For more information regarding her work, visit www.nmtcenter.com or call toll-free at (866) 571-7942.
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