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.
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 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.
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.
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.
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.
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.
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.
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.
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.
"Don't Crack My Neck": What Do You Do Next?
It's Monday morning and your first new patient of the day, a 35-year-old female, presents with chronic headaches and neck pain. The patient was referred by her primary care provider for evaluation and management without the use of cervical manipulation.
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.
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.
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.
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.
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
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.
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.
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.
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.
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.
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.
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.)
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.
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.
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.
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.
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.
June, 2010, Vol. 10, Issue 06
Heating Up Your Practice Safely: Feedback From Readers
By Dixie Wall, Contributing Editor
After receiving many compelling comments to the two-part series, "Heating Up Your Practice Safely," I was inspired to publish some of the common questions and insightful comments I received. As always, I appreciate your questions and comments and am always open to being educated by my readers.
"Thank you for the much-needed article on safety while using heat during massage therapy. I would just add multiple sclerosis to your list of conditions in which to avoid heat. Though it is considered to be an auto-immune condition, some may not know that and cause great harm. Thank you so much."
Thank you for your response to my article. Multiple sclerosis is an important addition to the list of diseases contraindicated for heat therapies. Multiple sclerosis is a chronic, often disabling auto-immune disease that attacks the central nervous system, which is made up of the brain, spinal cord and optic nerves. More specifically, the body's own defense system attacks the myelin sheath (the fatty substance that surrounds and protects the nerve fibers in the central nervous system) leading nerve fibers vulnerable to damage. The injured myelin forms scar tissue (sclerosis), which gives the disease its name. When any part of the myelin sheath or nerve fiber is interrupted by scar tissue, nerve impulses traveling to and from the brain and spinal cord are distorted or incomplete, producing the variety of symptoms that raise a red flag for heat therapies. Among these are numbness, tingling, weakness, spasticity and unsteadiness of a limb. Fever, hot baths, sun exposure, and stress have all been associated with triggering or exacerbating an attack. Thanks for your contribution.
"I enjoyed your article in this month's Massage Today on hot stone therapy. I practice in Florida and as of March of this year my liability carrier (International Massage Association) announced that due to the increase in claims due to burns, they will no longer cover hot stone therapy. I have talked to other massage therapist with different carriers and they have had the same response. I've also noticed in various spa advertisements that they have dropped hot stone therapy from their ads as well, and one has changed from hot stone to warm stone.
"I have wanted to take a course for some time now but am shying away from doing so because of the change in policy. My question to you is, if the client signs a consent form and ends up with a burn and the therapist is not covered, what the legal ramifications would be. Of course this would have to happen now! Thanks for your input and I look forward to your forthcoming articles."
It appears as though your current massage malpractice insurance policy no longer meets your individual needs. I don't give legal advice, but I do know it's never wise to gamble with one's livelihood by carrying a policy that does not cover all the modalities you practice. It may be time to switch insurance carriers.
"I think you have pointed out a lot of great things in your article about hot stones. I would have liked to have seen something about the hygiene, i.e., how to care for the stones, cleaning and sanitation, since the stones are kept in the perfect environment for bacteria to flourish."
Thank you for your response. You bring up a crucial issue. Due to the increase in bacterial and virus outbreaks over the last decade, the Centers for Disease Control & Prevention (CDC) has put a major emphasis on hand washing and routine sanitary procedures, especially in health care settings. Hospital and clinical settings are a major cause of the spread of many of these "super bugs." Unlike the common cold or a flu virus, these new super bugs spread by direct skin-to-skin contact or with contaminated objects. Carelessness or lack of proper sanitation procedures may make the massage therapist a perfect route for transmission of infection.
According to the South Carolina MRSA Infection Protection Act: "Methicillin-resistant Staphylococcus aureus (MRSA) is a common staph infection which is resistant to many antibiotics and which is increasingly prevalent in health care settings. A study published in the 2007 issue of the Journal of the American Medical Association, found that MRSA infections occur in approximately 94,000 persons each year and are associated with approximately 19,000 deaths; approximately eighty-six percent are health care associated."
In our practices, we have an obligation to ensure each client is protected from these "super bugs" with the safest routine clinical procedures. Different practitioners have their own unique way of sanitizing and/or cleaning their stones and massage tools. Some boil their stones in salt water or wipe with alcohol, others scrub the tool with soap and hot water. I've even heard of therapists using the dishwasher to sanitize the stones. With all the different methods of sanitation what is the safest standard procedure?
One of my teachers, Jenny Ray at Sacred Stone Therapy, has provided me with the latest information on sanitary procedures from the Geothermal Therapy Association (GTA). According to Ray, "The CDC has recently approved GTA recommendations as sufficient for protecting the client from H1N1, HIV AIDS, MRSA and other staph infections. The recommendations are as follows:
Stones should be washed as soon as possible after treatment, as the longer the oils and bacteria stay on, the harder they may be to remove. The critical issue is that the antiseptic routine must be done between each individual client. For more information, refer to the GTA Web site at www.stonewalkersassociation.com which will soon be moving to www.geothermaltherapy.com.
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