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.
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.
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.
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.
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.)
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.
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.
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 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.
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.
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 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.
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.
"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.
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.
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.
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.
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.
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.
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.
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.
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.
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 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.
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.
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.
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.
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.
June, 2008, Vol. 08, Issue 06
The Danger of Mastitis
By Elaine Stillerman, LMT
While flying home to New York from a trip to California to introduce my 6-week-old son to his uncle, aunt and cousins, I struggled with nursing him. It wasn't until two years later, when we got his diagnosis of fragile X, that his failure to latch on and global hypotonia made any sense.
However, my breasts were bursting and I decided to bring my breast pump into the bathroom to fill a bottle and feed my son. I looked around for an electrical outlet and was stunned to find they had all been removed for fire safety reasons. I attempted manual (breast) expression, but that wasn't very effective, and I sat for the remainder of the five-and-a-half-hour flight in agony as my breasts engorged and a fever developed. Luckily, I didn't develop mastitis, but the discomfort was intense nonetheless. (Since that time, I have suggested to my clients they carry a battery-operated pump for such eventualities.)
It's not at all uncommon for women in late pregnancy and/or new mothers to feel their breasts engorge, especially when they first start nursing. When the tenderness becomes painful, a serious breast infection or mastitis might be the problem. Mastitis, or inflammation of the breast, used to be called "milk fever" or "milk leg," and there actually might be a genetic component for susceptibility to this painful condition.
This infection, which generally affects only one breast, usually occurs two to three weeks postpartum, but it might occur after only one week. It's caused by Staphylococcus aureus and Escherichia coli bacteria.1 These bacteria often are carried on the mother's or (hospital) staff's unwashed hands, or in the newborn's mouth.2 The bacteria enter the mother's body through an open, injured area of the nipple, although in some cases there might be no discernible wound.
Engorgement and milk stasis often precede mastitis, so new mothers can start paying closer attention to these warning signs. Sometimes the breasts engorge if the baby misses a feeding, when the baby starts to sleep through the night, or when mom starts to wean the baby. Other causes might be failure of the milk ducts to drain completely, underwire bras or bras that are too tight, as well as maternal stress and fatigue. Any pre-existing condition that lowers her immune system also might be a contributing factor.2
Once mastitis has developed, new mothers suffer with very sore and tender breasts. A red, inflamed spot develops and a red line can be seen that traces the clogged milk duct. Flu-like symptoms, general aches, fever (101.1 F or higher), headaches and chills accompany mastitis. If left untreated, a painful abscess can develop. This occurs 5 percent of the time.8 The milk from the affected breast might taste saltier than usual because there are higher levels of sodium within the swollen, inflamed tissue. The baby might even notice the difference and protest during the feeding.3
Some women misdiagnose plugged ducts for mastitis, although many women who have frequent bouts of plugged ducts often develop at least one case of mastitis. While plugged ducts, which are more prevalent than mastitis, can feel equally painful and require treatment, they don't hurt as much as mastitis and are not caused by bacterial infections. Milk ducts might become blocked for other reasons: an overabundance of milk, poor latch (when the baby's mouth does not form a firm seal around the nipple), a shift in nursing patterns or compressed breasts (either a bra that is too tight or from sleeping on the affected side).4
Other differences that set plugged ducts apart from mastitis are:
However, one of the best ways to treat mastitis is to continue nursing. Breastfeeding with mastitis is safe for the baby and most antibiotics used to treat this inflammation are not going to harm the newborn. La Leche League urges women not to give up on nursing because it actually shortens the duration of the infection and reduces a woman's chance of developing an abscess.3 Some women might be concerned about taking antibiotics when the child is so young. At least half of new mothers who develop mastitis don't need antibiotics.1 There also is reason to be cautious about multiple rounds of antibiotics. One study suggested repeated dosing of antibiotics might increase the risk of breast cancer.5
So, what can a new mother do to treat this painful infection? Obviously, strategies to prevent the condition need to be in place. Gentle breast massage will keep the milk ducts from becoming plugged. While in the shower or when moisturizing, the new mother can lightly effleurage around her breasts six times, lightly knead the base of the breasts and press on any areas that might feel tender. There also are some effective acupuncture points that might help reduce the discomfort. She can draw an imaginary line from the nipples vertically upward, just beneath both clavicles. These tender spots are Stomach 13. Press both points for a count of 6-10, repeating 6-10 times. From there, she can make an imaginary line about 3 inches down to the beginning of each breast. These are the Stomach 16 acupuncture points. Treat them as you would Stomach 13.
In the middle of the sternum, your client can find Conception Vessel 17. This point is going to feel tender to the touch. She should start the treatment by pressing gently and gradually increasing her pressure.6
Other natural treatments to treat plugged ducts or mastitis can be used once symptoms appear, as a way to prevent the condition from worsening. For those women who chose to avoid antibiotics, these techniques might be their best form of defense and care.
When the breast starts to feel tender, apply moist heat to the area. This will help dilate the milk ducts and prevent them from clogging. She can stand in the shower, facing away from the shower head, and let the water cascade over her shoulder(s). Anyone who has ever taken my workshop knows what to do with potatoes (I am going to keep the rest of you guessing). For breast tenderness, grate a raw potato and apply a cold poultice a few times each day to the sore spot.6 Place cold, raw cabbage leaves in the bra to reduce swelling. Rupture the veins by rolling over the leaves with a rolling pin and wear them until they become room temperature, and then change them. Some women report a decrease in milk supply from using the leaves, so the new mom needs to be attentive to that change.4
Start nursing with the sensitive breast first until it's empty and direct the baby's chin toward the tender area to create more sucking power on the clogged duct.1 Dietary changes also can have a positive impact. Reducing the amount of saturated fats and sodium in the daily diet has been shown to help some women. Certain nutritional supplements also might aid mastitis prevention: lecithin, bromelain, the vitamin B complex, vitamin C, echinacea and iron. Be sure your client discusses any and all supplements, herbs or homeopathic remedies with her care provider before taking them if she is nursing.1,3,7
Another simple remedy is to remember to drink adequate amounts of water daily. Eight to 12 glasses will help maintain the milk supply and keep the new mother's body running (internally) smoothly. Once the baby stars to crawl, bacteria can be picked up from the floor and any surfaces they touch, so moms should wash their hands and the baby's face before nursing. If mastitis persists, she should consult with her care provider. She might want to get another opinion to rule out tumors.
By paying attention to her body and heeding the warning signs, a new mother can enjoy the intimacy, nurturing and pleasure of breast-feeding her baby.
Click here for previous articles by Elaine Stillerman, LMT.
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