The Hidden Hip in LBP: Critical Screening Tests
In 1998, Harvey used this test on 117 elite athletes and found excellent interrater reliability to differentially assess iliopsoas, quadriceps or TFL/ITB tightness.
Valuable Adjunctive Therapies
Based on the latest CDC statistics, more than 795,000 Americans have strokes per year, 140,000 of which are lethal. Approximately 87 percent of all strokes are ischemic with an estimated health care and missed work cost of $34 billion annually.1
"Community Care" for Vets: It's Really a Big Deal!
As a preamble, while I regrettably never served in the military, I have the highest respect for those who did and those who currently serve.
Help Shape the New Neck Pain Best Practices Guideline
The Clinical Compass (originally the Council on Guidelines and Practice Parameters – CCGPP) has issued a call for interested chiropractic clinicians to help shape a new best practices guideline for chiropractic care of neck pain.
A Resting of the Soul
In my pursuit of being a skilled health care provider, I focus on reading journals, attending classes, staying current on medicinal research, and choosing the correct billing codes. However, most of us would never have started down this career path if there wasn't something more.
The Classical Texts & Integrative Medicine
The acupuncture profession has been undergoing many changes in the past years. There has been a shift towards a more integrative approach to medicine as more hospitals include integrative departments.
Facebook Marketing 101
Many of the health care practitioners we work with have smaller practices. The provider tends to wear many hats – office manager, salesperson and healer.
The Secondary Insurance Plan
I have a patient that has Medicare, but also has a secondary insurance plan that does cover acupuncture. How do I bill Medicare to get a denial so that I may bill this secondary payer?
News in Brief
WFC Among Founding Members of Global Rehab Alliance; HealthSource Selects GoChiroTV as Exclusive Digital Signage Partner; Western States' Online Degree Programs Among Best in the Nation; Logan University, University of Missouri-St. Louis Forge Partnership.
Does Dairy Cause Dampness?
The topic of dairy consumption was brought up at a scalp acupuncture seminar I recently attended.
Autoimmunity, Gut Health and Diet: Connect the Dots
According to the National Institute of Health (NIH), autoimmune disease is recognized in approximately 24 million individuals in the U.S., consisting of more than 80 various disorders that contribute to the top 10 causes of death in female children and women of all age groups.
End of Life Treatment
TCM looks death in the face. We do not camouflage it as if it were poisonous. "We must allow our patients to die but we cannot allow them to perish," was my first lesson the day I met my teacher as a teenager.
The Certified Practitioner
Certified Chinese herb practitioners often identify themselves with the credentials "LAc" (Licensed acupuncturist).
Why Take X-Rays When You Already Have an MRI?
Let's clear up the issue regarding the efficacy of plain-film studies when an MRI study has already been performed. I review imaging studies primarily for chiropractors, and often their patients have been to other health care providers before finding their way to a DC.
Vaccines & Autism (Part 1)
It turns out chronic inflammation is the driver of autism expression. Unfortunately, those who emotionally embrace the vaccine issue rarely, if ever, consider this relationship, which hinders a rational view of the vaccine issue.
Treating Pain With Nutrition
Back in 1910, when D.D. Palmer published The Chiropractor's Adjuster and introduced the world to what he called the "triad of health" – thoughts, trauma and toxins – he explained that the body can only be made optimally healthy if all three aspects of health are addressed.
Reducing Hip, Knee & Shoulder Replacements (Part 2)
In the first article in this series, "Early Detection Reduces Hip, Knee, & Shoulder Replacements," I described time tested screening procedures and perspectives as indicators of when to encourage your patients to seek further medical evaluation.
Why the Automatic Denials for Modifiers 25 and 59?
Your experience is one shared by many chiropractic providers who bill through those plans. It appears to be the national trend, but by far is more prominent in Texas and Illinois.
Trending: CBD / Hemp Oil
A recent survey of DCs regarding cannabidiol (CBD) / hemp oil provides food for thought as to the viability of CBD-based products as a component of chiropractic patient care. Here are some observations from the executive summary of the survey:
CBD for Athletes: The Advantages of Cannibidiol
For athletes, pain is often part of their sport or activity. And to a certain extent, it is to be expected. However, after pushing themselves to the limit, soreness and fatigue set in, hampering their ability to perform and recover.
NCCAOM: A Route to National Certification
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is offering a route to achieve national certification—without having to take any of the NCCAOM exams. This is specifically for California licensed acupuncturists that meet the eligibility requirements.
A Bold Strategy to Take Chiropractic to New Heights
Building public awareness of an entire profession requires strategic planning – especially when it pertains to the exploration of ground-breaking marketing tactics that target new audiences with key messaging about the value of chiropractic care.
UnitedHealthcare Can't Seem to Keep Chiropractic Down
AA decade ago, UnitedHealthcare announced changes to its chiropractic services policy that declared manipulative therapy for headache unproven.
#TechPain: Causes, Solutions
For the past several decades, the science of ergonomics has blossomed. The workplace is much safer and life is generally more pleasant thanks to the application of ergonomic principles.
It's All About That Ki
As an industry are we shifting too much toward a Western mind set? We strive to understand how acupuncture works using imaging and extensive studies. We spend numerous hours of our training learning Western medicine and learning to speak their language. What happened to our core though?
Doc, Are You a Social Media Holdout? Your Future Is Now
Whether you like it or not, to compete in any business, even chiropractic, you really should know and consider using social media. It is no longer a small, sleepy, local world we live in; it has become a far-reaching community.
Art of the Associateship: It's OK to Trust, But Verify
Trust is a valuable part of any business relationship. It serves as the foundation for all business operations and ultimately long-term success for owners, employees and customers. This is especially true in the world of health care.
Blockchain Health Records?
Keeping data secure has become a nightmare for the average consumer. Just consider general user account hacks on Yahoo (3 billion records compromised), eBay (145 million records compromised) and Facebook (87 million records compromised), to health record breaches involving Anthem Blue Cross (78 million records compromised) and TRICARE (almost 5 million records compromised).
Confessions of a Former Drug Rep: Statins Are Endangering Your Overweight Patients
As I sit at my desk on the sixth anniversary of my successful liver transplant, I can't help but reflect on what caused that life-threatening ordeal. Looking back on my personal situation, I want to offer my insight into what is happening routinely to many patients.
October, 2009, Vol. 9, Issue 10
Light-Touch Therapy Eases Pregnancy and Delivery of Twins
By Ken Piercy, MTI, CST-D; guest author for John Upledger, DO, OMM
Twins! The doctor said TWINS! You might think a mother-to-be would be delighted to hear that news. But Carly's first pregnancy had been difficult. Would carrying two be twice as hard? Or worse? If someone had told Carly, a Texas mom, she'd deliver two healthy babies with none of the problems she had with her first pregnancy, she wouldn't have believed them.But then she began receiving CranioSacral Therapy (CST) and Lymph Drainage Therapy (LDT) and everything changed for her and her newborns.
In the first pregnancy, Carly lost 15 pounds in her first trimester. She was stunned by her extreme food aversions, cravings and heightened sense of smell. An uncomfortable, hypersensitive gag reflex was triggered whenever her toothbrush even came close to her mouth.
The second trimester hadn't been much better. Carly had expected mild morning sickness, but the nonstop heartburn had been hard to accept. A diagnosis of mild hemorrhoids left her thinking, "Sure, they're mild if they're not yours." She watched sadly as her legs swelled, leaving no noticeable difference between her knees and her ankles.
The third trimester brought on severely elevated blood pressure and problems with her gall bladder, requiring four trips to the emergency room. Bed rest was recommended until her high blood pressure finally warranted an emergency C-section. Fortunately, those challenges had produced Conner. Other than chronic ear infections, he was a joy.
Then Carly's postpartum mood swings became so severe that she "hit the wall" before she even left the hospital. Whenever anyone even asked her how she was doing, she would break down in tears. "I felt like a failure," she said. "I felt defensive and worried that everyone was taking over because I was so bad at being a mom."
Two weeks after the C-section, Carly's gall bladder was removed due to gallstones. The doctor prescribed medication for depression and she remained on it for nearly a year. To top it off, Conner had chronic ear infections by the time he was six months old. That's when a friend recommended my services. CranioSacral Therapy releases tissue restrictions so the central nervous system can return to optimal performance and the other body systems can self-correct. Lymph Drainage Therapy helps move healthy fluids through the body to deliver nutrients and flush out toxins. Both therapies complement each other to strengthen the body's self-healing mechanism.
Light-Touch Therapies Started Early the Second Time Around
I found Conner's neck to be tight and his immune system sluggish. With only a few 30-minute sessions, his symptoms were gone and he was sleeping soundly through the night. That's when Carly realized these therapies might help her, too. So in the first trimester of her second pregnancy, she began coming for monthly sessions to keep her soft tissue relaxed and her internal fluids flowing well. With less tension in her body, Carly had no food issues, no elevated sense of smell and no gag reflex. She did report some minor heartburn, but nothing close to what she had in the previous pregnancy.
In her second trimester, Carly failed her one-hour glucose tolerance test, and her doctor told her she might have to go on insulin. One session of light-touch therapy seemed to help. The next week, she passed her glucose-tolerance test.
Coming Down the Home Stretch
By her third trimester, Carly was healthy and happy. When her legs began swelling in the eighth month, LDT increased her fluid flow so her ankles could return to their normal size and shape. Keeping her lower back flexible and her pelvis relaxed also made a tremendous difference to mother and babies. The improved fluid flow throughout her body and digestive system, noted by the absence of hemorrhoids, kept the soft tissue relaxed and working well.
However, twins are a heavy load to carry. At 34 weeks, the sonogram showed two healthy babies: one 4 lbs. 10 oz., and the other 4 lbs. 8 oz. Carly opted for weekly CST sessions to help her body adjust to the growing weight.
At 35 weeks, her doctor estimated the twins were 5 lbs., 15 oz. each, and Carly was still doing fine. No swelling, no hemorrhoids, no problems. His usual goal for twins was 35 weeks, but Carly had exceeded his expectations and he felt comfortable scheduling her for delivery at 37 weeks. She was "perfect on paper," he said.
By this time, Carly was having a little difficulty getting around carrying 12 lbs. of babies, but had no real issues to report. At 38 weeks, Carly's twins were delivered by C-section. Max was 6 lbs. 1 oz. and Madeline was 5 lbs. 13 oz.
No Problems Postpartum
Two weeks later, Carly and the twins all came in for sessions. Max was having a bit of trouble with reflux and eating slowly, but after four sessions he was able to feed well. Madeline had no problems and Carly had no postpartum issues.
Relaxing her soft tissues and improving her fluid flow gave Carly good health during gestation and the twins a great start in life. She says light-touch therapy made all the difference. Who would have thought carrying two would be so much easier than carrying one?
Click here for previous articles by John Upledger, DO, OMM.
Ken Piercy, MTI, CST-D is a diplomate-certified CranioSacral therapist with a thriving private practice in Dallas. To learn more visit www.kenpiercy.com.
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