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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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...
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.
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.
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.
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.
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.
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.
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.
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.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
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.
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.
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.
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.
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.
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.
Trigger Point Release: Thoracic Mobilization Using Tennis Balls
Nearly 20 years ago, Janet Travell and David Simons, the two leading pioneers of management of myofascial pain, described a simple myofascial-pain self-treatment approach, particularly when interscapular areas are involved. They advised putting two tennis balls into a sock, and placing this onto the floor (ideally carpeted), in a way that allows the person to lie back onto them — so inducing a compressive force that is almost entirely under the control of the individual.
If this direct pressure is uncomfortable, more weight could be taken on the forearms, and less on the sensitive areas. The advice was to have kept the balls in a freezer, before use, so that they are very cold, adding cryotherapy pain-relief to the process.
A few minutes of such treatment, no more than once a day, should effectively reduce myofascial pain — remembering that the underlying causes and aggravating features, of the dysfunction — whether involving poor posture, or due to overuse should be addressed in order to avoid recurrence.
Travell and Simons advised that: "Whenever the patient hits a "hot spot" or a painful trigger point, he or she can maintain that position and control the pressure by starting gently and gradually increasing body-weight pressure on the tennis-balls, until the trigger point releases."
My own approach to use of this method, for paraspinal muscle tension or pain, were described in my book, "Maintaining Body balance, Flexibility & Stability." A: Place two tennis balls into a sock. B: Place the balls on a carpeted floor. C: Lie so that your spinous processes rest between the balls, and the balls press into the tense muscles alongside the spine. 1
It is often found to be useful to move gently, so that the balls roll up and down the paraspinal muscles, for a minute or two. There are several important cautions regarding self- applied treatments of any sort, including trigger point deactivation. If you offer advice for home care/self-treatment it's important for the individual to be advised that:
Thoracic mobilization using tennis balls
Recently a more general thoracic mobilization variation of the use of the "two tennis balls" has been described and validated by research. In 2012 a two-stage method, for self-mobilization of the thoracic area, was described by Johnson & Grindstaff.2
Stage 1: Paraspinal Muscle Release
The individual lies back onto the two tennis balls, that have been confined in something such as a sock — so that the balls press lightly (and painlessly) into the stiffest paraspinal soft-tissues, with the spinous process resting in the groove between the balls.
The arms should be crossed over the chest, as the person slowly raises the head-and-shoulders off of the floor, for a count of three seconds, before lowering back down to allow the balls to press into the tense tissues for a few seconds. It is suggested that — once daily — this process should be repeated up to 15 times.
Then, following a few minutes of rest, the sequence should be repeated once more. Different levels of paraspinal stiffness can be treated, in the same way, by placing the balls appropriately. Slow deep breathing should accompany the exercise, and no pain should be experienced.
Stage 2: Supine Arm Circles
The tennis balls should be placed on one side or the other — in tense tissues, lateral, or inferior, to the scapula, so that the two balls are parallel to the thoracic spine. The arm on the side being treated should be raised so that the shoulder is flexed to 90 degrees, with the arm straight.
The arm should be moved in slowly increasing circles, clockwise, for about 30 seconds, and then anti-clockwise for the same length of time. After resting for a minute or so, the process should be repeated — before the other side is self-mobilized in the same way. Slow deep breathing should accompany the exercise, and no pain should be experienced.
Validation of the usefulness of these methods was reported in 2015, by Jung et al., who observed that when the protocol, as described above, was used by people with thoracic restrictions, there was a marked difference in thoracic mobility (as evidenced by a significant increase in the degree of chest expansion) between those who performed the exercises (three times weekly for six weeks), compared with those who did not.