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.
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.
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.
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.
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:
"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.
The Certified Practitioner
Certified Chinese herb practitioners often identify themselves with the credentials "LAc" (Licensed acupuncturist).
#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.
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.
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.
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.
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
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.
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.
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.
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.
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.
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.
Does Dairy Cause Dampness?
The topic of dairy consumption was brought up at a scalp acupuncture seminar I recently attended.
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.
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.
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?
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.
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.
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.
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.
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).
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?
Cancer Pain, Function & Massage: Findings of Meta-Analysis
Contributed by Jolie Haun PhD EdS LMT, Jacqueline Tibbett PhD LMT, Drew Rowe LMT
The pain and impaired function patients with cancer experience is well documented. Palliative efforts have long been promoted as a means of coping with these adverse effects, so commonly associated with cancer and its treatment. There is an abundance of published work on the palliative treatment of cancer pain with the use of massage. However, the efficacy of massage on outcomes such as pain and function for patients with cancer is inconclusive.
In an attempt to make some determination of efficacy, Boyd and colleagues conducted a systematic review and meta-analysis in the Pain Medicine journal. In a systematic review, authors compile relevant studies on a research topic using a pre-planned methodology. A meta-analysis pools the numeric data from the studies included in the systematic review in order to answer a research question in a large sample.
The authors suggest this comprehensive review was the first to critically assess evidence for the efficacy of massage in treating pain, function-related and health-related quality of life in patients with cancer.
The systematic review and meta-analysis
The authors identified relevant studies using key literature databases (i.e., PubMed, CINAHL, Embase, PsycInfo). Upon review, studies were assessed for quality and eligibility using pre-determined criteria. A diverse and expert steering committee, identified as the Evidence for Massage Therapy (EMT) Working Group, defined the eligibility criteria. Note that in this review article, massage therapy was defined by the EMT as “The systematic manipulation of soft tissue with the hands that positively affects and promotes healing, reduces stress, enhances muscle relaxation, improves local circulation, and creates a sense of well-being.”
Articles were included if they met all criteria: (a) cancer patients experiencing pain; (b) massage therapy administered as pre-defined by the EMT Working Group (interventions performed by tools (e.g., chair massage) only were excluded; (c) presence of sham, no treatment, or active comparator; (d) assessment of at least one relevant function outcome; and (e) randomized controlled trial (RCT) study design published in the English language.
To conduct the meta-analysis, outcomes of the interventions from multiple studies were combined. Those outcomes were then interpreted by the authors to make recommendations for the field regarding the efficacy of massage.
The database searches yielded 3,678 articles. Sixteen articles met the eligibility for inclusion in the analysis; twelve high-quality and four low-quality studies. Results of these studies cumulatively indicate massage therapy is effective in people with cancer for treating pain compared to no treatment and active comparators (for example, physical therapy, acupuncture, conventional medical treatment).
It is very important to heed these findings with an informed perspective. The demonstration of “weak” recommendations is not entirely a function of the effects of massage demonstrated in the literature but rather function of the state of the science represented in the body of literature.
In other words, the authors’ recommendations are based on the few studies that met the rigorous but important inclusion criteria. For example, much research done historically in massage did not adequately address protocol requirements. This is evident when only 16 studies were eligible from a sample of several thousand articles. As such, to conclusively determine the impact of massage on pain and functional outcomes associated with cancer, the field must take actions to conduct rigorous research with robust methods in future projects.
What’s next in massage research with patients with cancer & pain?
A considerable contribution of this work was its review in addressing massage therapy safety, research challenges, how to address research gaps, and steps for implementing massage therapy to address pain in patients with cancer. The authors cited these next steps for research conducted in the future:
Are you interested in learning more about the uses of massage therapy to alleviate pain and promote quality of life for patients and conducting rigorous research to demonstrate impact? To learn more about the effects of massage therapy and research, you can review the Massage Therapy Foundation article archives, read accepted MTF Research Grant abstracts, check out the Massage Therapy Foundation’s tools for research, or search PubMed for massage therapy studies.
Editor’s Note: The preceding research synopsis is authored by volunteers from MTF’s Writing Workgroup. To learn more please visit their columnist page.