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:
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.
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 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.
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.
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.
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.
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.
#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 Certified Practitioner
Certified Chinese herb practitioners often identify themselves with the credentials "LAc" (Licensed acupuncturist).
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.
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.
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.
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 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.
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?
Does Dairy Cause Dampness?
The topic of dairy consumption was brought up at a scalp acupuncture seminar I recently attended.
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.
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.
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.
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
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.
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.
Preparing for a Pediatric Massage Therapy Session
New Certified Pediatric Massage Therapists (CPMTs) are often concerned about the best way to prepare for their first pediatric massage therapy session. Of course, first and foremost education and planning will best set the therapist up with tools to have a successful session. However, there are other ways to prepare that are often overlooked, and don't involve choosing the correct linens.
Be in the Moment
Children live life in the moment. Unlike adults, children, are not always thinking about what plans may lie ahead, or errands they must complete later in the day. Living in the moment, is often referred to as mindfulness, or being fully present. This state of mind requires having focus, attention, thoughts and feelings all fixed on the current activity. Being mindful as a massage therapist can be a skill worth focusing on, and developing to ensure the client receives the best attention during your session.
As we should with all of our clients, we must leave our "baggage at the door." With children this is extremely important, as they may not be interested in receiving massage, if they feel the therapist is disconnected or distracted. Developing the ability to compartmentalize our personal worries and concerns during a massage session is a needed skill. As a pediatric massage therapist, the focus should be 100 percent in the moment. This will create good rapport, trust and communication with the client.
Children are different than adult clients in a variety of ways. Something that may not be obvious, is the way children behave during massage. Adult clients often close their eyes and use this session time as a time to relax and pause from their daily lives. While, children on the other hand, often enjoy communicating with the pediatric massage therapist, asking questions about music and lubricant choices, along with "how's" and "why's" about each technique.
Reflective listening is an approach to communication wherein we listen very carefully to someone while they are speaking. It is a two step strategy involving our listening, and then offering back the same idea to the speaker so they feel acknowledge and heard. With children this is very important as they are often dismissed and not respected for their thoughts and ideas. Children need to know adults also respect and listen to them. While at the same time, as pediatric massage therapists we follow our boundaries and ethical guidelines.
Flexibility and Creativity
It is ideal for the pediatric massage therapist to understand how to read and decipher the health history/intake form and formulate the best treatment plan. However, when providing care to children, it is imperative that we employ flexibility and creativity into each and every session. Children may or may not have familiarity with massage therapy and require a developmentally appropriate approach to introduce therapeutic massage.
Flexibility and creativity are skills that are best to develop to work well with pediatric clients. As much as the therapist plans and prepares, having knowledge and a skill set of how to introduce massage to several different age groups and developmental stages is an additional area for a professionals' focus.
Being creative allows you to incorporate storytelling, rhymes and music that engage a child during the session and make it much more engaging. Recognizing that not every children would be comfortable lying down during their massage time, we need to be flexible with our idea of how we perform massage. A child is welcome to stand, sit or lay down during massage session, as long as they are medically safe and comfortable. This is not the same as our usual protocol, of having a client lay down on a massage table for the entire session.
Children feel more empowered when they have choices. They have so many choices that can take place during a massage session. From the type of lubricant, music selection or even whether they receive massage at all.
Remember, it would be very rare if a child made their own massage appointment. Parents, doctors and nurses often consider pediatric massage therapy as an option to address many concerns, symptoms and conditions. Children on the other hand, may not have thought about massage therapy as an option.
The child always has the right to refuse massage therapy when offered. Giving choices of positioning, lighting and music allow the child to feel in control and an active role in their healthcare. When giving choices, it is imperative that you give choices that are realistic and not overwhelming. A good example would be choosing between two different types of oils. The child can always choose massage without oil, which is sometimes a better choice considering they often wear clothing during massage time.
The same choice option applies to music. We often choose a specific style of music that we feel is "massage" appropriate. Many clients enjoy our music choices, while for others it is not calming or relaxing. When given the choice, children often choose fun and developmentally appropriate music, which may or may not be in line with your typical music selection.
During pediatric massage therapy, one of our main goals is to empower the child to feel they are the focus of the session, acknowledge that they are heard and respected. When our clients feel they are an active part of their health care, they are much more likely to receive the benefits massage therapy can provide.