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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Food for Thought: An Examination of Diet & Digestion
Even an acute poison can become an excellent drug if it is properly administered. On the other hand even a drug, if not properly administered, becomes an acute poison. — Charaka Samhita
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.
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 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.
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.
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.
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.
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.)
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.
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.
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.
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.
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.
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.
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.
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.
"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.
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.
A Tale of Three Dance Books
"There are three steps you have to complete to become a professional dancer: learn to dance, learn to perform and learn how to cope with injuries." – D. Gere, 1992.
Kinesiology comes literally from the Greek words kinesis (movement) and logos (a story, speech, or study); thus, the study of movement, particularly movement of the human body. When I look for books about kinesiology, I want to see a fair emphasis of content about movement along with the more static information on specific muscles, attachments and structure. What I'm highlighting in this month's column are three books, one more basic, one that extends into details and one that touches on spatial awareness in how we move. Interestingly, all three books have a background in dance.
The more basic book is Blandine Calais-Germain's, Anatomy of Movement. As the title suggests, its focus is on anatomy. Yet, written by a dancer, it is not your standard anatomy text. Filled with numerous line-drawings, it details muscles and the movements they create. One feature I especially like is that it depicts anatomy with the human body not in standard anatomical position, allowing the reader to gain a better perspective of the body and muscles as they are used.
Moving to a more detailed text with substantial kinesiology, Karen Clippinger provides a presentation that is both elegant and concise in Dance Anatomy and Kinesiology. The chapters on specific areas of the body are comprehensive, covering the muscles, movements, common injuries, some assessment tests and exercises for strength and flexibility. They are illustrated with good quality black and white photos and drawings. It is the general chapters that have gained my greatest appreciation.
The opening chapter on the skeletal system is a thorough introduction to types of joints, types of attachments, planes of movement and terminology for all of the above. A lot of the information is summarized concisely in tables. Beyond this, there are discussions of joint stability and mobility, closed and open kinematic chains, and degrees of freedom of joints.
The following chapter on the muscular system includes a clear presentation of a visco-elastic model of tissue properties, including components both in parallel and in serial with the contractile component of a muscle. There's a good discussion of types of muscle contractions: dynamic, isometric, concentric and eccentric. There's good coverage of types of levers and of mechanical advantage. The various roles a muscle can play are pointed out: agonist, antagonist, synergist, stabilizers and force couples. Finally (but not exhaustively), there's discussion of the line of pull of a muscle and of deducing muscle actions from the attachments. I greatly prefer this approach to simply having students memorize all three of both attachments and the action without understanding the relationship between them.
In the final chapter, Clippinger returns to the whole body after covering specific areas. Now it's time for anatomical movement analysis, discussion of posture and covering gait analysis. It's a moving conclusion to a thorough and very readable text.
The third book I want to review is Constance Schrader's, A Sense of Dance, which was written to be an introduction to use of your body for movement and, in particular, dance. As such an introduction, it looks both at people having cultural and family "home bases" of movement patterns and at characterizing movement in terms of time, space and effort. Time includes concepts of tempo, beat and rhythm. A person's relationship to the surrounding space includes vertical level, shape, direction, dimension (relative size), perspective and focus. It also includes the four interpersonal spaces which we use to structure our lives: intimate, personal, social and distant. The concept of effort can be characterized as involving energy, ease, motivation and struggle against resistance. As an instructor primarily of sports and deep tissue massage, focusing on alleviating restrictions of movement and facilitating ease of movement, Schrader's writing has given me tools to analyze what I see, both physically and from the perspective of a psychology of movement.
To complete the tale, all three of these books provide high value of content in a very practical format. I've enjoyed all three and drawn from all of them in my teaching. As those from a culture of substantial understatement would say, you could do worse.