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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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
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.
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 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.
More Access to Chiropractic Instead of Opioids: H.R. 5722
With the opioid epidemic both an ongoing public health crisis and a hot topic extending well beyond the health care industry, Congress continues stepping up to the plate.
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.
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.)
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.
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.
"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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Training for a Hip Replacement
I had been dragging a degenerating left hip joint around for several years (from sitting/driving disease), finally realizing that replacement was the only way to get out of the pain. I am not a big fan of surgeries. They are a last resort in my wellness paradigm. However, two of my teachers set me straight on this. The first said, "when the hip starts making decisions for you, it's time." The second said, "paradigms are for youth." Got it! Come to find out, it is one of the most successful surgeries orthopedics perform. Everyone I talked to that had the procedure was delighted. At this point in my recovery, I am too.
The 3 Approaches to Hip Replacement Surgery
There are three common surgical hip replacement approaches. They are: the anterior, side, and posterior approaches. Each has its advantages and limitations. The statistics show that the long-term outcomes are statistically about the same. Depending on the patient's particular condition, one approach may be better than the others. Get several opinions from different surgeons. Often a surgeon will recommend the approach he/she is most experienced with. This does not mean it is the best for you.
My recommendation is to listen carefully, as to why a particular approach is recommended by a particular surgeon and decide for yourself. In my case, due to the type and degree of degeneration, including a loose chip, the posterior approach was recommended by several surgeons - even one who normally does the anterior approach; he referred me to his colleague in the practice who mostly does the posterior approach.
I ultimately went with the surgeon in my area who is known for being the best for revising hip replacements by other surgeons when they have failed or dislocated. Not only did I like him personally, but thought if he fixes the failures he must be good. Maybe a good rationale, maybe not, but so far I am very pleased with the outcome at six-weeks post-surgery as I write this.
When one is favoring a painful joint, one often becomes de-conditioned. It is not good to be in this state going into a total hip replacement surgery. As hip replacements are becoming more and more common, I thought many of you might be interested in a training strategy for pre-surgery, either for yourself or your patients. Believe me, it is worth the time and effort - and not that much is required!
Note: Before you begin any physical fitness or training protocols, check with your physician regarding what is appropriate for you. Physicians are, after all, known as the recognized experts in physical fitness and training. The following is not medical advice, it is for information only and is non-evidence based, (totally anecdotal), and only based on the real experiences of going through a real hip replacement, not on any double-blind study. It is your responsibility to determine what is safe and appropriate for you or another's particular situation. There—that should satisfy the lawyers and the evidence based crowd.
Areas to Strengthen
There are three primary areas one needs strength in after hip surgery—knees, upper body (especially arms and shoulders), and hip muscles.
The opposite knee is going to have to stand you up and sit you down post-surgery pretty much all by itself for awhile. However, the surgical side's knee will become deconditioned post-surgery, so strengthen both. Doing squats to your ability, plus knee extensions – full and short arc – will be very valuable.
Your upper body, especially arms and shoulders, are going to have to do a lot of work raising you up, moving in bed, getting up and down from supine to sitting to standing, back to sitting, using walkers, crutches, and canes, etc. This turned out to be very important immediately post-surgery as almost any movement required support and strength from my upper body. I used a TheraBand arm/shoulder routine and was very glad I did. No one suggested upper body training to me, but it seemed logical to me to do it. It paid off in spades.
The better condition the hip muscles are in pre-surgery, the faster they can be rehabbed to functional strength. You need to train both sides as one side will likely be "chopped up" (although not in the anterior approach) and the other side will be doing lots of extra work until the repaired side is re-conditioned. The most important action to strengthen is abduction. Second, is extensions (gluteus maximus). Then rotations and adduction. Most patient's hip flexors are adequately strong and usually tight/shortened. Get professional advice regarding a particular individual's needs for hip flexor conditioning.
In addition, it is usually a good idea to strengthen one's "core" muscles. Variations of the classic bridge posture, some Pilates exercises, modified sit-ups, and lower rectus abdominis exercises worked well for this.
Something seldom thought about is that general anesthetic is hard on the lungs. I practiced breathing exercises from the Yoga Pranayama system daily. If you are not familiar with Pranayama, just do deep breathing. Work to lengthen your inhale to as many seconds as you can and your exhale twice as long. Also, try some vigorous inhaling/exhaling. Immediately post-surgery they require deep breathing exercise to prevent pneumonia. The better shape your respiratory muscles are in pre-surgery, the less likely respiratory complications will develop.
Finally, I highly recommend manual lymphatic drainage (MLD) one to two days pre-surgery. Then again three to four days after. If possible, continue once a week or so as needed. This really helps manage the excess fluids from the irritated/inflamed joint pre-surgery and the swelling/bleeding post.
Of course I received very regular Neural Reset Therapy (NRT) both pre-and post-surgery. It helped me put off the surgery and has greatly helped with recovery. With NRT the therapist can work on the opposite side of the injury/surgery and have positive results on the target side.