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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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...
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.
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.
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.
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.
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.
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.
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.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
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.
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.
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.
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.
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.
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.
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.
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.
2017 San Diego Pain Summit: A Conversation Between Practitioners
Editor's Note: This is a conversation between Ruth Werner who attended the 2017 San Diego Pain Summit, and Til Luchau who was not able to attend. Their conversation was a recorded debriefing, with an eye to applying Ruth's take-away ideas into hands-on practice. In this excerpt Ruth and Til focused on how "we" communicate with our clients about pain, and how our words can be either helpful or harmful.
Ruth: Ok, when my client consulted her doctor about her back pain, he said she shouldn't bend over. As a practitioner, I'm a little bit stuck. We have to be very careful about not stepping in between a relationship between a person and their primary care provider.
Til: Absolutely. It's not a helpful for us to cause our clients to question their primary care provider.
Ruth: So, I'd say, "Well let's focus on things you can do, the things that you want to do, in a way that feels safe."
"So let's explore a little bit. Let's see what happens if we do this work, or movements. I'm not going to tell you to do something your doctor told you not to do, and I'd never try to second guess what they're telling you. At the same time, I want to help you find a way that you can find out what's okay for your body."
"Let's gently experiment with different options and see what you experience, and so together learn ways you can answer the question for yourself, Does this help, or does this not?"
"And by the way, I do want to gently question your impression that you are broken, damaged, or fragile."
Ruth: Thank you so much for saying that, that's such a huge thing.
Til: Because it's easy to get that impression from what other practitioners tell us, even if they don't mean it that way. It's easy for me as a client to hear that there's something wrong with me, that I'm fragile, so I have to be careful with my body, or it might get worse.
Ruth: That it might break.
Til: Get damaged by something I do.
Ruth: Like it's going to crumble.
Ruth: That's so important — that even people who have been told they have to be very careful with their back can still feel vital, and energetic, and powerful; even if they may have to go about things in a different way than other people.
Til: The other thing I do is I have a lending library with books like Explain Pain1 that lay out the case that although tissue damage can cause pain, pain may not necessarily relate to tissue damage at all.
Ruth: And I think you got to the heart of it when you said that even if someone's been given a diagnosis that looks scary, having the attitude that we are broken, fragile, crumbling people is not a helpful way to move forward. As practitioners, we can be more helpful to clients by helping them experience themselves as vital, and focusing on their strengths, and looking for client-centered functional goals: "What would you like to be able to do that you can't do now?"
Til: I'm just thinking of a client who came in with back pain, and when I asked him what he wanted out of our work, he said, "I don't want my back to hurt." So to unfold that a little, my response was, "So if your back didn't hurt, what would that allow you to do that's important to you?" He had to think about it for a bit, and then he said, "You know what it is — it's getting down on the floor to play with my grandkids.
Ruth: There you go.
Til: He said, "If I could get down on the floor, that would be something."
So our goal became, "Let's do some hands on work, and then have you pretend like you're getting down on the floor, and see what you run into." And that gave us some ideas to go back to the table with, about new places, new ways, new movements he could do that would help him focus on his goal of getting down on the floor in a comfortable way.
Ruth: That's very much what this is about: it's focusing on what we can do, and setting reasonable goals for working together.