A Guide to CBD Dosing: The Correlation Between Dose & Potency
There is an abundance of information available about the daily use of whole plant hemp CBD oil to help maintain and support a healthy lifestyle, however there remains a lack of sound guidance on CBD oil dosing.
Reaching for Our Roots: Healing Digestion With a Simple Traditional Therapy
Are you ignoring a powerful tool in your doctor's bag? Many acupuncturists realize that Spleen Qi deficiency has reached epidemic proportions in the U.S. Yet, we don't prioritize educating our patients about the importance of warm, cooked foods.
A Soy Isoflavone That Packs a Punch: Genistein
Soybeans contains unique substances called isoflavones, most notably genistein and daidzein, which have been shown to block the buildup the dangerous type of testosterone in the prostate gland linked to prostate enlargement and prostate cancer.
VA Choice Claims Denied? Here's How You Can Get Paid
The VA Choice Program (PC3 as well) indeed pays for chiropractic care including manipulation (CMT 98940-98943) and some physical medicine services.
Map It: Understanding the Customer's Journey
One of the biggest marketing mistakes most practice owners or administrators make is not putting themselves in their prospective or current patients' shoes. How do they think and feel about you and your practice? What makes them take action?
A Simple Miracle: Treatment for Mysterious Foot Pain
Under the old ICD-9 diagnosis codes, there was actually a diagnosis for "adventures in medical mismanagement" to describe patients who had been run down the rabbit hole of poor case management and care. I encountered one of those patients in my office today.
The Raw Food Debate: Practitioners Discuss Nutrition & TCM
Licensed acupuncturist and fellow blogger Elissa Gonda joins this month's column for a conversation about raw food diets. She brings her perspective on the healing potential of a raw primal diet.
Goodbye, Year of the Dog: Two-Thousand-Eighteen Comes to a Close
As Year of the Dog (2018) comes to a close we can look back and see the progress this profession has made. For example, the International Classification of Diseases (ICD) added traditional medicine codes, which were released in June.
Electrotherapy Gives Hope for Patients With Spinal Cord Injury
There has been little optimism for recovery from a spinal cord injury because the central nervous system does not repair itself well. The severity of the injury depends on the affected area.
Knocking Down the Doors: Big Media Success for F4CP
Three articles authored by a DC or a chiropractic organization and promoting the value of chiropractic care – par for the course if you're Dynamic Chiropractic, but if you're Forbes, BOSS Magazine and Becker's Spine Review, three media outlets tailored toward high-level executives and decision-makers, we're talking about an entirely different story.
Cynicism and Burnout: It Can Happen to You
Trying to achieve fulfillment as a doctor in today's health care environment is a "rigged game" and physicians are programmed to burn out. At least this is the opinion of Dike Drummond, MD, in his thehappymd.com blog.
A New President for AOMA: A Conversation With Mary Faria
Dr. Faria was formerly a health care executive for over 30 years, the last 17 of those years as vice president and chief operating officer of Seton Southwest Hospital in Austin. She chairs the board of Austin Mayor's Health and Fitness Council.
Acupuncture in Hospital Systems: Transitioning From Tolerated to Celebrated
I've had the pleasure of working with Susan Luria, Director of University Hospitals Health Systems Connor Integrative Health Network (CIHN) for the past year on the Integrative Health Policy Consortium (IHPC) Board of Directors and Federal Policy Committee.
Reality Check: Do We Need to Try Harder?
While waiting for a flight to a recent chiropractic event, I overheard the ticket agent at the gate next to mine on his cellphone. His side of the conversation went something like this: "Where are you now? How long before you think you can be at the gate? OK, that will work, see you soon."
2018 Gallup-Palmer Report: Key Findings
The fourth annual Gallup – Palmer College report is out; here are some of the key findings excerpted directly from the executive summary regarding Americans' experiences with chiropractic care relative to the management of neck and back pain:
VA Chiropractic Reduces Veterans' Use of Opioids?
Utilization of pain medication – particularly opioids – has been massively high in among veterans for decades, but Veterans Administration guidelines that recommend nonpharmacological first-line treatment options create a greater opportunity than ever for VA chiropractors to make a dent in the opioid and overall pain-management crisis.
The Truth About Malpractice Claims Against DCs (Pt. 1)
Over the past 20 years of active practice, I have seen a number of scary case scenarios regarding signs, symptoms and patient presentations in my office. These presentations scream, This patient is going through an event or This patient does not need chiropractic care, they need emergency care.
News in Brief
A Comprehensive Model of Spine Care; Dr. Christine Goertz Appointed Vice Chair of PCORI Board of Governors.
Acupuncture is a Science-Based Medicine
A longstanding patient of mine came in for a routine treatment after she recently began seeing a chiropractor for neck pain. She saw him a couple of times and wasn't getting the relief she had hoped for, so he recommended she let him do dry needling.
Malpractice Insurance: Understanding the Cover Letter
Purchasing medical liability insurance is quick, easy and not terribly expensive. The benefits are clearly listed on a certificate—but do you really know what you are getting with that peace of mind?
ACA Champions H.R. 7157; ICA Voices Major Concerns
While the American Chiropractic Association recently penned an open letter – signed by not only the ACA, but also the Congress of Chiropractic State Associations, Association of Chiropractic Colleges, Clinical Compass and a number of state associations.
Year in Review: DC's Best of the Best for 2018
As 2018 winds down, let's highlight the most popular articles in Dynamic Chiropractic by month (December – this issue – excluded, of course).
The Top 5 Strategies to Manage Your Reputation Online
You don't need an acupuncture website anymore! Okay, maybe that statement is a little over the top. But it's not that far from the truth. A recent study on Google searches revealed that 34 percent of all searches resulted in no clicks at all.
When Computers Cause UCS: Adjusting Strategy
With the widespread use of mobile devices such as smartphones and tablets, the incidence of "text neck" has reached almost epidemic proportions. But there is another challenge to the spinal health and well-being of our technology-driven society.
Dietary Supplements That Help Restless Leg Syndrome
It is estimated that 7-10 percent (possibly up to 15 percent) of the U.S. population has restless leg syndrome. It is a bit more common in women than men.
Exercise Therapy Following Motor Vehicle Trauma (Pt. 2)
In cases of cervical spine trauma, particularly trauma related to a motor vehicle accident, my plan is to teach the patient one exercise per session and build a progression. This is an effective approach I call an "activation circuit."
Relax...the Thai Way!
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By Rebecca Wilkowski
According to the American Massage Therapy Association, people make more visits each year to alternative care practitioners (629 million) than to primary care physicians (386 million). With the cost of health care in the United States estimated to reach $2.2 trillion by 2008, it is no wonder Americans are looking for alternative ways to manage their health.
Recent studies show consumers visit massage therapists 114 million times each year, spending between $4 and $6 billion annually, making massage is one of the fastest growing segments of holistic health care in America today. It can be found everywhere from day spas and chiropractic offices, to health clubs and employee break rooms. The massage explosion can be attributed partly to the growing population of tired and aging baby boomers, and partly to an increased awareness of the effects of stress.
Research has shown that massage therapy has numerous benefits. It can reduce a person's heart rate, as well as systolic and diastolic blood pressure, boost the body's immune system, improve flexibility and range of motion, and assist with relief from stress, chronic pain, anxiety, tension, and depression.
For the majority of Americans, massage is simply a technique for inducing relaxation and stress relief. However, to the nearly 290,000 massage practitioners and students in the U.S., it is much more.
Massage is a generic term, which encompasses a wide range of techniques and styles of bodywork. They can range from relaxing to invigorating and may include hot stones, cold and hot packs or other tools to facilitate the therapeutic effects. While some types of massage use oils or lotions, others are given with the client fully clothed. Depending on the style, massage can be applied with a practitioner's feet, elbows or knees in addition to their hands.
The bodywork technique commonly known as Thai massage is an important component of an entire traditional medical system. Traditional Thai Medicine is a 2,500-year-old system of natural healing developed in the ancient kingdom of Siam, now modern Thailand. Traditional Thai medicine is composed of four major branches: herbal medicine, food cures and nutrition, spiritual practices and the manual therapies of Thai massage, or Nuad Bo'Rarn.
Examining the term Nuad Bo'Rarn is helpful in developing an understanding of this type of bodywork from the Thai perspective. The Thai word Nuad means to touch with the intention of imparting healing. The word Bo'Rarn, derived from the Sanskrit language, means something that is ancient, sacred and revered. Clearly, the intention is to describe something that encompasses a Western notion of massage, but extends far beyond a description of a series of techniques applied to the surface of the body.
Influenced by the rich, ancient traditions of India and China, Thai medicine's development and history are woven into the fabric of the spiritual tenets of Buddhism. Thai medicine was transmitted orally from teacher to student in the same way the treasured texts, or Sutras, of Buddhism were transmitted. Historically, the practitioners of the medicine were Therevada Buddhist monks who practiced their healing at the monasteries, or "Wats".
A key aspect of Buddhist philosophy that is expressed through Thai massage is the concept of Metta. Translated as "loving kindness," Metta is a core component of daily life for each individual seeking awareness on the path described by the Buddha. The practice of Thai massage and other healing work is understood to be a practical application of Metta. Thai massage demonstrates the Four Divine States of Mind as taught in Buddhism: Loving-Kindness, Compassion, Vicarious Joy, and Mental Equanimity. In Thai Therevada Buddhist philosophy, significant emphasis is placed on the practical application of spiritual philosophy; that higher ideals should be brought into everyday life activities and decisions.
Traditional Thai massage is based on an energetic paradigm of the human body/mind. Energy is thought to travel on pathways throughout the body called Sen, with specific points of energy on these pathways called nadis. Thai massage moves energy freely along these pathways, thereby facilitating balance and health.
Thai massage is an interactive therapy involving the gentle stretching of muscles with pressure from a practitioner's palms, thumbs and feet. It is usually performed with the recipient wearing loose fitting clothing while they lay on a cotton mat on the floor. No oils or lotions are used during the 90-minute session. In Thailand, it is not uncommon for sessions to last up to three hours!
In addition to stretching, Thai massage also emphasizes deep abdominal procedures. In Thai medical theory, all the major energy pathways of the body have their origins in the abdomen near the navel. It is believed that the health and vitality of the eyes, ears, nose, and mouth are dependent on the health of the abdominal organs and the unobstructed flow of bio-energy through and away from the abdomen. Whereas most Western massage instruction begins with technical procedures and specific anatomical information, Thai massage instruction begins with the imperative that the practitioner work in a concentrated and meditative state of mind, fully present in each moment. It is believed this level of consciousness can then be imparted to the recipient through the practitioner's touch.
The techniques of Thai massage are applied very, very slowly. It is impossible to work too slowly as long as there is some movement. The slowness of the practice facilitates the tendency toward mindfulness. Because many of the techniques require heightened flexibility of both the practitioner and recipient, the slowness significantly diminishes the chance for injury. With the practitioner working in such a way, they immediately become acutely aware of resistance and any discomfort for the client and are able to stop or amend the procedure before injury occurs.
Proper body mechanics are key in the application of Thai Massage. Often referred to as "assisted yoga", many aspects of a Thai session resemble those of yoga postures. While anyone can receive Thai massage, certain procedures should be eliminated if they are not appropriate for the recipient (i.e., certain stretches of the back and legs would be avoided for individuals with lumbar disc problems).
Thai massage has been utilized for centuries as an important healing tool in the treatment of a wide variety of ailments such as musculoskeletal problems, internal medical problems, neurological complaints and emotional distress. Its benefits include structural alignment, increased flexibility, and decreased muscular and joint tension.
Even for a novice, Thai massage can provide a good opportunity to achieve a state of deep mental and emotional equanimity, profound stress relief, and moments of sweet bliss.
(Published: June 2004)