resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
News In Brief
Pacific College of Oriental Medicine obtains grant funding from NIH; Yo San University of Traditional Chinese Medicine Announces New President; Kentucky Gets Licensed; PCOM Receives Approval from WASC to Offer FPD.
Employers Need Chiropractic First and Sooner
From the Journal of Occupational and Environmental Medicine comes a study that gives excellent direction to employers (and insurers) regarding the management of low back problems (LBP).
Deciphering the New CMS-1500 Claim Form
Q: I am confused about how and when to use the new 1500 form, particularly block 14 and block 15. What is required and how do I properly fill out these fields? And do I actually have to use this new form or may I continue using the old version?
News in Brief
D'Youville Vet Program Gets High Praise; A Moment of Silence for Dr. Paul Reginald ("Reg") Hug.
Home Sweet Medical Home
While the Affordable Care Act (ACA) has received its fair share of praise and criticism since its adoption, few question the value of its emphasis on collaborative, patient-centered health care.
CRREW Rallies for Ongoing Acupuncture Relief Effort in the Philippines
On November 8, 2013, Typhoon Yolanda (Haiyan) made her way through the Philippine Islands, leaving in her wake at least 7,000 people dead, millions homeless and complete communities destroyed.
Replenishing and Restoring Jing
I learned an important principle from my great Taoist Master Sun Hak. He taught me that all people "leak" Jing, and that we can mitigate or stop this leaking, and as a result strengthen our life force, develop enhanced adaptability and lengthen our life.
The Importance of Knowing Mainstream Lingo
There is a secret lingo within mainstream medicine of which the vast majority of acupuncturists and Chinese medical professionals are unaware.
Vibrational Medicine: Frequency Micro-Current and Color Acupuncture
Vibrational medicine involves the application of various forms of energy frequencies to the body for pain relief, healing and rejuvenation. Vibrational medicine will become a major growing trend in our medical systems for the following reasons:
Wellness: A New Buzzword at the Aging in America Conference
Aging in America is "the nation's largest gathering of a diverse, multidisciplinary community of professionals in healthcare, social service, government, business and philanthropy with expertise in providing services and products for older adults."
Shared Mechanisms Between Computer-Assisted Mechanical Adjusting and Contemporary Acupuncture?
Can contemporary acupuncture provide clues to the mechanisms responsible for pain relief provided by computer-assisted mechanical adjusting instruments, and clarify whether certain mechanical frequency combinations are superior to others for modulation of acute peripheral pain?
Working With The Yuan-Source Level: Resonance and the Extraordinary Vessels
How do we stay fresh with our medicine? As healers, how do we balance our medical selves with creative artistry? Chinese Medicine is not a fixed dogmatic entity, but a living system, reliant on a mysterious force called "resonance."
We Get Letters & E-Mail
Imagine What More Could Be Achieved With Your Support; A Lesson in Hygiene: What Do You Do in Your Office? Open Letter to the Profession.
Changes in Herbal Medicines from Ancient Times to the Present
The classical literature of Chinese medicine remains highly relevant in the modern era, as many of the basic theories and herbal combinations emphasized in clinical practice were first established in texts that are nearly 2000 years old.
Low Melatonin Linked to Risk of Advanced Prostate Cancer
Epidemiological and experimental studies suggest the hormone melatonin, which plays a role in regulating the sleep-wake cycle, may play a role in the development of prostate cancer, as lower melatonin levels have been associated with an increased risk of prostate (and breast) cancer.
Halt Allergies With Moxibustion Therapy
An allergy is an immune system disorder in which the body is hypersensitive to normally harmless substances in the environment.
The Boston Benevolent Chiropractic Clinic: Standing Up for the Needy
Our chiropractic assistant, Bridget, greeted an arriving patient at the Emmanuel Church in downtown Boston. She said, "Hi, Michael, good to see you. It's been awhile. Have a seat and Dr. Ken will see you soon."
"Doctor ... Always Do the Right Thing"
So says "Da Mayor" in the iconic Spike Lee movie. As a fresh grad questioning in-network versus out-of-network, it struck me that some doctors have explicitly skirted the issue, while others have argued adamantly for the latter and "sticking it to the man."
Don't Trust What a Patient Says
When a patient presents to the office for care, they typically have a specific complaint in mind – lower back pain, whiplash, sinus congestion, sciatica, etc.
Don't Trust What Your Patients Say
When a patient presents to the office for care, they typically have a specific complaint – lower back pain, whiplash, sinus congestion, sciatica, etc. They are often not interested or engaged in what they consider "unrelated" personal health history.
The Search for the Origin of the Wiggle Technique
When Bob had adjusted me previously, most of the time I knew what he was doing. But this time, he had me lie on the treatment table in the usual side-posture position, and he "wiggled" my sacroiliac with the fingers of both hands, while stabilizing my pelvis with his forearm.
Medical Qigong for the Heart: Part I
According to the Center for Disease Control and Prevention, heart disease is the leading cause of death in the United States, affecting people of all ages and backgrounds. Coronary heart disease, in just the United States alone, costs close to 109 billion dollars a year.
New Leadership Era at the WFC
The World Federation of Chiropractic recently announced not only a new president, as is customary every two years, but also an incoming secretary-general, marking the first time since the WFC's inception in 1988 that someone other than David Chapman-Smith, Esq., will serve in that capacity.
Medial Knee Pain: 11 Potential Causes (and Corrections)
We have all seen patients with medial knee pain that either has no traumatic origin or lasts well beyond when it should be resolved. How can we help these patients? Here is an overview of clinical scenarios and how we can provide conservative care.
April, 2014, Vol. 14, Issue 04
Familiar Client, Fresh Perspective
By Debbie Roberts, LMT
The following is an example of a true story about one client's journey through treatment and how easy it can be to ignore valuable signs and information when something is out of balance and needs medical attention.We are always glad when a client has given us their trust and continues a long term relationship with us. We strive to maintain a good, solid, profitable aand reputable practice. Pose to yourself this question: do I keep an objective eye on each visit even after 5, 10, 15 or 20 years of the same client? To help keep you doing just that, let's discuss the important pieces of information that are beneficial. In addition, we will also explore applied kinesiology as a worthwhile assessment tool.
Client Case Study
The weekly relaxation client came in complaining of back pain. She explains, "it is a gnawing, nagging, dull ache that seems to have taken up home in my back." Well that sound's typical of this client because she is a young mother. Since beginning with you, she has changed jobs and added two children to the mix. You give her back more attention and try some different modalities to address the issue and she leaves feeling better and certainly refreshed. But the problem begins when she comes in week after week and the pain doesn't seem to be resolving. Some weeks the complaint of pain didn't seem so bad and she gave the impression the massage was helping. Again, the trouble is that the complaint is not really changing only the fact that she is dealing with it. You rationalize that she must be under so much stress it is making the back pain worse. You do take notice that it seems like the complaint has been going on for several weeks.
You decide on the next visit to do a structural assessment of the low back and her pelvis. The findings indicate the pelvis to be a little anteriorly rotated. You address the issue and she leaves feeling better however she comes back again the following week with the same complaint. So, you make a referral to a chiropractor. He thinks the issue is not enough deep tissue work. He suggests another therapist to address the knots in her lumbar region, but nothing is completely helping. Now, the question becomes how long do you watch this pattern continue?
You decide the next visit to use applied kinesiology. Using the assessment, you find that the back pain indicates some energy disruption around her female organs. She has had a past history of fibroid tumors in her ovaries but it was a long time ago when she filled out any health history form so you don't remember this valuable piece of information. This is a missed opportunity to correlate your new findings with her past history. You lightly mention that your assessment indicates there is something disrupting the energy flow around her female organs. She is not knowledgeable of what that really means. So she doesn't remind you of her past history with fibroids. You don't push the issue for her to see another medical professional because at times she seems to get better.
She comes in the next week and you try a different modality thinking that maybe this one is the missing piece. No need to do the applied kinesiology assessment again because you are sure it must be something musculoskeletal out of balance. The issue goes unresolved for more than 6 months. Finally, in desperation, she went to a medical doctor and they did a series of tests and found a cantaloupe size tumor around her ovary. Everyone who treated her was well intentioned, but somehow missed that this time her back pain was something more than her usual chronic back pain.
How To Avoid This Mistake
A health history form should be updated on a regular basis. This keeps your objectivity and helps you avoid becoming too accustomed with the client. The new complaint was not treated like a new client. After filling out a new health history form, the client should have had a structural assessment, as well as an applied kinesiology assessment to look for functional imbalances.
An assessment at every visit should have been done. When the findings of the assessment are not changing, that lets you know whatever modality of therapy you have chosen is not resolving the issue. Refer out.
Correlating a health history form and an evaluation is important in case the pathology you find would need another medical professional involved and requires a referral. If the pain doesn't go away and the assessment doesn't change over two to four weeks tops, refer out. Don't keep treating, we are only a part of the process.
Whether you have a long standing practice or want to develop one, there is extreme importance of keeping a fresh perspective on the clients you treat. People's bodies are always changing and it seems these days at rapid rates. The longer you have a regular client, the higher the percentage that something in their body can and will change. Assuming their new pain complaint is old stuff that has just resurfaced can be dangerous for you and the client. Have you ever studied a sunrise or a sunset, it happens every day but it is never the same. Your objectivity of the client coming in week after week should be a similar point of view. The client shows up at the same time every week, but they are not the same cellular structure they were the week before. Physically, mentally and chemically they are a different human being than their last visit with you. Doing some form of an assessment each visit reassures your dedication to accuracy and helps keep you alert to a new symptom or new problem. The other dangerous thing here is losing your objectivity to the findings. When the pain doesn't go away and the assessment never gets better STOP the insanity. There is something wrong that may need more medical attention.
As the preacher completed his sermon, the other preacher listened closely. He found it odd that for the third week in a row the preacher was giving the same sermon. So he asked him, why didn't you give a new message this week, you gave that same message last week and the week before. "Good question, glad you asked" It is because even though everyone heard the message, only some people acted on it and changed while other people are still doing the same things. When the congregation not only hears the message, but acts on it, I will quit giving the same message.
We all know the definition of insanity is doing the same thing over and over and expecting different results. This is what we can become guilty of if we become too familiar with our clients and don't take a fresh view point each and every time they walk into the room. When is the last time you had your clients fill out a new health history form? When is the last time you did a structural and functional assessment on your clients? You don't have to make it complicated. Just tell yourself this is a NEW complaint, so this is virtually a NEW client. What would you do with a new client? Follow that same protocol and start with a fresh health history form, a fresh assessment, see if anything correlates with their past history, listen closely to see if things are really getting better or remaining the same and make a referral if necessary. When in doubt always refer out.
Applied Kinesiology was developed in the mid 1960's by Dr. George Goodheart, a second generation chiropractic physician from Detroit. Dr. Goodheart noted that each muscle in the body is related to a specific organ. He found that each organ shared reflex points and acupuncture circuits with a specific muscle or muscles. Treating a weak muscle in a number of ways to turn on reflex points and acupuncture circuits would return strength to a previously weak muscle and the function of a related organ.
Utilizing muscle testing procedures, one can find weak muscle "energy" because of an imbalance in the specific organ they relate to. When doing muscle testing, you are feeling for a locking in place of the muscle and not complete weakness. It should be explained that this is not a contest of strength and that gradual pressure is used.
There are four major categories of muscle weaknesses:
What is an alarm point? The alarm points are reflex points associated with the meridians. In Chinese philosophy, it was believed that if disease occurred in the internal organ associated with the meridian, the alarm point would become tender. When tenderness is present upon light pressure, the meridian is considered to be overactive; and upon deep pressure underactive.
How to use the alarm points:
Touch for Health is a book that has been around for a long time which is a great resource of study on the use of applied kinesiology. Just remember that all findings should be correlated with standard diagnostic methods, such as laboratory tests, x-rays and even MRI's.
Click here for more information about Debbie Roberts, LMT.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.