resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Chronic heightened emotional states create a perfect breeding ground for illness. Through my practice I noted the increasingly obvious relationship between one's mental focus on negative thinking, emotions, resistance to experiencing feelings and disease.
Make Low-Level Laser Therapy Part of Your Evidence-Based Practice
Low-level laser therapy (LLLT), also referred to as photobiomodulation, has been increasingly utilized in the clinical setting over the past decade.
Solving the Pain Puzzle
Legendary former New York Yankees baseball player Yogi Berra once said, "You can observe a lot just by watching." He would have been a great chiropractor. We are trained to become experts with our hands: palpation, adjusting, soft-tissue release, etc.
Acupuncture Detox as Part of Drug Rehabilitation
In the U.S., more than 2,000 alcohol and drug rehabilitation programs have added ear acupuncture to their practice. The development of the protocol was determined by Lincoln Hospital as it delivered 100 acupuncture treatments daily.
Are You Ready for the 2016 Patient?
In October, Apple released its iOS 8 operating system for the iPhone and iPad. The new system includes Health, a new app that will interface with an ever-growing number of other apps.
Implications of Section 2706: The Non-Discrimination Provision Survey
In late April 2014, NCCAOM diplomates received an email survey with the subject line: "End discrimination against acupuncturists" polling CAM practitioners for a Request for Information from the Department of Health and Human Services, released in mid-March.
Five Element Acupuncture Can Enhance Your Practice
For eight years I have been teaching and supervising TCM students at an acupuncture college in Colorado, in Five Element acupuncture.
Step by Step: Long-Term Treatment of Soft-Tissue Injuries Combines Skill and Care
Treating soft-tissue injuries with long-lasting results starts the moment an individual enters the office. When it comes to pain, the only thing that matters to the patient is relief.
The Power of Mu Xiang to Treat Irritable Bowel Disease
Bloating and gas pain is something that everyone has had to deal with at one point or another; however, that's usually reserved for holiday dinners and other large gatherings.
DC App – The Next Generation
According to a survey by technology firm CDW, health care professionals gain approximately 1.2 hours per day in productivity simply by using a tablet computer in practice.
The Acupuncture Now Foundation: What Our Profession Needs
Although acupuncture is growing in popularity it continues to be underutilized due to misunderstandings about its true potential. Only a fraction of those who could be helped by acupuncture know enough to seek it out.
Micro-Needle Dermal Roller Use in the Treatment Room
Recently micro-needle dermal rollers have been getting a lot of media attention. As a practitioner who specializes in acupuncture facial rejuvenation, I know that skin needling with a dermal roller (also known as collagen induction therapy), promotes the natural reproduction of collagen and elastin, making the skin feel smoother and tighter.
Peer Points: Promoting TCM Knowledge
When Elaine Wolf Komarow, LAc, received her first acupuncture treatment in 1989, she said it changed her life. "I felt more aware, calmer, and happier. I was so fascinated by the changes that I began to learn everything I could about the underlying philosophy of Chinese medicine," said Komarow.
Foundation for Chiropractic Progress Announces First Group Member
The Michigan Association of Chiropractors has joined the Foundation for Chiropractic Progress as its first group member.
Inspire Your Patients to Make Healthy Choices
Have you tried to get your patients to change their eating habits or their diet and couldn't get them to succeed? Were they confused and unsure of what the right thing was to eat? You are not alone!
Capturing the Essence of Tai Chi
Over the last 12 years, I have been working on one of the few documentaries about Tai Chi. It's called The Professor: Tai Chi's Journey West and it's about Cheng Man-Ching who moved to New York in the 1960s.
We Get Letters & Email
Is It Time for a Popeye Moment? The Flaw in Recommending Chiropractic as a Career.
Why Drugs and Supplements Can't Cure Disease
Chronic diseases are the outcome of disease-promoting, goal-oriented behaviors. So, the notion that diseases can be cured with drugs or supplements should be abandoned. Hypertension is the best example of this.
Introduce Your Patients to Collagen Induction Therapy
Cutaneous (skin) aging generally occurs from either intrinsic or extrinsic processes. Intrinsic aging results from natural skin tissue damage and degeneration.
Are You Ignoring the 10,000-Hour Rule?
Having trained interns and mentored new practitioners, it has been my observation that their No. 1 clinical concern is adjusting skills. Their second clinical concern is their ability to read X-rays. Physical diagnostic skills are a distant third.
Home Safety: Help Families Avoid Common Injury Hazards at Home
These days, many parents childproof their homes before a baby is even mobile. You will see an array of electrical outlet covers, bumpers on the corners of the coffee table and safety latches on the cupboards.
Treating Acute and Chronic Neck Pain With Ischemic Compression and Exercise
There are many reasons not to manipulate the neck with cavitation: the patient is too old, their neck is too tight, etc. But the most common reason is that plenty of patients are afraid of "the crack," mostly because of the bad publicity about that procedure.
Treating Chronic Depression with Acupressure
In Traditional Chinese Medicine there already exists a comprehensive theory linking the body and mind.
Chinese Medicine: The Natural Way to Children's Wellness
As a child, I did not like going to the doctor. For the most part, when I had to go I wasn't feeling good to begin with, and I was heading into a sterile environment to be awkwardly probed by a man in a white coat for a very short, impersonal period of time.
The Death of the Travel Card
As long as I have been in practice, the travel card has stood as the primary style of documentation for chiropractic. It is quick, simple and direct. Unfortunately, the rules have changed.
It Pays to be a Foodie
If there is an inner foodie in you, just waiting to burst out—this article is for you! Do you want to know how I know? I'm that girl. My middle name might as well be "Foodie." I love food! And if my patients are any indication, many of them do as well.
Treating Menopausal Women in Your Practice
I love what I do for a living. It's a great way to trade health for bread. And no topic of health, with the right bedside manner, is taboo.
News in Brief
Life to Open Branch Campus in Italy; Northwestern Research Arm Benefits From Big Donation.
Avoiding "Just a Pop Doc" Syndrome
Yes, it's harsh. Patients don't like to admit it. They have an unspoken plan when they first visit you: to come one time, get rid of their pain and then get rid of you. They know it's unrealistic, but they'd like to pay nothing for this service.
Following the Thinking of the Classics
I have heard about the "best time of day" to carry out certain examinations or therapies. For example, I remember making a note years ago that early morning is the best time to take someone's pulses.
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.
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