resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
May, 2014, Vol. 14, Issue 05
The Body's Core Line and Central Linkage
By Dale G. Alexander, LMT, MA, PhD
Consider the last ten clients on your treatment table. What were their somatic complaints? Now, imagine that you could loosen and lengthen the central linkage of the human body from occiput to sacrum.And, that the effect of this loosening and lengthening would assist and improve the therapeutic effect of almost any style of massage treatment.
Consider how this might simplify and potentiate the desired outcomes for these same ten clients? This is a premise I have been exploring and empirically testing for the past year and it seems to work exceptionally well for clients.
The Starting Point
Here are the anatomical ports of call I have been addressing: decompress the occiput upon the atlas, lengthen the esophagus, stretch each hemi-diaphragm and decompress the tissues around the heart/lung complex, stretch the ligament of treitz, mobilize the mesenteric root of the small intestine and finally, enhance the range of motion within the ankle/foot complex. These changes may be achieved using any manual therapy modality you have learned to effectively utilize.
There are numerous additional steps that could assist this proposed protocol to be even more effective yet, as described, it succinctly addresses the body's core line. It traces the linkage from the occiput to the sacral base to the ankles. It reduces the resistance to the heart's expansion. It eases the diaphragm's vertical and downward excursion and it revives and enhances the capacity of blood and lymph returning to the heart from all areas of the body below the diaphragm.
This protocol addresses the body's three major innate pumps for moving its fluids: the heart, the diaphragm and the ankle/foot complex. Mobilizing the heart/lung complex reduces compressive resistance to expansion of the heart muscle itself and stimulates the function of the root of the lung allowing more surface area for the production of new blood. Mobilizing the mesenteric root of the small intestine also increases its surface area, allowing for more absorption of nutrition. Increasing the mobility of dorsiflexion/plantarflexion of the ankle/foot facilitates the movement of blood and lymph back to the heart/lung complex. Osteopathy considers the ankle/foot complex as the body's 2nd heart.1 Together, these manipulations are proposed to reduce compression throughout the axial spine.
As a profession, I invite all bodywork educators to pool their collective intelligence and creativity toward developing other therapeutic protocols that facilitate the range and efficiency of these movements and functions. Also, consider how this proposal allows those in our profession to define what they do. Simply stated, "therapeutic massage stimulates your body's inherent capacity to move its fluids along their 60,000 mile journey from the heart and back again." Not a bad one-liner when speaking to a prospective client.
The philosophical shift here is to transform our therapeutic intent from manually enhancing the flow of venous and lymphatic fluids to specifically assisting the body to "re-calibrate its ongoing capacity" for self-perpetuating healthier function. The process becomes more analogous to tuning-up one's engine. The results continue with the client and contribute to their quality of life over a longer period of time. With the present emphasis on national health care, our ability to describe the benefits of what we do is what will make the difference in how we are regarded as effective health care practitioners. We know everyone benefits from bodywork and massage yet, we need simple ways of describing "how."
If any of these anatomical structures initially described are unfamiliar, please Google them, seek out your most recent continuing education teacher or ask around among your professional peers. Most of what has propelled me in this therapeutic direction was learned at the Upledger Institute from Drs. John Upledger, Richard MacDonald and Jean Pierre Barral. The Institute supports many excellent teachers.
Click here for more information about Dale G. Alexander, LMT, MA, PhD.
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