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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."
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."
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
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.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
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.
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.
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.
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.
The Power of Touch: A Basic Human Need
"Countless variations of 'hands-on' therapy have been devised and practiced in every culture we know of, all honoring and elaborating the timeless traditions of primate grooming. The ubiquity, antiquity and variety of these practices can mean only one thing: back-scratching is more than politics. We all need to be touched." - Frank R. Wilson, author of The Hand: How Its Use Shapes the Brain, Language, and Human Culture.
The evolution of human touch has progressed from the grooming behaviors of our primate ancestors to the variety of well-developed systems of manual therapies we know today. Yet, at every stop along the time line, our fundamental need for touch has remained critical to our epic story. This account of human touch is not a laundry list of techniques or scientific principles related to anatomy, physiology or pathology; the importance of touch goes beyond time and space, or art and science. Rather, it is about human interaction and human development at its most basic level.
Touch takes place on the canvas of human experience. Healthy, positive touch is intended to help and to heal, and the application of healthy touch takes many forms. Massage, for example, is the structured form of applied touch, administered with purpose and by way of thoughtful techniques based on knowledge. Touch can be an expression of our unique human nature and brings us many benefits. J. Lionel Taylor, author of The Stages of Human Life wrote: "The greatest sense in our body is our touch sense. It is probably the chief sense in the processes of sleeping and waking; it gives us our knowledge of depth or thickness and form; we feel, we love and hate, are touchy and are touched, through the touch corpuscles of our skin."
Primate grooming behaviors are the origins of healthy touch and I believe that it is both a basic need and an invaluable inheritance derived from our animal origins. Do you believe that humans exhibit both learned and instinctual touch behavior? I do. Touch, as Frank R. Wilson says, is ancient. Primitive man and woman inherited the social structure and function of grooming from their primate relatives. Of course, we have changed them significantly during our evolutionary process. For example, human models of leadership have emerged in place of alliances formed through grooming. But the principle remains the same.
For both species, touch continues to be a crucial element of care giving and the primary way we show love to our young. We know that positive, loving touch is a way to provide a sense of security, and massage therapists of yesterday and today know that touch remains essential to our health and well being. Research and observation shows us that primate grooming behaviors are a central feature of social life. Grooming establishes and maintains a social hierarchy within the community and between family members. It provides a way to give love and comfort, especially to their young. It's even used to apologize for offenses committed against another member of the group as a way to make up and move on. Some of those grooming behaviors include scratching, hugging, holding, slapping, pressing, dabbing, pulling, sucking, rubbing and licking. That behavior is woven into the social fabric of primate life. Grooming is a deeply ingrained behavior - a habit millions of years in use.
Over time, forms of grooming changed as humans evolved. As we began to stand upright, our bodies were no longer so exposed to the sun. Needing less protection from the elements, we lost our protective covering of thick, course hair.
As our skin became more exposed, it became more sensitive. The dexterous, sensitive primate hand evolved into an even more intricate instrument — the human hand. Developments in human hand dexterity and sensitivity, increased intelligence and the advent of language all contributed to more evolved touch behavior. Humans could now apply caring hands to soothe and heal. Eventually, that led to systematic touch techniques.
Though its form and function has changed considerably, the fundamental value of touch remains intact. Touch is a bonding agent, a means of pain relief and perhaps most importantly, a way to say, "I care." The inherent human need for touch has always been a part of our story, and it continues to this day. I give thanks to all the people in this field for helping the world with your healing hands.