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The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
Cancer Pain, Function & Massage: Findings of Meta-Analysis
Contributed by Jolie Haun PhD EdS LMT, Jacqueline Tibbett PhD LMT, Drew Rowe LMT
The pain and impaired function patients with cancer experience is well documented. Palliative efforts have long been promoted as a means of coping with these adverse effects, so commonly associated with cancer and its treatment. There is an abundance of published work on the palliative treatment of cancer pain with the use of massage. However, the efficacy of massage on outcomes such as pain and function for patients with cancer is inconclusive.
In an attempt to make some determination of efficacy, Boyd and colleagues conducted a systematic review and meta-analysis in the Pain Medicine journal. In a systematic review, authors compile relevant studies on a research topic using a pre-planned methodology. A meta-analysis pools the numeric data from the studies included in the systematic review in order to answer a research question in a large sample.
The authors suggest this comprehensive review was the first to critically assess evidence for the efficacy of massage in treating pain, function-related and health-related quality of life in patients with cancer.
The systematic review and meta-analysis
The authors identified relevant studies using key literature databases (i.e., PubMed, CINAHL, Embase, PsycInfo). Upon review, studies were assessed for quality and eligibility using pre-determined criteria. A diverse and expert steering committee, identified as the Evidence for Massage Therapy (EMT) Working Group, defined the eligibility criteria. Note that in this review article, massage therapy was defined by the EMT as “The systematic manipulation of soft tissue with the hands that positively affects and promotes healing, reduces stress, enhances muscle relaxation, improves local circulation, and creates a sense of well-being.”
Articles were included if they met all criteria: (a) cancer patients experiencing pain; (b) massage therapy administered as pre-defined by the EMT Working Group (interventions performed by tools (e.g., chair massage) only were excluded; (c) presence of sham, no treatment, or active comparator; (d) assessment of at least one relevant function outcome; and (e) randomized controlled trial (RCT) study design published in the English language.
To conduct the meta-analysis, outcomes of the interventions from multiple studies were combined. Those outcomes were then interpreted by the authors to make recommendations for the field regarding the efficacy of massage.
The database searches yielded 3,678 articles. Sixteen articles met the eligibility for inclusion in the analysis; twelve high-quality and four low-quality studies. Results of these studies cumulatively indicate massage therapy is effective in people with cancer for treating pain compared to no treatment and active comparators (for example, physical therapy, acupuncture, conventional medical treatment).
It is very important to heed these findings with an informed perspective. The demonstration of “weak” recommendations is not entirely a function of the effects of massage demonstrated in the literature but rather function of the state of the science represented in the body of literature.
In other words, the authors’ recommendations are based on the few studies that met the rigorous but important inclusion criteria. For example, much research done historically in massage did not adequately address protocol requirements. This is evident when only 16 studies were eligible from a sample of several thousand articles. As such, to conclusively determine the impact of massage on pain and functional outcomes associated with cancer, the field must take actions to conduct rigorous research with robust methods in future projects.
What’s next in massage research with patients with cancer & pain?
A considerable contribution of this work was its review in addressing massage therapy safety, research challenges, how to address research gaps, and steps for implementing massage therapy to address pain in patients with cancer. The authors cited these next steps for research conducted in the future:
Are you interested in learning more about the uses of massage therapy to alleviate pain and promote quality of life for patients and conducting rigorous research to demonstrate impact? To learn more about the effects of massage therapy and research, you can review the Massage Therapy Foundation article archives, read accepted MTF Research Grant abstracts, check out the Massage Therapy Foundation’s tools for research, or search PubMed for massage therapy studies.
Editor’s Note: The preceding research synopsis is authored by volunteers from MTF’s Writing Workgroup. To learn more please visit their columnist page.