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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 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.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
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.
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.
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.
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.
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."
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.
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.
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.
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.
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.
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.
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.
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.
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.
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 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.
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.
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.
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.
Have a Migraine?
Contributed by Jolie Haun, PhD, EdS, LMT; MK Brennan MS, RN, LMBT; Natalie Lorick, LMT, HHP
Do you ever have clients complain of repeated headaches? Chronic migraines, chronic tension-type headaches, and chronic cluster headaches are also known as primary chronic headaches. These primary chronic headache conditions affect about 3% of the general population, occurring predominately in females. These conditions have a significant impact on quality of life as well as economic and social costs.
This month's Massage Therapy Foundation article review focuses on a systematic review by Norwegian researchers Chaibi and Russell of the efficacy of manual therapy randomized clinical trials (RCT) for primary chronic headaches published in The Journal of Headache and Pain in 2014.
Chaibi and Russell note that about 80% of people affected by primary chronic headaches consult their primary physician, in which pharmacological management is often the first line of treatment. However, they point out that nearly half of medication users overuse medication, putting them at risk of overuse for headache attacks. As such, non-pharmacological management should be considered as a viable option for managing this condition. The authors contend that non-pharmacological management for primary chronic headaches have the advantage of few and usually minor adverse effects and no adverse pharmacological interactions.
Chaibi and Russell conducted a literature search on CINHAL, Cochrane, Medline, Ovid and PubMed, which ultimately identified six RCTs. All six studies investigated chronic tension-type headache. The primary focus for their review was the frequency of headaches and secondarily, intensity and/or duration. The literature search found one study that applied massage therapy and five studies that applied physiotherapy. Though all were published in English, the studies were conducted around the world, including United States, Spain, Turkey, Denmark, and the Netherlands from 1989 to 2011. Of these six studies, four were considered to be of good methodological quality. The studies were pragmatic or used no intervention for a control group, and only two studies avoided using another intervention along with the manual therapy which may result in bias and makes interpretation of the results more difficult.
Review of the selected RCT studies suggest that massage and physiotherapy are effective treatment options in managing chronic tension-type headaches. One of the RCTs showed that physiotherapy reduced headache frequency and intensity better than usual care. The efficacy of physiotherapy at post-treatment and at six months follow-up was shown to equal the efficacy of antidepressants. While the massage study only had 11 subjects, it did show a greater reduction in headache intensity than the ultrasound control group. Based on this systematic review, the authors recommend that manual therapies be considered equally with medication management in headache treatment.
The authors indicated that their literature review might have possible biases, as they did not attempt to identify unpublished RCTs. They also reported that though they performed a comprehensive search, it is possible they overlooked one or more RCTs, especially those published in non-English.
Chaibi and Russell suggest the quality of methodology used in studies assessing manual therapies for headache disorders are frequently criticized for being too low. They recommend future manual therapy RCTs follow the recommendations of the International Headache Society with a focus on headache frequency primarily and secondarily, duration and intensity. Additionally, they state that manual therapy studies are needed for chronic migraine with and without medication overuse.
This review provides important findings suggesting that massage and physiotherapy are effective treatment options in managing chronic tension-type headaches. These findings support the use of these therapies by practitioners to help clients treat chronic tension-type headaches in clinical and non-clinical settings.
Are you interested in learning more about the uses of manual therapies to alleviate pain and promote quality of life for patients? To learn more about the effects of massage therapy, you can read the Massage Therapy Foundation review article archives, review accepted MTF Research Grant abstracts, or search PubMed for massage therapy studies.
Looking for quality online continuing education? Consider the Basics of Research Literacy course. This online continuing education course is for all massage practitioners and educators offered by the Massage Therapy Foundation and Education and Training solutions. You can explore the basics of incorporating principles of research literacy into your practice or school curriculum at your own pace. For more information and to sign up for the class, visit www.massagetherapyfoundation.org.