Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Adding Microneedling to Your Clinic for Results and Profit
Microneedling has taken the beauty world by storm over the last 10 years. Under the names dermaroller, microneedling or skin needling you will see these treatments listed in the services of nearly every fashionable beauty salon and day spa in the country.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Can Acupuncture Treat Knee Pain?
Recently, an article in the Journal of the American Medical Association concluded that, "neither laser nor needle acupuncture conferred benefit over sham for pain or function" among older chronic knee pain patients.
The Roots of TCM in Depression Treatment
In traditional Chinese medicine, there is historical precedent for the treatment of so-called "Shen" (Heart-Mind) disorder, or disorder/dysregulation of the spirit, which is also considered as distinct but not separate from the cognitive function of the brain.
Melatonin: A Promising Natural Agent in the Prevention of ALS
A number of years ago, experimental studies suggested melatonin could block key steps in the development of Alzheimer's disease, primarily by acting as a brain antioxidant and inhibiting the build-up of beta-amyloid plaque in the brain.
Merger Creates New Model of Care
Two San Francisco powerhouses of holistic healing, the American College of Traditional Chinese Medicine (ACTCM) and California Institute of Integral Studies (CIIS), are merging. Together they are building a visionary approach to applied integral health.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
The Source-Luo Point Combination, Part 3
Dr. Nguyen Nghi (NVN) was born in Vietnam and is one of the most important scholars, writers, teachers and practitioners of modern time. Many of his theories and applications are the source of modern teachers from Europe and the United States.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
The Art of Creating a Healing Space
I always advise my graduates to examine their group practice or treatment rooms with fresh eyes after they leave my CE workshops. I tell them, "Ask yourselves - is your space qi filled, welcoming and healing? Or is it cold and clinical?"
Colon Health and TCM
I still remember many years ago, the loud "Yuck" from my wife at the time when we were together watching the Chinese movie "Last Emperor."
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Online Marketing Basics: Google Ranking, Part 1
We all know there is so much opportunity with online marketing. And, let's face it, if you don't have a presence online with a website and social media, you are probably not where you want to be.
The Integrative Medicine Puzzle: Putting the Pieces Together
The conversation is changing in the broader healthcare community with patients actually moving the discussion toward more integrative topics. Patients today want to know their options.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
Exploring and Learning from the Gift of Life
I'm grateful to have had the opportunity to teach cadaver dissection classes and workshops with Stephen Cina at the New England School of Acupuncture over the past seven years, first through the Sports Medicine Acupuncture Program and later as a NESA elective course.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Medicine as Metaphor
The practice of medicine is both an art and a science. We study and learn the system so that when the time comes to apply it, there is a greater possibility of successfully helping others.
Pediatric Massage Benefits for Down Syndrome
Our bodies are made up of cells, inside these cells are our genetic material called genes. Genes are arranged on a rod type structure called a chromosome and carry all of our inherited traits. Normally, each nucleus carries 23 pairs of chromosomes with half being inherited from each parent. In the event that a child has a full or partial extra copy of Chromosome 21, the individual will have a congenital disorder known as Down Syndrome. The most common form of Down Syndrome is often called "trisomy 21," because individuals with this condition have three copies of the 21st chromosome.
According to the National Down Syndrome Society, "One in every 691 babies in the United States is born with Down Syndrome, making it the most common genetic birth condition." The statistics are staggering especially taking into account that there are more than 400,000 Americans currently living with Down Syndrome in the United States. Common symptoms associated with Down Syndrome include potential impairment of cognitive ability, low muscle tone (hypotonia), congenital heart disease and other cardiac needs, seizure disorders, constipation, spinal cord compression, atlanto-axial instability (characterized by excessive movement at the junction between the atlas (C1) and axis (C2)) and physical appearance characteristics including short stature and a broad facial profile. All of which are considerations when we think of safely and effectively applying pediatric massage therapy.
People with Down Syndrome have an increased risk for certain medical conditions, especially as children, and the use of diverse methods of treatment are encouraged. Massage is one type of additional therapy that is gaining popularity with peer-reviewed and scientific studies showing the benefits of massage for children with Down Syndrome, along with parents reporting the benefits they see first hand.
In a five month study, researchers found that "significant, lasting improvement in motor skills" were found in groups of children with Down Syndrome who were massaged by therapists, as well as parents. Additionally "an unanticipated consequence" was an unexpected jump in language skill for children affected by Down syndrome. This study is based around low income solutions for children with exceptionalities and wanted to measure the impact of training parents to massage their own children would have. The results speak to parents using massage as a viable option in helping with their child's healthcare concerns.
Another study found similarly exciting results, 21 young children (average age, two years) with Down Syndrome receiving early intervention (physical therapy, occupational therapy or speech therapy) were chosen for two month study. The study used two groups, one receiving a half-hour reading activity and the other a half-hour of massage therapy. The children were assessed for development and muscle tone on the first and last day of the study. Children in the massage group revealed "larger gains in fine and gross motor functioning and less severe limb hypotonicity" as compared to the children in the reading group at the end of the two month study.
Every child deserves to receive the effects of touch therapy in a unique style customized for their best care. They may benefit from different gentle techniques, varied length of sessions and gentle application. Evidence suggests that pediatric massage may improve muscle tone, increase performance on motor tasks and provide much needed relief from constipation by improving motility.
Pediatric Massage Considerations
A detailed health history and intake form is required before beginning any session, whether it is a hands-on therapeutic provided by a certified pediatric massage therapist or techniques shared with parents. In order to practice best care, the full health profile must be reviewed and a treatment plan developed.
Specific caution should be practiced in relation to any pre-existing cardiac conditions, hypotonicity due to affected muscles and joints, and atlanto-axial instability. In some cases, as much as the therapist may wish to address low muscle tone, the techniques employed may have to be adapted to practice caution in relation to cardiac issues. When atlanto-axial instability is present, no traction should be applied to the neck, and careful positioning is imperative. Always watch nonverbal cues closely, as there may be a delayed response to discomfort and/or pain due to higher sensory threshold. To address constipation, abdominal massage may be applied to improve gastrointestinal function and increase motility. It is important that all massage strokes and techniques follow the direction of the intestinal tract, and are provided at least thirty minutes following eating. The child should be in a relaxed and comfortable position and welcome to massage.
With more and more children being diagnosed with Down Syndrome, it is important that massage therapists wishing to practice pediatric massage therapy become educated in safe and effective approaches, to become a professional, active part of a child's treatment team.