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News in Brief
Updated Neck Pain & Whiplash Guideline; Attention, IHS DCs; New VP of Institutional Advancement At Palmer; N.J. DC Interns At U.S. Olympic Training Center; Chiropractic Society Of R.I. On The Front Lines.
A Conversation With Dr. Betty Edmond
This month's column is an exclusive interview with Betty Edmond MD, newly elected CEO/President of the AOMA Graduate School of Integrative Medicine in Austin, Texas.
Let's Clear Up the Collection Confusion
This is an often-misunderstood practice swirling with misinformation. First, a few basics: Insurance is a contract between the patient and the insurance company. The insurance company is simply making a payment for services or care on behalf of the patient.
Low Back Pain in Running Athletes
After 7 million years of adapting to upright postures, the lumbar spine and pelvis have become remarkably adept at managing ground-reactive forces associated with running.
We Get Letters & Email
Our Country Needs Us Between Elections, Too; Continuing Care: We Aren't There Yet; Our Associations Need to Do More.
An Opportunity & a Responsibility
Nearly 80 Americans die from an opioid-related overdose every day, and spine-related pain is one of the principle drivers of opioid use. This unfortunate situation creates both an opportunity and a responsibility.
Five Branches University Has First Hospital TCM Residency
Established in 1984, Five Branches University (FBU) has campuses in Santa Cruz and San Jose, Calif., which serve the communities of Santa Cruz, the Monterey Bay, and Silicon Valley.
Nutrition for Menopause: Front-Line Therapy for All Phases
Of all the changes women experience during their reproductive life, there is no doubt the most dreaded are the three phases of menopause. This is not surprising since all of the symptoms associated with menopause are replete with unpleasantness.
Scar Reduction With Acupuncture & Microneedling (Part 2)
Protocols & treatment Timing
The winter season is upon us and offers unique challenges for the clinician and patient alike. To effectively navigate through the winter season there are two main TCM medicinals, Huang Qi and Gan Jiang, to consider, as well as two important formulas which feature these two TCM treasures.
Shoulder Rehab: Start With the Scapula
The scapula is an incredible display of elegance and movement within the biomechanics of human motion. It's evolved for mobility and stability in the scapulo-thoracic region, giving us the ability to do things that are uniquely human, such as throwing with accuracy.
The Acupuncture Channel System (Part 1)
The earliest Chinese reference to channels is in the Mawangdui Medical Manuscripts,1 which are dated to the Warring States period of the Zhou Dynasty (475 BC-221 AD). The text presents 11 channels. There are no acupuncture points listed in those channels.
Another Step Forward for Chiropractic
Chiropractic is now available to 86,000-plus Latter-Day Saints missionaries and you are invited to become a provider. LDS membership in not required; our only concern is that our missionaries get the best quality care available.
True Practice Mobility for the Chiropractic Profession
When natural disasters occur, chiropractors can literally travel to the other side of the world to offer humanitarian relief in less than a day. The chiropractor's license to legally practice, however, can't make it past the state line.
A New Year and Vision for the ACA
Inadequate pain management coupled with the epidemic of prescription opioid overuse and abuse has taken a severe toll on the lives of millions of people in the United States. Every day, more than 1,000 people are treated in the ER for misusing prescription opioids.
The Case Report: A Valuable Tool
Case reports are a valuable form of descriptive research. The most basic form of practice-based research, a case report is a detailed account of the history, presenting symptoms, assessment, observations, treatment and follow-up of an individual patient, discussed in the context of prior and potential future research.
Flirting With Alternative Therapies
There are about as many adjunct therapies being marketed to acupuncturists as there are acupuncturists. While some may remain purist in their application of traditional Chinese medicine, others choose to explore new horizons of treatment.
Prepare for the End, From the Beginning: Wealth Building and Retirement with the Tao
Yin and yang flow into and out from one another continually. Beginnings become endings and endings become beginnings again. Wholeness and cycles are the nature of Tao.
Anti-Aging With Dr. Ping Zhang
Jennifer Waters, TCM practitioner and writer of the Acupuncture Today column, "Talking With the Masters" sat down with Dr. Ping Zhang to discuss aniti-aging with acupuncture.
Qigong for Substance Abuse
It is commonly believed that substance abuse, in addition to harming one’s physiological state, hurts the spirit. There is also a belief that one’s spirit does not weaken due to substance abuse, but rather, the person finds solace in addiction due to an already weak spirit.
Crow Like the Rooster
As we welcome in the Year of the Rooster, we look at some of its major characteristics: confidence and communication, which suits the image we have of the Rooster...strutting in the farmyard, crowing to the others that it's time to wake up.
Pediatric Massage for Selfie Elbow
Children today are exposed to the use of electronics and technology at a much earlier age. While many times this exposure leads to great exploration and learning opportunities, we are also seeing an increase in the appearance of discomforts associated with the use of today's technology.
Simply stated, the use of computers, tablets and smartphones causes us to hold our bodies in unnatural positions for extended lengths of time. The cause of technology-related injuries is typically overuse mixed with repetitive use.
With today's youth addicted to taking "selfies," capturing their memories in pictures and living in a reality where "If there is no picture, it didn't happen", we have created a selfie-addicted culture.
What is "Selfie Elbow"?
Selfie elbow is a type of tendinitis and can be described as similar to "tennis elbow" (lateral epicondylitis). The feeling of pain and discomfort associated with "selfie elbow" is caused by the experience of inflammation in the tendons that run along the arm from the hand to elbow. The tissues become inflamed due to the form the body holds when taking a selfie. When taking that soon-to-be-treasured picture, the self-photographer extends their arm and at the same time grips their phone firmly to stabilize for the perfect shot. This is not a position we were designed to hold repetitively.
Children may feel tightness in their arms, wrists and even in the hands, but not report it to their parents. They may think it is harmless, will pass quickly and not recognize the trauma caused by overuse. Oftentimes they will use a selfie stick, thinking it will assist with the awkward (and achieve the optimal) selfie-taking position. However, if while using the selfie stick, the arm is still extended, it is not helpful in minimizing the future discomfort.
Symptoms of "Selfie Elbow"
With selfie elbow, the symptoms develop over time. In many cases, the discomfort begins as mild and then slowly worsens with continued, repetitive movements and overuse. Some of the common signs and symptoms of selfie elbow include:
Pediatric Massage for "Selfie Elbow"
Prior to providing any treatment in the form of pediatric massage therapy, you must assess the child's injury, understand which muscles, tendons and ligaments are involved, and make an informed treatment plan.
Lateral epicondylitis or "selfie elbow" involves the tendons and muscles located in the forearm. The muscles in the forearm help to extend the wrist and fingers, while the tendons, also known as extensors, attach the muscles to the bones. The attachment is located at the lateral epicondyle. It is at this attachment site that we find inflammation contributing to "selfie elbow."
The first and one of the best therapeutic approaches is to encourage the child to rest and help rehabilitate their injury by not continuing with the activity which initially caused the inflammation. However, we also should consider employing methods of treatment using ice to decrease inflammation, teaching the child some home care activities, and using pediatric massage to address the self tissues.
With children, use caution with any heat or cool therapies due to their developing nervous systems and possible inability to perceive heat and cold temperature differences quickly. If using cooling therapy, the therapist should do so cautiously and be mindful of site, color changes of the skin and reaction the child is having. The therapist should limit the time cooling therapy is applied to the inflammation site, using a method of less-is-more when it comes to pediatric clients.
Using pediatric massage techniques, the therapist should focus on those techniques which help to decrease stress, anxiety and tension overall; then focus on specific areas to alleviate discomfort.
Once a through assessment is completed and the therapist has gained the child's permission to receive massage, they can begin their therapeutic approach.
Begin by focusing on the back, neck and shoulders of the child. Provide gentle stroking techniques to decrease any tension contained in these muscle areas. This will help the child relax and prepare for focus on the area with pain and discomfort.
Next, the therapist should focus on the forearms. On the affected forearm, start with gentle, static holding to begin to introduce touch therapy. Gently stroke to warm the area. Then, knead the soft tissues, using a gentle, but intentional pressure. Once the tissues are warmed, the therapist should gently hold their hand in a static position on the child's forearm. While the therapist's hand provides warmed contact to the forearm, ask the child to alternate slowly bending their wrist (flexion) in the dorsal and palmar directions.
This movement should be performed slowly, and range of motion should be controlled by child, who will move their wrist on their own, comfortably. If monitored by parents, this movement can be performed at home by the child under a home care plan.
As a preventive measure, children should be encouraged to take breaks from selfies and regularly practice wrist movements of bending the wrist in the flexion motions. If they notice any pain or discomfort, they should bring this to the attention of the parent or therapist and then follow any recommended medical advice.
Please note the information contained in this article is an example plan of treatment. However, each pediatric client may have different health care needs. This information does not replace medical advice.