resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Case Studies and Answer Analysis for NCCAOM Exam in Foundation of Oriental Medicine
Case studies are very common for acupuncture school students, either in class exams or during taking the national board exam. Most test takers feel they have no idea where they should start and how they should start to analyze those complicated cases.
Immunotherapy: Where Molecular Medicine Crosses Into Holistic Thinking
Immunotherapy, and its promise as a cancer treatment, has been in the news a lot in the last few years, and for good reason. Real shifts are happening in oncology and exciting researchers, clinicians, and patients.
Chiropractic Needs a Lesson in Education
The American Chiropractic Association has launched a campaign, The National Medicare Equality Petition, to enact federal legislation that would achieve full physician status for DCs in Medicare.
What Should You Call Your Patients (and What Should They Call You)?
When I walked into the exam room, the new patient looked uneasy, fumbling with his cellphone. He was a huge Polynesian man, probably in his 40s, with unrecognizable island tattoos.
We Get Letters & Email
Another Slap in the Face for DCs; I Know Where to Find the Missing Chiropractic Patients; Clarification on Vitamin D Study.
The Eight Extraordinary Confluent Points
The eight extraordinary confluent points are a very popular set of acupuncture points in the modern practice of acupuncture. They are also called the intersection, meeting, command, opening, master, and the flowing and pooling points of the eight extraordinary vessels.
Time for World-Wide Growth
Acupuncture is the organically growing around the world. The legislative body in Quatar has said acupuncture is "okay." The United States has five states to go to have every state recognized and regulated.
F4CP Campaign Addresses Public Misperceptions of Chiropractic
In late 2015, results of the Gallup-Palmer College of Chiropractic Inaugural Report: Americans' Perceptions of Chiropractic were published. The report found that 33.6 million U.S. adults (14 percent) had utilized chiropractic care within the previous 12 months.
Treatment of Type 1 Diabetes Mellitus: The Latest Breakthroughs
There are now more than 29 million diabetics in the U.S. and 10% of them have Type 1. The incidence has been increasing in recent years at an epidemic rate.
2016 Trudy McAlister Foundation AOM Scholars
This year, the Trudy McAlister Foundation (TMF) received a record number of excellent applications for the 2016 scholarship awards and has awarded five scholarships for $2000 each. More information is available on our website: AOMScholarship.org
Bring on the Bitters
Out of all the possible flavor choices with foods, such as sweet, sour, salty, and umami (deliciousness), which would you choose first? Bitter, though not as enjoyable, is also a flavor.
Herbal Medicine Continues to Evolve
Product manufacturers, industry partners, distributors and practitioners work as a collective Traditional Chinese Herbal Medicine (TCHM) community to produce high quality TCHM prescriptions that bring low-risk healthcare to thousands of patients everyday.
The Effectiveness of Chinese Medicine in Treating Infertility in the Philippines
Infertility is defined as the inability to achieve a successful pregnancy after 12 months or more of regular unprotected intercourse.
Are Herbs Useful for Chronic Pain?
The human nervous system is what makes us special, but our greatest strength also makes us vulnerable: witness the growing incidence of chronic addictions, anxiety, depression, sleep disorders and chronic pain syndromes.
Day in the Life of an Advanced- Practice DC (Pt. 2)
Let's continue our Q&A with Stephen Perlstein, DC, APC, chair of the New Mexico Chiropractic Association PAC and president of the American Academy of Chiropractic Physicians. Part 1 of this interview appeared in the May 1 issue.
How to Bill Evaluation and Management Codes
Q: I am in need for guidance on how to bill evaluation and management (E&M) codes in addition to acupuncture the same date of service, I have never been paid for an exam when done with acupuncture and I believe I am doing it wrong.
The Good, the Bad and the Successful in Social Marketing
You might be thinking, "social marketing, don't you mean social media?" No, I mean social marketing. Every day, I keep reading, hearing and learning more and more about the changes happening in social media.
Shoulder Rehab: The Gait Connection
Shoulder problems can be difficult to rehab completely for several reasons. The shoulder is made up of several joints that must function together smoothly to provide the extreme mobility that is possible and necessary for many activities.
Who is Your Ideal Patient?
Being in a healthcare practice requires you to think critically about many things including your equipment, techniques, documentation, financial goals, and the retention of clients and staff.
Five-Element Reaches Out to Serve the Community
In 2006, a student at the Institute of Taoist Education and Acupuncture (ITEA) approached the administration about an idea for his senior project.
Acupuncture at a Pain Clinic
Introduction: Pain is the most comprehensive human experience. The experience of pain is associated with the somatic, emotional and social impact. Pain has not only somatic symptoms, but also psycho-social dimension, especially in case of chronic pain.
Does Anyone Know You're a Good Chiropractor?
If you had a chance to read the recent article in Time magazine (April 6), you know it provided some good information about the efficacy of chiropractic to the magazine's substantial consumer audience.
The Liver: The Official of Planning
The Liver, with its paired Official, the Gall Bladder, belongs to the Element Wood within us. Wood grants us the power of birth – new beginnings, growth, breaking through boundaries and surging forward. It is the vigorous, exuberant energy of the spring season.
Diet, Nutrition and the Context of Risk (Part 2): Food Poisoning
Other than the morbidity and mortality linked to eating too much food, "all-natural" organisms that contaminate our food cause more illness, more hospitalizations and more death than food contaminated by heavy metals, plastics, preservatives, artificial colors, emulsifiers, artificial sweeteners and pesticides combined.
Assessing and Treating Tennis Elbow
The most common elbow injury is a strain to the common extensor tendon which controls the wrist, but begins at the elbow. This injury is commonly known as "tennis elbow." Tennis elbow earned its name because many tennis players suffered from this injury.
This is an injury which is not exclusive to those who play racket sports. It is very common in people who use their hands and wrists a great deal in their occupations. The involved muscles are used frequently to grip and lift objects.
You use them when you open doors, paint a wall, screw and unscrew jar lids and turn a screwdriver. Most people with this injury experience pain with activities such as shaking hands, washing dishes, wringing a cloth or lifting a teapot.
Tennis Elbow Anatomy
Tennis elbow means that there is a slight tear or inflammation of one particular muscle tendon unit, frequently near where it connects to the bone at a place medically known as the teno-periosteal junction.
Among the muscles at the outside of the elbow joint, there are two very closely associated muscles: the extensor carpi radialis brevis (See Figure 1) and extensor carpi radialis longus (See Figure 2). Both of these muscles share the common tendon which attaches to the bone at the outside of the elbow (the humerus), the tendon fibers of the longus extend a little further up the attachment to the bone than do the brevis.
Of the various sites of injury the most common is in the common tendon close to its attachment to the bone. The pain is felt at the lateral aspect of the elbow with activities involving the wrist joint and may extend from the outside of the elbow into the forearm as far as the wrist.
To locate the exact area of attachment, lean sideways against a wall and bend your arm as though you were going to shake hands with someone. Push your elbow against the wall. The knobby bone you feel pressing into the wall is called the lateral epicondyle of the humerus and is the area where the common tendon attaches to the elbow. This is often the site of the injury.
A little probing with your finger will confirm that this is the spot or you may find it a little lower down the arm in the tendon itself. The muscle bellies of the brevis and longus and their tendons pass down the forearm. The brevis attaches at the back of the hand just beyond the wrist joint while the longus continues on into the fingers.
In addition to the teno-periosteal junction the injury may also occur in the main part of the tendon, called the body of the tendon, or at what's called the musculo-tendinous junction, which is where the tendon and the muscle join each other. The final place of injury with a tennis elbow may be in one or both of the muscle bellies of these two muscles.
How and Why?
This bothersome and frequently long-term injury is extremely common. It regularly afflicts people who lift heavy objects, scrub floors, wait tables, and, of course, play racquet-sports. When racquet enthusiasts get tennis elbow, it's usually because the muscle-tendon unit is fatigued due to repetitive stress or a sudden excessive strain applied to the muscle tendon unit.
It can also occur by falling onto the elbow or bumping the elbow against a wall or another surface with some force. This causes a sudden muscle contraction which tears a few of the fibers of any part of the muscle tendon unit. An inflammatory response occurs. Then adhesive scar tissue develops, often becoming chronic.
Tennis elbow may occur suddenly. The pain may be so severe that you may be forced to stop what you are doing. Tennis elbow may also come on slowly in a milder form initially and then become severe. In this case, the tendon has suffered many minor micro-tears over a period of time by particular repetitive activities, eventually resulting in a severe, painful tennis elbow if you continue to use it.
Where the common tendon attaches at the outside of the elbow it is in close proximity to several other muscles and tendons which control the wrist and fingers. The close proximity of these structures makes it likely that extraneous scar tissue formation which accompanies this injury will bind several structures together.
This binding together with scar tissue inhibits the individual function of the different structures making healing more difficult.
Ask the client to straighten the elbow and bend their wrist upwards as if they were a policeman saying, "Stop." Now, place the other hand at the back of their upturned hand and attempt to push the upturned hand forward while they resist. Use slight force, at first; as it is usually all that is needed to reproduce the pain. Pain at the outer side of the elbow during this test with associated weakness indicates a tennis elbow is present. The pain causes the weakness.
This method for treating any soft tissue injury must always be combined with the appropriate rehabilitative exercises. Friction therapy is designed to break up the unwanted and unnecessary scar tissue which accompanies most soft tissue injuries causing them to become chronic. The rehabilitative exercises are necessary to prevent the reformation of adhesive scar tissue and to rehabilitate the injured muscles and tendons.
This friction technique is best done in a sitting position. Bend the client's arm at a 90-degree angle and supinate the forearm. While holding the forearm with one hand, place the thumb tip or index finger of your other hand at the lateral edge of the lateral epicondyle of the injured elbow. To check that your hand placement is correct, move your thumb medially onto the tendon and ask the client to raise and lower the hand, as in the test. If you are in the right place, the tendon will tighten under your thumb or index finger. Press down on the tendon attachment at the elbow and apply friction in a medial direction only. Repeat this for 5 to 10 minutes with interruptions as needed for the client's comfort. After frictioning, massage the entire arm extensively, especially the extensor surface of the forearm.
These two exercises which are done throughout the day will limit the formation of extraneous scar tissue and help it to change from a matted network of fibrous tissue into a useful, pliable scar.