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Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
We're now going to turn to two larger, better-known muscle-tendon units, the biceps and the triceps. Like the biceps, the triceps each crosses two joints: the elbow and the shoulder. Most triceps injuries happen near the elbow.
Anatomy & Injury Causes
The triceps muscle is the primary extensor of the elbow, and therefore functions as an antagonist to the biceps. Located in the posterior shoulder and back of the upper arm, the triceps makes up roughly 2/3 of the arm's muscle mass, and in healthy people it is very strong. As its name suggests, the triceps has three distinct heads, but at the distal end, these merge together into one common tendon. This tendon inserts on the olecranon process, with some fibers radiating into the fascia of the forearm. The most frequent sites of injury at the elbow are the tenoperiosteal junction, where the tendon meets the bone, and the tendon body.
Triceps injuries are a little less common than biceps injuries. They can be caused by athletic activities and exercises that require rapid, forceful extension of the elbow (such as push ups or dips); by lifting much more weight than you are able to; or by repetitive hammering or throwing motions. The triceps is particularly vulnerable when attempting a very strenuous motion starting with the elbow in full flexion — for example, moving from that position into a push-up or a bench press at your weight limit.
The primary test for triceps injury is resisted extension. Place one or both of your hands under the client's wrist as the client holds the arm at a right angle in front of their body. Now, ask the person to push down forcefully as you resist, pushing up with equal and opposite force. Elbow pain on this test indicates that the triceps is injured.
In some cases, the triceps muscle is so strong that even though it's injured, this test fails to produce pain. If you get a negative result but still suspect a triceps injury, take the person into full elbow flexion — so the muscle is stretched, and therefore a little weaker — and then repeat the test. This gives you a much better chance of revealing the injury.
As with the biceps test, if the client can overpower you, it's best to protect yourself from injury by having them lie supine. Lace your fingers together, wrap them around the ulnar side of the forearm just above the wrist, and lean back. In this position, the client would have to pull your entire body weight to overpower you.
The most effective treatment approach for the triceps is a combination of friction therapy, massage therapy, and exercise therapy. The injured portion of the tendon will be painful on palpation. If you have difficulty pinpointing the precise site of injury, try having the person extend their arm against resistance, so that the tendon tightens and pops up, and then palpate the tendon again in that position.
Friction therapy is done with no lubricant so that you can pin the injured fibers against the bone and perform a friction motion against that resistance to break up the adhesive scar tissue. Be careful to take the skin with you, rather than rubbing over it. When performing any friction therapy techniques, work for 10 to 12 minutes at a time, taking breaks as necessary. Remember to change hands frequently so you don't strain yourself. Follow the friction therapy with deep massage to the upper arm, lower arm, and shoulder, and repeat twice a week for four to six weeks.