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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.
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 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.
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.
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.
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."
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.
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.
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.
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.
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?"
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!
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.
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.
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.
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.
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.
Abdominal Acupuncture for Eye Healing: The Sacred Turtle and Ba Gua Map
Our ideas about western medicine have shifted in recent decades, while the public is asking more from health care providers.
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.
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.
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.
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.
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.
Having the Opportunity to Change a Client's Life
I promise I'll get back to politics in my next column. The information, this method I am sharing with you in this column, can change the lives of both patients and therapists in such a dramatically positive way, it trumps politics, so of course you want to know about it.
A therapist in her mid-forties attended a seminar I was teaching about a year ago. It was a Neural Reset Therapy® (NRT) lower body class. It seems she had been in a severe auto accident seven years ago and all her injuries had been treated and resolved except for a very severe, nagging low back pain that she experienced deep to her PSIS and superior SI Joint. She was functional, "working through it," but it was always present to one degree or another. After receiving NRT work during the class practice time from her partner, plus a few extra resets from me that came from the NRT home study module for the lower body, she was pain-free for the first time in seven years. (The lower body modules include the lumbar and abdominal regions.) I treated her for about 10 minutes. She did not experience any pain during or from the treatment. Neither did I!
When a treatment is so simple, quick, and painless, the first question a therapist will probably ask is," Will it last?" That was in November. She returned for the NRT upper body class in late February (3 months) and the pain had never re-occurred.
The pace of massage has not changed for decades. Yet, everything is moving faster these days. Doesn't it seem that way to you? Patients want faster results than ever before. Of course so do us as providers. Think about it, wouldn't you like to be able to get better and faster results in your clinical work? Wouldn't you like to learn a way to stimulate the nervous system to get the exact response you desire from it? I wonder why any therapists wouldn't?
The last big advance in massage therapy was trigger-point therapies like Neuromuscular Therapy (NMT). Some may argue that the various myofascial methods, from superficial to deep were the last big advance. They both happened about the same time. Since then, everything has been a variation on these themes. They are all relatively time consuming, strenuous for the therapist, and at least somewhat uncomfortable for the patient.
The human nervous system moves at the speed of thought. It knows exactly how to relax a muscle instantly. It does this every time we move. Sherrington's Second Law states that when a muscle is contracted, its antagonist is simultaneously inhibited. This is called the Law of Reciprocal Inhibition and is published in medical textbooks. If reciprocal inhibition (RI) didn't happen, we would be rigid and movement would be very difficult. Reciprocal inhibition occurs almost instantly, at least at the speed of our movement. Just think how fast we move in an athletic sport or dance event.
The question for decades has been, how can we elicit this reciprocal inhibition function of the nervous system when we desire to, in a specific, "target" muscle, and even more importantly, how can we get it to last longer than during the moment of movement? How could we elicit it in a way to "reset" a muscle's tonus back to a "default" or normal level of tonus that would last at least until an adverse event resets it into dysfunction?
Various attempts at accomplishing this have been around for at least 25 years, but they were never predictable, consistent, or lasting. PNF, MET and AIS all utilize RI but they are slow, repetitive, and not all that long lasting.
Embedded in the body's tissue matrix are sensors called mechanoreceptors. They perceive stimulus like vibration, pressure, movement, slow stretch, tension, etc. When they are stimulated in a non-threatening, maybe better to say a non-harmful manner, they send a signal to the central nervous system (CNS). Its response is to send an inhibitory signal back to the area reporting in. Wouldn't it be awesome if we could better utilize these mechanoreceptors to "reset" muscles?
The most consistent comments that I receive from other therapists is how much easier NRT is on their bodies and how much more they can do for their clients. That is a win-win situation! The other thing that I hear is," How come it took so long for someone to figure this out?" A lot of things in life are like that. The main thing is for you not to wait to learn something that will enable you to continue to work in the profession that you love for many more years to come.
NRT is not just a set of techniques. NRT is a process where we apply techniques with conscious effort, utilizing the different application methods, "The Rules," and the "Insights" to cause a significant positive change in the nervous system. NRT combines well with any other therapy you might use. It is completely based on neurological laws, anatomy, physiology, and kinesiology. Done through clothes, it does not require lubricant, and is mostly done supine.