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Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
After two treatments for back pain, a patient presents for a third
session complaining of rapid breathing and wheezing that is made worse
during cold weather.
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
Making Things Better
If something has been done the same way for 100 or more years, chances are there are new and better ways to do it now that should be considered. While some things never change (and shouldn't), occassionally someone does get an inspiration and truly advances the way to do something. Change is usually slow to be accepted. However, the new thing or method, if valid, slowly becomes accepted, first by the "early adopters" and then by the majorities. Trends always start slow and grow.
We have been doing massage the same way for a long time. When it comes to "just" eliciting a parasympathetic response, the same old way is still valid - lots of effleurage gets the job done. However, most people that come to get a massage have some pain complaint they would like relief from. For 30+ years, our primary tool for addressing "tender points" and "trigger points" has been some form of sustained pressure. Sometimes slight movement was added such as deep friction strokes or superficial myofascial techniques. These techniques have been the main weapons therapists have employed against soft-tissue pain. This is the American Neuromuscular Therapy (NMT) paradigm as developed and taught by Paul St. John starting in the mid-1980's. While effective, it is unpleasant to receive and often damaging to therapist's bodies.
In the 1980's, we knew the primary soft-tissue problem was the involuntary contraction (spasm) causing ischemia and thus pain. Science eventually discovered sensors in the nervous system called mechanoreceptors which when stimulated, could elicit an inhibition response back to their locale in the body. There are many types of mechanoreceptors, each responding to a different type of mechanical stimuli. In most clinical and relaxation massage, we have been stimulating, through our touch, pressure, and movement, only a few types of mechanoreceptors. Primarily the Ruffini End-organs and Interstitial mechanoreceptors that respond to sustained pressure. However, as we tend to apply our sustained pressure in a spot about the size of a thumb, we illicit a relaxation response back to about that sized area. This is wonderful when treating an
There had to be a better way to stimulate the nervous system to down-regulate hypertonic muscles. For decades, people have been trying to utilize the body's reciprocal inhibition mechanisms but were unable to achieve consistent and complete results. They were missing several key approaches necessary to get reciprocal inhibition to create complete and lasting change in a particular (target) muscle. Finally, just like someone had the insight to invent Velcro, an accomplished therapist, Lawrence Woods from Indiana, had the insights that allow massage therapists to quickly and easily stimulate the nervous system in such a way to relax an entire muscle and actually "reset" the local nervous system, normalizing the tonus in an entire muscle, usually within seconds. Not only is it easy to learn, its quick, pain free, and physically easy to perform. Results last as long or longer than traditional massage methods.
This system is called Neural Reset Therapy (NRT). Applicable to pain relief and for athletic performance enhancement therapies, NRT is utilizing up to six types of mechanoreceptors at once, through gentle movements and stimuli. It is truly working smarter instead of harder. A full NRT session creates a much deeper, longer lasting relaxation response than traditional clinical massage treatments. It requires no lubricants and can be done through clothing.
A truly amazing advancement in soft –tissue treatment, NRT is based entirely on neurological laws and anatomical, physiological, and kinesiological principles. It integrates into and with any other styles and forms of massage and bodywork. You owe it to yourself and your patients to learn NRT. It is growing practices by getting people out of pain. It is increasing career lives of veteran therapists because it is so easy to perform.
Check out this evolutionary soft –tissue therapy process at: http://www.neuralreset.net.
Two columns ago, I very poorly expressed a thought and painted with too broad a brush. I was pointing out the internal focus of AMTA-National and managed to offend many chapter volunteers. I was not intending to criticize chapter volunteers and I do not have a problem with them being compensated for their out-of-pocket expenses while serving. They earn it. Please accept my apology.
I commend all the volunteers in this profession and I assure you that most all of them will tell you that their volunteered time was challenging, but enriching and very beneficial to their lives and careers. My volunteer time in AMTA, AFMTE, and the Iowa Board of Massage were the best investments I made in my career. You must get involved to make a difference. All change requires growth and all growth is painful, but nothing ever gets better without change, be it organizations, careers, or individuals. Don't complain, get involved and be the change. Get involved in your state massage board and/or your AMTA state chapter. The establishment will welcome you until you challenge them. So, get involved, become valuable, and then start raising hell. You will make a difference and it is time for change to come – volunteer to be all you can be. Don't volunteer to serve the status quo, volunteer to change it and make life better for all, except the establishment.