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VOLUME 36, NUMBER 8
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The Secondary Insurance Plan
I have a patient that has Medicare, but also has a secondary insurance plan that does cover acupuncture. How do I bill Medicare to get a denial so that I may bill this secondary payer?
Treating Pain With Nutrition
Back in 1910, when D.D. Palmer published The Chiropractor's Adjuster and introduced the world to what he called the "triad of health" – thoughts, trauma and toxins – he explained that the body can only be made optimally healthy if all three aspects of health are addressed.
The Three Types of Ankle Sprains
The majority of ankle injuries involve sprains to the supporting ligaments of the ankle. Most occur to the ligaments on the lateral side of the ankle and are generally referred to as inversion ankle sprains because it is excessive inversion that causes the sprain.

It's All About That Ki
As an industry are we shifting too much toward a Western mind set? We strive to understand how acupuncture works using imaging and extensive studies. We spend numerous hours of our training learning Western medicine and learning to speak their language. What happened to our core though?
A Resting of the Soul
In my pursuit of being a skilled health care provider, I focus on reading journals, attending classes, staying current on medicinal research, and choosing the correct billing codes. However, most of us would never have started down this career path if there wasn't something more.
Vaccines & Autism (Part 1)
It turns out chronic inflammation is the driver of autism expression. Unfortunately, those who emotionally embrace the vaccine issue rarely, if ever, consider this relationship, which hinders a rational view of the vaccine issue.
NCCAOM: A Route to National Certification
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is offering a route to achieve national certification—without having to take any of the NCCAOM exams. This is specifically for California licensed acupuncturists that meet the eligibility requirements.
Long Term Solutions for Ganglion Cysts
Jenna, a 42 year old concert violinist, was developing significant pain in her fingers and knuckles in the palm of her hand while playing during an extremely stressful season. A physician diagnosed her condition as ganglion cysts and recommended surgery on the tendons of two fingers.

Live & Work Intentionally: Help Create a World of Wellness
Throughout my spa career, one of the aspects of working within the spa industry that has become more and more precious and valuable to me is our focus on intention.
Does Dairy Cause Dampness?
The topic of dairy consumption was brought up at a scalp acupuncture seminar I recently attended.

The Money-Maker Practice: How to Choose Your Location
Selecting the right location for your clinic can be a time consuming and overwhelming task, but it is one of the most important decisions you can make, whether you're starting a new practice, moving to a new location or coming to grips with the fact that you may not be in the right location.
Valuable Adjunctive Therapies
Based on the latest CDC statistics, more than 795,000 Americans have strokes per year, 140,000 of which are lethal. Approximately 87 percent of all strokes are ischemic with an estimated health care and missed work cost of $34 billion annually.1
A Stress & Anxiety Study
There is an indispensable component to the massage therapist and client discourse – an ever-increasingly open dialogue surrounding the cause and effect of client stress and anxiety.

Massage in Clinical Practice Guidelines
Recently, two very important things happened in the evidence-based practice world for massage. Clinical practice guideline recommendations from conventional health care organizations included massage as a complementary treatment.
The Classical Texts & Integrative Medicine
The acupuncture profession has been undergoing many changes in the past years. There has been a shift towards a more integrative approach to medicine as more hospitals include integrative departments.

Aromatherapy & Your Clients: Selecting the Right Scent
To most, simply hearing the word "aromatherapy" brings about a sense of serenity. If you are massage therapist, these words can be music to your ears (and nose).
The Certified Practitioner
Certified Chinese herb practitioners often identify themselves with the credentials "LAc" (Licensed acupuncturist).

The 4-Faced Troublemaker: The Frustrater (Part 2)
In my last article I talked about the rectus femoris (two-jointed puzzler) and the vastus medialis (buckling knee muscle). In this second part of the "4-Faced Troublemaker" I will discuss the vastus intermedius, fondly named the "frustrater" by Dr. Travell.
Reducing Hip, Knee & Shoulder Replacements (Part 2)
In the first article in this series, "Early Detection Reduces Hip, Knee, & Shoulder Replacements," I described time tested screening procedures and perspectives as indicators of when to encourage your patients to seek further medical evaluation.

Time-Saving Tips For Your Practice & Life
Of all the finite resources we possess, perhaps the most valuable one is time. There never seems to be enough time to accomplish everything that must be done, and all too often we sacrifice things in our personal life to meet the demands of our practice.
Multichannel Access: Software for a Better Customer Experience
It is no secret that today's consumer has high expectations when it comes to how and when they can contact a business. In fact, one of the reasons clinic management software has become so popular with massage therapy practitioners is they allow customers to book appointments and make payments online day or night.
Nature's Vascular Back-Up Plan (Part 3)
The first article in this series described the clinically based assertion that clearing the common bile duct and assisting the flow of bile and pancreatic juices and enzymes down into the small intestine often enhances the upward flow of venous and lymphatic fluids back to the heart/ lung complex.
The Life Stage of Retirement
I am twenty-five years into my second career as a massage therapist and instructor. While I still love what I do, I cannot escape the truth that retirement is sharpening from a hazy, distant dream into a clear, impending reality for me.
End of Life Treatment
TCM looks death in the face. We do not camouflage it as if it were poisonous. "We must allow our patients to die but we cannot allow them to perish," was my first lesson the day I met my teacher as a teenager.
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What do patients perceive as most important?

July 13, 2018
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For a practicing provider, making management decisions is inherently an individual activity, influenced by factors unique to each patient. Research designed to inform decision-making often describes analysis of data obtained from groups. Thus, applying knowledge from research conclusions to individual cases can sometimes be challenging because groups don’t necessarily represent individuals. However, though challenging...
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Placebo as an ally

June 11, 2018
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Bialosky and Colleagues have conducted and published results from several studies focused on understanding the mechanisms of spinal manipulation and other manual therapies.(1-5) In a recent article, these authors discuss a pertinent issue: the “placebo mechanisms of manual therapy.”(6) The authors suggest that known...
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How is the intervertebral disc affected by some treatments?

March 16, 2018
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Several treatments used by doctors of chiropractic and other health professionals are thought to generate beneficial physiological effects on intervertebral discs. Traction (or decompression) high-velocity low-amplitude (or thrust) spinal manipulation, and various forms of mobilization (or non-thrust manipulation) have been described as treatments that...
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What does management theory have to do with being a good doctor?

February 7, 2018
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A recent article authored by Sadati and colleagues entitled “From good to great physician: a critical ethnography based on patients’ views” describes patient perceptions of what great physicians are.1...
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Nutcracker syndrome

January 17, 2018
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Nutcracker syndrome is a condition characterized by compression of the left renal vein where it courses between the aorta and superior mesenteric artery. Anatomical variations in vascular structures and...
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Red Flag Challenges

November 10, 2017
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Clinical guidelines for spine care routinely recommend screening for red flags because they potentially indicate serious conditions often requiring prompt and specific management. Verhagen and colleagues reviewed 16 clinical...
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