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Dynamic Chiropractic
VOLUME 40, NUMBER 12
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Alternative Health News
Review of PBM Contraindications
Laser therapy, also known as photobiomodulation (PBM), is a non-invasive modality that delivers red and infrared laser light to biological tissue with the goals of stimulating cellular processes and enhancing the activation of biochemical mechanisms. Let's examine the contraindications for laser therapy.
It's Time to Remove the Fear of Discussing Informed Consent
How are you currently using informed consent in your practice? As a quick sign-off on your EHR before the patient comes in? As part of your new-patient packet in your office?
Chinese Medicine Treatment of Herpes Zoster and Complications (Pt. 1)
Herpes zoster (shingles) directly corresponds with the pathologic terms "girdling fire cinnabar" and "girdling snake cinnabar," as described in Chinese medicine external medicine texts.
Trust the Trends, Or Trust Your Instincts?
Being a massage therapist is all about balance. There's the balance between your customers' needs and wants, the balance between what's good for clients and what's good for business, and the balance between overseeing current business and forecasting for the future.
The Simplest Diode Therapy
Some of you contacted me after my May column, "On the Road with Asian Bodywork Therapy," referenced simple diode therapy. I decided there was enough general interest from close colleagues and AT readers to warrant a close-up!
Coughs and Cannabis: Herbal Solutions
In the contemporary clinical setting, encountering patients who chronically use cannabis is increasingly common. In my 25 years of clinical practice, this is one of the most common presentations I see.
Multiarticulate Muscles & Injury: Understanding the Mechanical Load
Muscles have a primary role in creating and limiting movement in the body. They are also the major focus of our work in massage therapy, with many injuries caused by improper loads on the muscular system.
A Structural Challenge: Successfully Treating a Morton's Neuroma
Runners, triathletes, dancers, hikers, cyclists, almost all athletes, and even couch potatoes have shown up in my office looking for alternatives to surgery for neuromas. A Morton's neuroma occurs when the tissue in the foot (next to a nerve that leads to a toe) thickens and becomes fibrous.
Case Report on Chronic LBP (Pt. 2)
The patient was seen two times per week for two weeks, followed by once-a-week treatment for two weeks. At that point, the patient decided to postpone his radiofrequency ablation (RFA) appointment and continue maintenance acupuncture treatments. Over 16 weeks, he received 11 total treatments and cancelled his appointment.
HIPAA-Compliant Online Payment & Billing
There are countless ways protected health information (PHI) could be exposed during a financial transaction.
What It's Like to Be a Hospital-Based Massage Therapist
It was the early 1990s the first time I ever saw a massage therapist in a health care setting in my home state of Minnesota. I was working at a nursing home at the time, and I learned of a resident who would receive weekly massages (which I thought was great).
Getting the Bowel Back on Track After GI Surgery
Recovery of GI function following bowel surgery can be complicated. Postoperative ileus – disruption in normal bowel motility – is a common and frustrating occurrence, affecting up to one in three patients after surgery.
CranioSacral Therapy & The Rare Case of Vertigo
I had heard of folks getting dizzy and nauseous when experiencing vertigo, but I had never heard of Benign Paroxysmal Positional Vertigo (BPPV) until my husband Joe was diagnosed with it.
A Postoperative Story: The Surgery Explained & Secrets to My Recovery
If working with a joint replacement patient, be sure you know the rehabilitation protocols of the particular appliance. If you don't, with permission, consult with the surgeon to learn them. Otherwise, stay away.
The Benefits of Teaching Touch
This month the MTF took a look at a massage research review titled "The Effect of Massage Therapy on Children's Learning Process: A Review," written by Majid Emtiazy and Mahboobeh Abrishamkar. The article was published in the Iranian Journal of Medical Sciences.
2022: Looking Back, Looking Forward
With 2022 coming to a close, let's take a short walk through the past year – a year featuring tremendous achievements that position the acupuncture profession – and every acupuncture practitioner – for continued success in the new year and for years to come.
How the Human Body Responds to Stress
This new series of articles will suggest a different perspective for you to view clients presenting with stubbornly chronic somatic dysfunctions. It will also propose a novel answer to the question, "How does the human body respond to stress?"
Get the Initial Interview Right
Have you ever had a patient meander in all sorts of directions when discussing their health concerns? Have you ever gotten lost in the miasma of information? Have you ever gone over time in that first appointment?
Fewer Opioids Just Means More Pain Meds
While it remains unclear whether opioid guidelines recommending conservative care have moved the needle toward nondrug options, a new study suggests that since the Centers for Disease Control and Prevention released its Guideline for Prescribing Opioids for Chronic Pain in 2016, one result has been an increase in non-opioid pain medication use. Not exactly an improvement from the status quo.
Helping Your Clients Turn Back the Clock With Nutrition
The anti-aging market is booming because, well, who doesn't want to look young, healthy and vibrant for as long as possible? And while there are many anti-aging products and systems marketed to the public, few people realize the most effective way to slow down the visible passage of time is to give the body the nutrients it needs to be truly healthy.
Learn to Speak the Language of Personal Injury
For many providers, personal-injury cases and working within the med-legal arena can often be a confusing and frustrating endeavor. After all, for the majority, personal injury is a niche.
Alligator Skin (Part 2): A Second Look at Business Contracts
I joined as the only female partner in an integrated medicine practice, shared with three other disciplines. Having developed a few scales (the first stages of alligator skin) and some good business sense, I started out with a one-year contract.
Anxiety, Blood Sugar and the Holidays
Patient gets irritable when hungry? Dubbed "hangry," this should alert the practitioner to the presence of adrenal fatigue. This, and the associated anxiety and irritability, can then be driven by high-sugar diets; an especially significant problem around stressful, albeit also joyful, holidays.
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What do patients perceive as most important?

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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

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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?

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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?

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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

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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

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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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