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VOLUME 40, NUMBER 6
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Acupuncture and Exam Insurance Denials
Question: I had notes requested and reviewed by UnitedHealthcare. The review of my records stated the following: The information provided does not substantiate the services billed.

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.
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.
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.
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).
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.
Caffeine, Acupuncture and Pain
Does caffeine consumption reduce the efficacy of acupuncture analgesia? What does the current research state? Fujita, et al. (2017), published an animal study that showed oral intake of caffeine interferes with the efficacy of acupuncture for pain.
Why – and How – to Campaign for the Acupuncture Profession This Election Season
If you have not seen them yet, you soon will: yard signs, television, radio and online ads, mailers, door-to-door solicitations, and candidate meet-and-greets.
Chronic Migraines: Acupuncture or Electroacupuncture?
A single migraine is debilitating, but as you know, chronic migraines can dramatically change a patient's life long term. Acupuncture – particularly electroacupuncture – to the rescue!
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.
Expansive Consciousness: Shen and Gui
In ancient times throughout the world, most disease was associated with malevolent forces or spirits. Now when we hear this, we laugh at the suggestion of something so far from our scientific understanding of the world.
The Limitations of Tongue Diagnosis
The tongue has a fixed length to what it can tell us. While it is an important part of diagnosis, it is as important, but not more important than any other diagnostic.
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.
Three Key Elements to an Introduction That Makes People Want to Hear More
How do you introduce yourself? As a licensed acupuncturist? Herbalist? Integrative medicine practitioner? A holistic health provider who does acupuncture, herbs, cupping, moxa and nutrition?
Fire Needling for Cold Patterns
In more than 10 years practicing Chinese medicine in the Philippines, I have always wondered why most patients' tongue presentations are cold patterns.
Milestone Achieved! Bipartisan Support for H.R. 4803
A major milestone in the legislative journey of H.R. 4803 has been realized: U.S. House member Brian Fitzpatrick (R-Pa.) has co-sponsored the act – the first Republican member of Congress to do so.
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.
Ready to Hire? Five Tips to Find the Perfect Fit Every Time
It seems everyone is looking to hire right now as the job market continues its post-COVID recovery. However, you know you need more than the first warm body who answers your ad.
Have You Documented Your HIPAA Security Risk Assessment (SRA)?
All health care practices, including acupuncturists, who collect, receive, store, transmit or destroy ("de-identify") patients' protected health information in electronic form (ePHI) for insurance referral, authorization or claims purposes, are required to complete a HIPAA Security Risk Assessment (SRA).
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.
Your Patients Want More
While your clinical focus is obviously acupuncture / TCM based, growing a loyal patient base can be as simple as informed conversations on the basic health issues patients think about daily, from diet to exercise to healthy aging and cancer prevention, and much more.
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.
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?"
Clinical Use of Topical Analgesics: Choosing the Right One for Your Patients
Topical analgesics (TAs) are effective. In fact, the American Geriatric Society recommends the use of topical agents for localized neuropathic and non-neuropathic pain as a front-line measure.
Preparing for Summer: Calming the Fire
One of the most fascinating aspects related to the environmental influence of disease pathology is the TCM concept of "spring warmth."
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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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