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Dynamic Chiropractic
VOLUME 41, NUMBER 4
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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.
What Should Your Fees Be This Year?
The relative value units of CPT codes were adjusted, as they are each year; for 2023, that was about a 1-2% change in the common codes used by licensed acupuncture providers.
Polyvagal Theory (Dorsal Vagal Shutdown)
In order to maintain homeostasis, the autonomic nervous system responds constantly to neural feedback and environmental stimuli.
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.
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.
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.
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.
This Is Why Your Social Media Isn't Generating New Patients

Why Dialysis Patients Need Acupuncture
A pair of new studies suggest acupuncture can help manage common complications experienced by renal disease patients on hemodialysis: muscle wasting and uremic pruritis.
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).
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?"
The Role of Structured Water in Acupuncture (Pt. 1)
Structured water (H3O2) can be considered a fourth state of water between liquid and solid. It has the hexagonal structure of ice; however, missing a critical bond, it behaves more like a gel than a solid, but retains some of its crystalline structure.
Acupuncture and IVF: Patient Needs, the Evidence and What's Next (Pt. 1)
With one in eight U.S. couples suffering from infertility, it is likely you know or have worked with someone struggling to have a baby.
12 Important Reasons to Request Every Patient's Medical Records
The word why is defined as "for what reason or purpose." In recent months, I've been suggesting to students who are in their school clinics to request medical records from other doctors about their patients.
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.
Spirits of the Points: Liver Official (Pt. 3)
The liver, belonging to the wood element, is associated with the season of spring. The powers of spring include birth, growth, regeneration, vision, activity, forward movement, upward direction, vitality, optimism and hope.
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.
Electroacupuncture for Opioid-Induced Constipation in Cancer Patients
Opioids continue to be prescribed, and at unacceptable rates considering the number of clinical guidelines recommending nondrug pain-relief options first and limited use second in most cases.
Exercising the Multifidi: Why Isometric Contractions Are Essential
In any given year, nearly 40 percent of the U.S. population will develop a low back injury severe enough to limit activity.
You Need a Business Plan!
We schedule every aspect of our lives. Many of us live by our calendars, especially when it comes to the day-to-day running of our private practices or engaging in patient care.
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.
HHS Warning About Website Tracking: What It Means for Your Practice
In December 2022, the U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) issued a bulletin with guidance concerning the use of online tracking technologies by covered entities and business associates under HIPAA.
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.
Stomach on Fire: Herbal Formulas for GERD
In the past five years of my clinical practice, I have seen an astonishing upsurge in the chronic use of proton-pump inhibitor (PPI) medications for the gastrointestinal issue diagnosed by allopathic medicine as GERD.
Dr. Mario Wexu: An Acupuncture Revolutionary
Dr. Mario Wexu has found himself in the middle of three revolutions. The first was when his family escaped from Romania.
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Chiropractic

Confidence Intervals

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I would guess that by now you have come across the term “confidence interval” while reading a clinical trial or another kind of paper. This is a critically important concept for clinicians and academics in healthcare to grasp. CIs are typically used when, instead of wanting the mean value of a sample, we instead...
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Treatment Tools

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I have heard many healthcare professionals indicate that high-velocity low-amplitude (HVLA) procedures applied to the low back region are inappropriate and unsafe for patients with symptomatic lumbar disc herniation. However, research evidence contradicts this sentiment. As an example, a recent study published in The Journal of Manipulative and Physiological Therapeutics describes a clinical trial...
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Posted in Chiropractic, Clinical Skills, Evidence-Based Clinical Practice, Patient Values, Research | No Comments »

Greetings and Salutations!

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No doubt by now you have heard your friends, colleagues and various others talk about the evidence-based practice movement. You have heard them tell you it is not all about scientific research, that it incorporates clinical expertise as well as patient values, but it may not be immediately clear to you what that really means....
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