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Dynamic Chiropractic
VOLUME 41, NUMBER 4
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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.
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?"
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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).
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.
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.
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.
Polyvagal Theory (Dorsal Vagal Shutdown)
In order to maintain homeostasis, the autonomic nervous system responds constantly to neural feedback and environmental stimuli.
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.
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.
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.
This Is Why Your Social Media Isn't Generating New Patients

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.
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Cost-effectiveness and musculoskeletal chest pain

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Researchers recently published results from a study analyzing costs associated with musculoskeletal chest pain.(1) In this study, authors studied participants in Denmark who were candidates for chiropractic care and also reported a primary complaint of acute chest pain. Patients with a cardiac, pulmonary, or other internal diagnosis for chest pain, and those with other...
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Is it neurogenic or vascular claudication?

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Intermittent claudication is commonly caused by 2 distinctly different but similarly presenting conditions that can be hard to differentiate clinically: spinal stenosis and vascular insufficiency from peripheral artery disease. The Canadian Journal of Surgery published a study reporting the diagnostic value of symptom combinations in accurately distinguishing between spinal stenosis and arterial disease (1)....
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The art of being a doctor

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Research, through inquiry, testing, and discovery provides the scientific basis for what we know as doctors. But what about the art? Even with right evaluation and treatment decisions, care can be miserably unsuccessful due to unsatisfactory interpersonal interactions. To this end, an article published in the journal Family Practice Management condenses the art of...
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How well can doctors predict which patients respond to treatment?

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Evidence suggests that both primary care practitioners and doctors of chiropractic are not highly accurate when predicting the prognosis for patients with low back pain.1,2 Because accurate prognosis is key to apprising patients of their condition and in developing/implementing treatment plans, researchers in Denmark conducted a study to understand what components doctors of chiropractic...
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Beginning a conversation (choosing the right words)

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Effective communication between providers and patients is a key component to successful care. Less than effective communication potentially hinders interpersonal relationships, information exchange, and decision-making for both parties. Fortunately, there is a firm body of literature, which can inform both new and experienced practitioners about the art of communication. One such study, conducted by...
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Give yourself a break

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That’s right. Don’t be so hard on yourself. Not only will you feel better emotionally, you might also be physically healthier. A recent RCT published in Diabetes Care showed that an 8-week intervention using something called “Mindful Self-Compassion” resulted in a decrease in measures of depression, diabetes-specific distress and HbA1c. (1) What is mindful...
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