Managing Pain in Occupational Therapy with Acupressure

Size: px
Start display at page:

Download "Managing Pain in Occupational Therapy with Acupressure"

Transcription

1 Managing Pain in Occupational Therapy with Acupressure Guy L. McCormack, PhD, OTR/L,FAOTA Session #43 OTAC Spring Symposium 2018 Learning Objectives: To define the application of acupressure within the scope of the Occupational Therapy Framework. To describe the use of acupressure in cultural context and as a non invasive adjunctive strategy. To provide a systematic review of the evidence and the benefits of selected acupressure points for specific pain syndromes. 1

2 AOTA Position Paper 2016 The American Occupational Therapy Association has published the official document that supports Complementary Health Approaches and Integrative Health (CHAIH) as a component of practice. Evidence based CHAIH may be used as preparatory methods when supporting active engagement and participation. Domain of Occupational Therapy Occupations ADLs Instrumental ADLs Rest and Sleep Client Factors Values, beliefs, Spirituality Body functions Body structures Performance Skills Motor Skills Performance Patterns Habits Process Skills Routines Social Interaction Skills Rituals Roles 2

3 What is Acupressure? A Technique of Applying Finger Pressure to Specific Localized Points on the Skin The Degree of Pressure is Varies. Deep Pressure for Acute Pain in young adult (5 7 lbs.) Light Pressure for Frail Elderly (2 4 lbs.) ACUPRESSURE IS: 3

4 How it works The physiologic mechanism for acupressure is not well understood but appears to involve the release of endorphins, changes in circulating or local bioactive substances such as neurotransmitters, neuromodulators and cytokines. Systematic Reviews Lee EJ, et al.(2011).the efficacy of acupressure for symptom management: A systematic review. J Pain Symptom Manage;42: Tan, JY, Suen, LK, Wang,T (2015). Sham Acupressure Controls Used in Randomized Controlled Trials: A Systematic Review. PLoS One;10(7):e Robinson N, et al.(2011).the evidence for Shiatsu; a systematic review of shiatsu and acupressure. BMC Complementary Alternative Medicine;11:88. Selfridge, N. (2012). Acupressure: The evidence presses on. Media/articles/78333http:// acupressure the evidence presses on. retrieved 12/6/2015 4

5 The Evidence of a Mechanism Databases of MEDLINE, PubMed, and Cumulative Index to Nursing and Allied Health Literature (CINAHL) was performed using the search terms of "acupressure" and "pain." There is considerable evidence to supports the claim that opioid peptides are released during acupressure. Stimulation by acupressure may also activate neurons in the hypothalamus and the pituitary gland, resulting in systemic effects. Release of neurotransmitters and neurohormones produce changes in blood flow, both centrally and peripherally, and possible mediators for pain relief. There is also evidence of alterations in immune functions produced by acupressure. clear. Manual Therapy Spinal Manipulation Massage Self Applied Mobilization 5

6 Acupressure is a Form of Manual Therapy Manual therapy (sometimes called bodywork) is a general term for treatment performed mostly with the hands. The goals of manual therapy include promoting relaxation, decreasing pain, and increasing flexibility. Common types of manual therapy include: 1. Massage. Pressure is applied to the soft tissues of the body, such as the muscles. Massage can help relax muscles, increase circulation, and ease pain in the soft tissues. 2. Mobilization. Slow, measured movements are used to twist, pull, or push bones and joints into position. This can help loosen tight tissues around a joint and help with flexibility and alignment. 3. Manipulation. Pressure is applied to a joint. It can be done with the hands or a special device. The careful, controlled force used on the joint can range from gentle to strong and from slow to rapid. therapy types of physical therapy Acupoints on the Head and Face 6

7 Context Acupressure is a safe and non invasive manual intervention that has its roots in Traditional Chinese Medicine. It is based on the same meridian therapy used in acupuncture, but instead of using needles, acupoints are stimulated by using finger pressure or devices. Acupressure is based on the belief that symptoms result from alterations of the natural flow of energy called Chi which moves in a predictable network of pathways.. Acupoints are used for a variety of pain syndromes Acupoints are Portals 7

8 Meridians are a network of channels through which energy called Chi is believed to flow throughout the course of the day in a 24 hour cycle throughout the body. Building Evidence Over the last decade better research methodology and systematic reviews have provided evidence of efficacy for the use of acupressure for alleviating certain symptoms in a variety of patient populations. 8

9 Role of OT The expanding role of occupational therapy in primary care, acute rehabilitation and long term care will present new opportunities to manage painful symptoms that disrupt participation in occupations of daily living. Systematic Reviews The following references provide further evidence to show that acupressure has an effect on the release of neurotransmitters, such as endorphins, encephalin, dopamine, and serotonin during acupuncture, has analgesic effects that cause sedation and may improve sleep quality: 1. Chen YW, Wang HH (2014). The effectiveness of acupressure on relieving pain: a systematic review. Pain Management Nursing.;15(2): doi: /j.pmn Epub 2013 Feb Han, J.S. (2004). Acupuncture and endorphins; Neuroscience Letters, 361 (1 3) (2004), pp Cabyoglu, M.T., Ergene,N & Tan, U.(2006).The mechanism of acupuncture and clinical applications. International Journal of Neuroscience, 116 (2) (2006), pp Lin, L.G. and Chen, W.L. (2008). Acupuncture analgesia: a review of its mechanisms of actions; The American Journal of Chinese Medicine, 36 (4) pp Yang, M.H. and Lin, L.C. (2007). Acupressure in the care of the elderly (Chinese);The Journal of Nursing, 54 (4),

10 Internet Citations Acupuncture 1. PubMed 23, Clinical Trails CINAHL 12,048 Acupressure 1. PubMed Clinical Trails CINAHL 1,012 Acupoints andfascia Acupoints are located where neurovascular bundles penetrate the Fascia. Where nerves bifurcate, Acupoints have less electrical resistance Acupoints are found in ligaments and other connective tissue structures. 10

11 Ashi or Trigger Points? The presence of Ashi points, which are nonspecific pressure points that elicit pain upon palpation and can be used along with the other acupoints to treat local pain. Acupoints have a lower threshold for pain. Wang,ZZ & Zhang, J (2013). Comparison of pain thresholds of acupoints on the leg in healthy volunteers.pmid: [PubMed indexed for MEDLINE];38(1): Stux G, Berman B, Pomeranz B. (2003). Basics of Acupuncture. New York: Springer. The Location of Acupoints Dorsher (2009) found 89% of meridians course through myofascial layer of the body. Dorsher (1990) has made a convincing argument that the meridians may consist of a network of fascia that naturally follows the pattern described as meridians. Dorsher, PT (2009). Myofascial Meridians as Anatomical Evidence of Acupuncture Channels. Medical Acupuncture 21(2)

12 Comparison to Drugs Painful conditions are often treated with, antiinflammatory drugs or with steroid injections. Opioid drugs are used to treat more severe neuropathic pain. Many prescribed medical interventions have harmful side effects. The evidence supporting drugs for interventions is no better than that for acupuncture or acupressure. 12

13 Acupressure Acupressure has been shown to be effective for relieving a variety of pains in different populations. Chen YW, Wang HH (2014). The effectiveness of acupressure on relieving pain: a systematic review. Pain Manag Nurs Jun;15(2): doi: /j.pmn Epub 2013 Feb 15 Most Common Symptoms Treated By Acupressure Pain Low Back Pain Dysmenorrhea Menstrual Pain Labor Pain Fracture pain Dyspnea Nausea and Vomiting Pregnancy Side Effects of Chemotherapy & Radiation Abdominal Surgery Insomnia Fatigue Sleep Disorders 13

14 Specific Acupoints The following are acupoints that have the most research evidence to support their use in clinical practice. The Large Intestine Meridian 14

15 Large Intestine 4 (Ho Ku) LI 4 is on the abductor pollicis muscle. Large Intestine 4 (Ho Ku point) has been used for labor pain and pain in the head and neck region Chen, A. Liu,F & Nielsen, L (2006). Mode and site modulation of the human brain. Neuoimage; 29(40 p

16 Pericardium Meridian Pericardium 6 (P6), has been used extensively to relieve nausea, upset stomachs, motion sickness, and Pain associated with carpal tunnel syndrome. 16

17 Sea Bands P6 One study found that acupressure wrist bands,, reduced radiation-induced nausea. Patients receiving the bands had a significantly greater reduction in average nausea compared to those who did not, equating to a 23.8% decrease in nausea in the combined band groups compared to a 4.8% decrease in the control group. Joseph A. Roscoe, Peter Bushunow, Pascal Jean-Pierre, Charles E. Heckler, Jason Q. Purnell, Luke J. Peppone, Yuhchyau Chen, Marilyn N. Ling, Gary R. Morrow (2010). Acupressure Bands are Effective in Reducing Radiation Therapy-Related Nausea J Pain Symptom Manage.; 38(3): doi: /j.jpainsymman Lung 1, used to relieve discomfort of asthmatic symptoms such as difficulty breathing, chest congestion, chest tightness, and wheezing. Lung Meridian 17

18 Located on the radial side of the wrist crease. Lung 9 This acupoint is called the Valium Point due to it s tranquilizing effects. Heart Meridian HT7 is located on the ulnar side of the wrist crease. HT7 has been studied for insomnia. 18

19 Acupoint Heart 7 HT7 point may be an effective complementary therapy for residents with insomnia in long term care facilities. Acupressure offers a safe, and nonpharmacologic method to relieve insomnia severity. Sarris, J. & Byrne, GJ(2011). A systematic review of insomnia and complementary medicine. Sleep Medical Reviews;15: Urinary Bladder Meridian UB26 Located lateral to spinous process Level with iliac crest Used as a Homeostatic acupoint Relieves Low Back Pain Relieves Urinary Incontinence 19

20 Bladder 26 Low Back Pain UB 26 Level with iliac crests Located on the Posterior Cutaneous Nerve Labor and Delivery Pain Thumb pressure about ½" to either side of the spine, in the low back. Press firmly, making small, slow, circular motions. Slowly move up the back to the neck. 20

21 Spleen Meridian S6 Spleen 6 Location about four fingers above the medial malleolus. Huang ST, Chen GY, Lo HM, Lin JG, Lee YS, Kuo CD (2005). Increase in the vagal modulation by acupuncture at Neiguan point in the healthy subjects. Am J Chin Med.;33: doi: /S X X. [PubMed] [Cross Ref] 21

22 Bi Lateral Pressure SP 6 Used for dysmenorrhea, labor pain and to shorten the duration of labor (Do not use during Pregnancy) Neck Pain Studies show that there is evidence that acupressure for chronic neck pain is more effective than placebo. Trinh K, Graham N, Gross A, et al (2006 ). Acupuncture for neck disorders.; Cochrane Database Systematic Review. Jul 19;3:CD

23 Gall Bladder Acupoints are commonly used for for Neck and Shoulder Pain (GB 20 & GB 21) Gall Bladder 20 & 21 23

24 Gallbladder 20 Yip, Y.B & Hing Min Tse, S. (2006). An experimental study on the effectiveness of acupressure with aromatic lavender essential oil for sub acute, non specific neck pain in Hong Kong. School of Nursing, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Hong Kong, China;12(1)18 26 Gall Bladder 21 Shoulder Well or Motor Point 24

25 Gallbladder 21 (GB21) is used to neck stiffness, shoulder tension, and headaches. Neck Pain Below C7 Vertebrae 25

26 Shoulder Neck Release Reduces emotional stress Reduces muscle tension Promotes relaxation Breathe deeply Neck and Shoulder Release 26

27 ACUPRESSURE PRECAUTIONS for Pregnancy Summary 1. Systematic reviews of the literature shows that acupressure is more effective than control for reducing pain in the neck and low back area (GB 20, B 26). 2. Acupressure was found to effective in managing pain associated with dysmenorrhea (LI 4 & SP6). 3. Acupressure applied to an area near the ankles (SP6) was effective on labor pain and the duration of labor. 4. The use of Sea Bands on the wrist (P6) has been found to be effective for motion sickness, post operative nausea and vomiting even when compared to antiemetic's. 5. Acupressure has been implicated in reducing anxiety, stress & fatigue (SP6, ST 36,LI4). 27

28 Outcome studies Acupressure improved sleep quality in an institutionalized elderly population. Acupressure was found to be effective for pain related to trauma (radial fracture) Acupressure reduced heart rate significantly in people experiencing strokes. Conclusion At the present time, evidence on acupressure are improving but many are small samples studies and have methodological flaws. Some studies appear to have bias. Acupressure appears to be a safe noninvasive procedure that can control many symptoms. 28

29 References Akbarzade, M, Ghaemmaghami, M,Yazdanpanahi, Z et al.(2016). Comparison of the Effect of Dry Cupping Therapy and Acupressure at BL23 Point on Intensity of Postpartum Pain Based on the Short Form of the McGill Pain Questionnaire. Journal of Reproductive Infertility; 17(1): Mollart L, Skinner V, Foureur M. (2016). A Feasibility Randomized Controlled Trial of Acupressure to Assist Spontaneous Labor for Prim Gravid Women Experiencing a Post date Pregnancy. Midwifery May; 36:21 7. doi: /j.midw Epub 2016 Mar 4. Beikmoradi, A., Najafi,F., Roshanari, G. et. at.(2015). Acupressure and Anxiety in Cancer Patients. Iranian Red Crescent Medical Journal; 17(3):e25919 doi: 10:5812/ircmi Kafaei Atrian, M, Mirbagher Ajorpaz,N, Sarvieh,M et al.(2016). The Effect of Acupressure at Third Liver Point on Anxiety Level in Patients with Primary Dysmenorrhea. Iran Journal of Nursing Midwifery Research. Mar Apr;21(2): Doi: / Liu, CT, Lai, JN, Ko,Yl (2016). Effects of Auricular Acupressure on Improving the Sleep Quality of Puerperae. 63(2): Doi: /JN PMID: [Pubmed]. Lee, EJ and Frazier, S (2011). The Efficacy of Acupressure for Symptom Management: A Systematic Review. Journal of Pain Symptom Management, 42(4):

USING OSTEOPATHIC MANUAL SKILLS TO EMPLOY ACUPRESSURE FOR TREATMENT OF PAIN. Anthony DeLorenzo, DO, FACOI, ABIHM IOMS Winter Conference 2018

USING OSTEOPATHIC MANUAL SKILLS TO EMPLOY ACUPRESSURE FOR TREATMENT OF PAIN. Anthony DeLorenzo, DO, FACOI, ABIHM IOMS Winter Conference 2018 USING OSTEOPATHIC MANUAL SKILLS TO EMPLOY ACUPRESSURE FOR TREATMENT OF PAIN Anthony DeLorenzo, DO, FACOI, ABIHM IOMS Winter Conference 2018 OBJECTIVES Present information to help osteopathic physicians

More information

Acupuncture for Well Being

Acupuncture for Well Being Acupuncture for Well Being There is sufficient evidence of acupuncture s value to expand its use into conventional medicine. - National Institute of Health, 1997 Consensus on Acupuncture About Me Ho Lim

More information

Acupuncture for Well Being

Acupuncture for Well Being Acupuncture for Well Being There is sufficient evidence of acupuncture s value to expand its use into conventional medicine. - National Institute of Health, 1997 Consensus on Acupuncture About Me Retired

More information

Christine Keating MD Physical medicine and Rehabilitation Back and Spine center

Christine Keating MD Physical medicine and Rehabilitation Back and Spine center Christine Keating MD Physical medicine and Rehabilitation Back and Spine center Low back pain Second most common cause for physician visits Most common cause of activity limitation in people less than

More information

Live Patient Response To Treatment: All symptoms disappeared after Myopractic posture balancing.

Live Patient Response To Treatment: All symptoms disappeared after Myopractic posture balancing. Bored with pushing oil? Tired and sore from chasing symptoms? Ready to go beyond those 1920 techniques? Move up to the 21st Century Standard in Deep Muscle Therapy and Posture Balancing With The: Live

More information

Clinical Policy: Acupuncture Reference Number: PA.CP.MP.92

Clinical Policy: Acupuncture Reference Number: PA.CP.MP.92 Clinical Policy: Reference Number: PA.CP.MP.92 Effective Date: 01/18 Last Review Date: 11/18 Coding Implications Revision Log Description involves the manual and/or electrical stimulation of thin, solid,

More information

Alternative Treatments for Equines ASPCA. All Rights Reserved.

Alternative Treatments for Equines ASPCA. All Rights Reserved. Alternative Treatments for Equines HomesforHorses.org Dr Hannah Mueller CVA, CAC Cedarbrook Veterinary Care www.cedarbrookvet.com drhannah@cedarbrookvet.com Northwest Equine Stewardship Center www.nwesc.org

More information

Horse Meridians & Ting Points

Horse Meridians & Ting Points Horse Meridians & Ting Points Just like the Chakras are the main energy centers, the Meridians are the major pathways. They help to determine where the energy travels through the body. If these pathways

More information

MASSAGE FEEL THE DIFFERENCE REMEDIAL, SPORTS, RELAXATION, INJURY PROFESSIONAL CHINESE MASSAGE

MASSAGE FEEL THE DIFFERENCE REMEDIAL, SPORTS, RELAXATION, INJURY PROFESSIONAL CHINESE MASSAGE MASSAGE PROFESSIONAL CHINESE MASSAGE FEEL THE DIFFERENCE REMEDIAL, SPORTS, RELAXATION, INJURY ZHONG S UNIQUE MASSAGE EXPERIENCE Dr Jason Zhong Dr Jason Zhong is a western-trained medical doctor and anaesthetist

More information

9/8/2010. Practices. World Medicine Systems. Alternative. Systems. Individual

9/8/2010. Practices. World Medicine Systems. Alternative. Systems. Individual Miles Belgrade, M.D. Medical Director, Fairview Pain Center University of Minnesota Medical Center Adjunct Professor, University of Minnesota Medical School Felix Mann, MB Prof Anton Jayasuriya, MD My

More information

PERIOPERATIVE ACUPUNCTURE IN PEDIATRIC ANESTHESIA

PERIOPERATIVE ACUPUNCTURE IN PEDIATRIC ANESTHESIA PERIOPERATIVE ACUPUNCTURE IN PEDIATRIC ANESTHESIA Shu-Ming Wang.,MD. Woodland Anesthesiology Associates, PC Trinity Health of New England Professor Department of Anesthesiology University of Connecticut

More information

ACUPUNCTURE AND NECK PAIN

ACUPUNCTURE AND NECK PAIN ACUPUNCTURE AND NECK PAIN About neck pain Neck pain is one of the three most frequently reported complaints of the musculoskeletal system. Twenty-six to 71% of the adult population can recall experiencing

More information

Adult Health Questionnaire

Adult Health Questionnaire Health for Life Chiropractic At Cloverdale Mall Unit #143-250 The East Mall Etobicoke, ON, M9B 3Y8 416-232-1822 416-232-0060 Dr. Chrystopher Sly B.Sc, D.C. Dr. Jesse Cracknell B.A., D.C. Adult Health Questionnaire

More information

Fibromyalgia , The Patient Education Institute, Inc. id Last reviewed: 03/12/2017 1

Fibromyalgia , The Patient Education Institute, Inc.  id Last reviewed: 03/12/2017 1 Fibromyalgia Introduction Fibromyalgia is a common condition that causes pain and fatigue in the muscles, joints, ligaments and tendons. Fibromyalgia affects about 3 to 6% of people worldwide. Fibromyalgia

More information

12 ACUPRESSURE SELF CARE POWER POINTS FOR COMMON CONDITIONS RELATED TO HIV/AIDS

12 ACUPRESSURE SELF CARE POWER POINTS FOR COMMON CONDITIONS RELATED TO HIV/AIDS POSITIVE POINTS 12 ACUPRESSURE SELF CARE POWER POINTS FOR COMMON CONDITIONS RELATED TO HIV/AIDS PURPOSE To provide a self care handout on 12 key Acupressure points known to be useful in addressing, and

More information

THE MANY BENEFITS WE CAN RECEIVE FROM STRUCTURAL INTEGRATION BODYWORK AND, HOW I DO IT - Part 1 of 2 - The Benefits

THE MANY BENEFITS WE CAN RECEIVE FROM STRUCTURAL INTEGRATION BODYWORK AND, HOW I DO IT - Part 1 of 2 - The Benefits 1 THE MANY BENEFITS WE CAN RECEIVE FROM STRUCTURAL INTEGRATION BODYWORK AND, HOW I DO IT - Part 1 of 2 - The Benefits AN OVERALL BODY APPROACH * Increases Performance. * Removes Pain, Tightness & Stress.

More information

CMTN211. Session 09. Yao Fa & Ba Shen Fa. Chinese Medicine Department.

CMTN211. Session 09. Yao Fa & Ba Shen Fa. Chinese Medicine Department. CMTN211 Session 09 Yao Fa & Ba Shen Fa Chinese Medicine Department www.endeavour.edu.au CMTN211: Session 9 o Rotating method (yao fa) o Pulling Stretching method (ba shen fa) Rationale Clinical usages

More information

USAG BAVARIA SPORTS & FITNESS. MassageProgram

USAG BAVARIA SPORTS & FITNESS. MassageProgram USAG BAVARIA SPORTS & FITNESS MassageProgram STRESS A remedy proven through the ages, with clinical results for blood pressure, muscle tone and chronic pain. DESK JOB Are you suffering from sitting at

More information

I. Introduction A. Hook: I want all of you to think of any problems you are having right now. Whether its back pain, a cold, stress, a headache,

I. Introduction A. Hook: I want all of you to think of any problems you are having right now. Whether its back pain, a cold, stress, a headache, Hand Acupressure Audience Analysis: Hand acupressure is a useful and easy therapy that can be applied at any time. This topic interests my audience in alternative remedies. When listening to many of my

More information

Acupuncture & Myofascial Pain

Acupuncture & Myofascial Pain Acupuncture & Myofascial Pain Uncovering the Central Map of Physiological Homeostasis Joseph F. Audette, M.A., M.D. Spaulding Rehabilitation Hospital Department of PM&R, Harvard Medical School INTRODUCTION

More information

Brisbin Family Chiropractic

Brisbin Family Chiropractic Information reviewed with patient: Dr. Initials Today s Date Brisbin Family Chiropractic Name: Sex: Male Female Address: City: Postal Code: Home Ph# Work# Ext# Cell# Preferred number (circle one) Home

More information

SUMMARY REPORT OF ACUPUNCTURE SESSION

SUMMARY REPORT OF ACUPUNCTURE SESSION SUMMARY REPORT OF ACUPUNCTURE SESSION 1 Presenter: Jaung-Geng Lin 2 Introduction to acupuncture session In this session, we had 26 posters and 12 posters were selected for presentation and discussion.

More information

Complementary and Alternative Therapies

Complementary and Alternative Therapies Complementary and Alternative Therapies Slide 1 1 Complementary and Alternative Therapies Complementary Therapies Therapies used in addition to conventional treatment recommended by the person s health

More information

Today s Date: What are your health goals? Symptom relief and preventing its return 100% optimum health and wellbeing on every level available to me

Today s Date: What are your health goals? Symptom relief and preventing its return 100% optimum health and wellbeing on every level available to me Today s : MHSC REGISTRATION # (6 DIGIT) (9 DIGIT) First Name: Last Name: I am a Male/Female (circle) Birthday (d/m/y): / / Current Age: Street Address: City: Province: Postal Code: Home #: Work #: Cell

More information

Hiroyuki Hayashi The benefit of Manual Osteopath treatment effect for lower back pain

Hiroyuki Hayashi The benefit of Manual Osteopath treatment effect for lower back pain The benefit of Manual Osteopath treatment effect for lower back pain 1. What is the Manual Osteopath? Osteopathy is a type of alternative medicine and is a form of drug-free non-invasive manual medicine

More information

SUMMARY OF MEDICAL TREATMENT GUIDELINE FOR CARPAL TUNNEL SYNDROME AS IT RELATES TO PHYSICAL THERAPY

SUMMARY OF MEDICAL TREATMENT GUIDELINE FOR CARPAL TUNNEL SYNDROME AS IT RELATES TO PHYSICAL THERAPY SUMMARY OF MEDICAL TREATMENT GUIDELINE FOR CARPAL TUNNEL SYNDROME AS IT RELATES TO PHYSICAL THERAPY Effective March 1, 2013, the New York State Workers Compensation System will implement Medical Treatment

More information

Chapter 17 2/19/2015. Complementary and Alternative Therapies. Complementary and Alternative Therapies. Complementary and Alternative Therapies cont d

Chapter 17 2/19/2015. Complementary and Alternative Therapies. Complementary and Alternative Therapies. Complementary and Alternative Therapies cont d Chapter 17 Complementary and Alternative Therapies All items and derived items 2015, 2011, 2006 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved. Complementary and Alternative Therapies

More information

Chiropractic Glossary

Chiropractic Glossary Chiropractic Glossary Anatomy Articulation: A joint formed where two or more bones in the body meet. Your foot bone, for example, forms an articulation with your leg bone. You call that articulation an

More information

Advantages Of Combining Mechanical And Manual Massage

Advantages Of Combining Mechanical And Manual Massage Advantages Of Combining Mechanical And Manual Massage It covers manual massage of the head and body as well as mechanical body massage Evaluate the advantages of combining mechanical and manual. Guidelines,

More information

Solving Today s Pain and Injury Puzzle with Erik Dalton An Online Workshop for ABMP Members Session 1 Handout

Solving Today s Pain and Injury Puzzle with Erik Dalton An Online Workshop for ABMP Members Session 1 Handout Solving Today s Pain and Injury Puzzle with Erik Dalton An Online Workshop for ABMP Members Session 1 Handout Please Note: Erik Dalton teaches his Myoskeletal Alignment Techniques with the expectation

More information

Post-op / Pre-op Page (ALREADY DONE)

Post-op / Pre-op Page (ALREADY DONE) Post-op / Pre-op Page (ALREADY DONE) We offer individualized treatment plans based on your physician's recommendations, our evaluations, and your feedback. Most post-operative and preoperative rehabilitation

More information

CHILLOUT MkIII - User Guide

CHILLOUT MkIII - User Guide CHILLOUT MkIII - User Guide The ChillOut unit is a non-invasive electronic device specifically developed for personal use. It offers the capacity to ease emotional stress, enhance general wellbeing and

More information

Complementar y and Alternative Therapies

Complementar y and Alternative Therapies Chapter 17 Complementar y and Alternative Therapies Complementary and Alternative Therapies Complementary Therapies Therapies used in addition to conventional treatment recommended by the person s health

More information

Diagnosis and Treatment of Low Back Pain: A Joint Clinical Practice Guideline from the American College of Physicians and the American Pain Society

Diagnosis and Treatment of Low Back Pain: A Joint Clinical Practice Guideline from the American College of Physicians and the American Pain Society Diagnosis and Treatment of Low Back Pain: A Joint Clinical Practice Guideline from the American College of Physicians and the American Pain Society Annals of Internal Medicine October 2007 Volume 147,

More information

Contents. Basic Theory of Acupuncture. (Page 1) Acupuncture Points. (Page 31) Side Effects of Acupuncture. (Page 51)

Contents. Basic Theory of Acupuncture. (Page 1) Acupuncture Points. (Page 31) Side Effects of Acupuncture. (Page 51) VII Contents Basic Theory of Acupuncture (Page 1) Scientific Aspects of Acupuncture..................... 2 Indication and Direction of Action of Acupuncture.................................... 12 Relative

More information

Post-Stroke Depression Relief With Acupuncture

Post-Stroke Depression Relief With Acupuncture Post-Stroke Depression Relief With Acupuncture Published by HealthCMi on August 2017 Acupuncture is more effective than the antidepressant paroxetine for the treatment of depression following a stroke.

More information

Course: Acupuncture Treatment of Disease 3 Date: May 11, 2009 Class #: 5 Carpal Tunnel Syndrome (CTS) Sciatica and Tennis Elbow

Course: Acupuncture Treatment of Disease 3 Date: May 11, 2009 Class #: 5 Carpal Tunnel Syndrome (CTS) Sciatica and Tennis Elbow Course: Acupuncture Treatment of Disease 3 Date: May 11, 2009 Class #: 5 Carpal Tunnel Syndrome (CTS) Sciatica and Tennis Elbow Characterized by pain and numbness on palmar side median nerve is compressed

More information

Pain Module. Nonpharmacologic Approaches to Pain Management

Pain Module. Nonpharmacologic Approaches to Pain Management Pain Module Nonpharmacologic Approaches to Pain Management Examples of Nonpharmacologic Interventions Physical Measures Heat/cold Repositioning Bracing Physical therapy Occupational therapy Spinal manipulation

More information

Therapeutic Massage. delivered by a trusted name

Therapeutic Massage. delivered by a trusted name Therapeutic Massage delivered by a trusted name About Us Family owned and operated as the most trusted resource for in-home care services since 1968, Family & Nursing Care is also the nation s expert

More information

Acupuncture Painkiller Postoperative Narcotic Boost Found

Acupuncture Painkiller Postoperative Narcotic Boost Found Acupuncture Painkiller Postoperative Narcotic Boost Found Published by HealthCMi on September 2017 Researchers conclude that acupuncture increases the total effective rate of the drug sufentanil citrate

More information

MASTER CHART. Guide to 60 Transformational Acupoints 1. bigtreehealing.com

MASTER CHART. Guide to 60 Transformational Acupoints 1. bigtreehealing.com MASTER CHART GUIDE TO 60 TRANSFORMATIONAL ACUPOINTS Guide to 60 Transformational Acupoints 1 LU 5 LU 7 LU 9 On elbow crease, thumb side of tendon of biceps brachii. Lung Meridian On thumb side of forearm,

More information

TREATMENT OF CHRONIC MECHANICAL NECK PAIN IN AN OUTPATIENT ORTHOPEDIC SETTING

TREATMENT OF CHRONIC MECHANICAL NECK PAIN IN AN OUTPATIENT ORTHOPEDIC SETTING TREATMENT OF CHRONIC MECHANICAL NECK PAIN IN AN OUTPATIENT ORTHOPEDIC SETTING Clinical Problem Solving II Allison Walsh PATIENT OVERVIEW Age: 22 years Gender: Female Chief Complaint: Cervical pain, cervicogenic

More information

Enjoy a professional massage in the comfort of your own home.

Enjoy a professional massage in the comfort of your own home. EPMAJ7K Enjoy a professional massage in the comfort of your own home. OUR DNA Introducing the Real Pro Ultra Prestige Experience by Panasonic. The perfect marriage of luxury design and powerful, yet intuitive

More information

Malaysian Healthy Ageing Society

Malaysian Healthy Ageing Society Organised by: Co-Sponsored: Malaysian Healthy Ageing Society Key to back pain is alignment Michael Haneline, DC, MPH Professor, Head of Chiropractic International Medical University michael_haneline@imu.edu.my

More information

Spa Therapy Modalities

Spa Therapy Modalities How many treatments can my Line what are the benefits? provide and Spa Therapy Modalities There are an endless combination of treatments that can be provided by the G5 Line. Personalized protocols can

More information

Dr. Gary Malstrom B.Sc.(Hon.), D.C., C.Ac Brant Street, Burlington, Ontario L7R 2J9 (905) Fax (905)

Dr. Gary Malstrom B.Sc.(Hon.), D.C., C.Ac Brant Street, Burlington, Ontario L7R 2J9 (905) Fax (905) Dr. Gary Malstrom B.Sc.(Hon.), D.C., C.Ac. Personal History: Name: Address: City: Province: Postal Code: Birth date: day /month /year Age: Sex: M F Home Phone: Business Phone: Cell Phone: E-mail: Health

More information

Pain Differential Diagnosis - Enrico Dellacà M.D Ph.D. Abductor pollicis brevis muscle Myofascial Pain Syndrome

Pain Differential Diagnosis - Enrico Dellacà M.D Ph.D. Abductor pollicis brevis muscle Myofascial Pain Syndrome Overview Abductor pollicis brevis muscle Myofascial Pain Syndrome Definition Pain Differential Diagnosis - Enrico Dellacà M.D Ph.D. The Myofascial pain syndrome (MPS) is a syndrome characterized by chronic

More information

Getting at the CORE of Low-back pain Treatment Dr. John Flannery Dr. Carlo Ammendolia

Getting at the CORE of Low-back pain Treatment Dr. John Flannery Dr. Carlo Ammendolia Disclosure & Acknowledgment Getting at the CORE of Low-back pain Treatment Dr. John Flannery Dr. Carlo Ammendolia Disclosures - None Acknowledgements Dr. Andrea Furlan Dr. Julia Alleyne Dr. Hamilton Hall

More information

Effect of Acupressure of Xue Hai Point on Severity of Pain in Primary Dysmenorrhea

Effect of Acupressure of Xue Hai Point on Severity of Pain in Primary Dysmenorrhea Quarterly of the Horizon of Medical Sciences Volume 22, Issue 4, Fall 2016 Pages: 359-363 Type: Brief Communication Effect of Acupressure of Xue Hai Point on Severity of Pain in Primary Dysmenorrhea Ezadi

More information

AquaStretch Overview by George Eversaul, A.P.H.

AquaStretch Overview by George Eversaul, A.P.H. AquaStretch Overview by George Eversaul, A.P.H. SUMMARY: AquaStretch is a new form of individual and facilitated aquatic exercising, which may be used in Wellness programs and also as an aquatic therapy.

More information

Myofascial Pain Massage Trigger point injection Heat, cold, acupuncture, relaxation training, and biofeedback Treatments. Pain medicines Exercise

Myofascial Pain Massage Trigger point injection Heat, cold, acupuncture, relaxation training, and biofeedback Treatments. Pain medicines Exercise Myofascial Pain Myo is a Greek word for muscle. Fascia is the tough outer lining of a muscle that holds it in place. Myofascial pain is the term used to describe pain in the muscles and fascia. Myofascial

More information

TOP RYDE CHIROPRACTIC

TOP RYDE CHIROPRACTIC 1. Ankle Pain Conditions Helped by Chiropractic The ankle joint is made up of ligaments, tendons, nerves, and a disc to cushion motion. Distortions of motion of the ankle can strain the ligaments and muscles

More information

Objectives. Scope of Practice Variability. APNA 26th Annual Conference Session 1036: November 7, /3/12. Engelsher, Margolis

Objectives. Scope of Practice Variability. APNA 26th Annual Conference Session 1036: November 7, /3/12. Engelsher, Margolis APNA th Annual Conference Session 13: November 7, 1 Pushing the Point: Integrating & Oriental Medicine in Psychiatric Nursing Practice Jaclyn Engelsher, DNP Family & Mental Health Nurse Practitioner, Certified

More information

Shiatsu Therapy Association of Australia Inc. SHIATSU THERAPY CODE OF PRACTICE

Shiatsu Therapy Association of Australia Inc. SHIATSU THERAPY CODE OF PRACTICE Shiatsu Therapy Association of Australia Inc. SHIATSU THERAPY CODE OF PRACTICE ABOUT STAA The Shiatsu Therapy Association of Australia Inc. (STAA) is the peak body representing professionally trained shiatsu

More information

"Opium teaches only one thing, which is; that aside from physical suffering there is nothing real." André Malraux MAN'S FATE

Opium teaches only one thing, which is; that aside from physical suffering there is nothing real. André Malraux MAN'S FATE "Opium teaches only one thing, which is; that aside from physical suffering there is nothing real." André Malraux MAN'S FATE Pain Management in the Older Adult 5 TH VITAL SIGN Pain is a common problem

More information

The Second Metacarpal Bone Therapy

The Second Metacarpal Bone Therapy The Second Metacarpal Bone Therapy Yuxing Liu Academy of Oriental Medicine at Austin Introduction and anatomy History: discovered by Prof. Zhang, Yingqing firstly in 1973. Shandong University, China. ECIWO

More information

Appendix Studies of the Efficacy of Acupuncture *

Appendix Studies of the Efficacy of Acupuncture * Appendix Studies of the Efficacy of Acupuncture * Study Study Description Main Results Researchers Conclusions Lee A, Fan LT. Stimulation of wrist acupuncture point P6 for preventing nausea and vomiting.

More information

Movement Prep Protocol

Movement Prep Protocol Prep Protocol Self massage / trigger point therapy Mobilty Drills (active stretches) Prep Part 1 Self massage / trigger point therapy Self Massage / Trigger Point Therapy Self massage and trigger point

More information

Using Complementary Therapies in Everyday Life. By Margaret Thomson

Using Complementary Therapies in Everyday Life. By Margaret Thomson Using Complementary Therapies in Everyday Life By Margaret Thomson Complementary vs Alternative Therapies Considerations Overview Attitude of some health professionals Some useful complementary therapy

More information

Consumer summary: The effect of acupuncture-point stimulation for chemotherapyinduced nausea or vomiting

Consumer summary: The effect of acupuncture-point stimulation for chemotherapyinduced nausea or vomiting Consumer summary: The effect of acupuncture-point stimulation for chemotherapyinduced nausea or vomiting A of the effect of acupuncture-point stimulation for chemotherapy-induced nausea or vomiting was

More information

THE SIX ZEN SHIATSU STRETCHES

THE SIX ZEN SHIATSU STRETCHES THE SIX ZEN SHIATSU STRETCHES Open the twelve Qi meridians of acupuncture: feel their chain of connective tissues as they get an invisible stretch, and, as a positive side effect, become more flexible

More information

THE BODY-FEEDBACK ACUPUNCTURE MASTERY TRAINING PROGRAM ASYMMETRICAL TREATMENTS PART 1: SYMMETRY AND ASYMMETRY

THE BODY-FEEDBACK ACUPUNCTURE MASTERY TRAINING PROGRAM ASYMMETRICAL TREATMENTS PART 1: SYMMETRY AND ASYMMETRY PART 1: SYMMETRY AND ASYMMETRY 1. Symmetry in nature: Symmetry is a reflection of and a result of synchronized qi flowing in a balanced state Symmetry is easy to see in plants and flowers A study shows

More information

The 5 Tibetan Breathing Exercises

The 5 Tibetan Breathing Exercises The 5 Tibetan Breathing Exercises This set of exercises dates back centuries; to the origination of Tai Chi and its brother arts of Hsing Yi and Bagua. The 5 exercises were designed to energize all the

More information

Use diet and natural supplements to control arthritis pain before resorting to drugs. 4. Maintain a health journal for your dog to record which

Use diet and natural supplements to control arthritis pain before resorting to drugs. 4. Maintain a health journal for your dog to record which Back Pain: Pain Relief Through Holistic Healing, Natural Remedies, Exercise And Nutrition, And Alternative Medicine (Holistic Health Care, Holistic Remedies,... Spinal Cord, Pain Relief, Healing Pain)

More information

MERIDIAN DIAGNOSIS Nathaniel Whitmore, Herbalist

MERIDIAN DIAGNOSIS Nathaniel Whitmore, Herbalist MERIDIAN DIAGNOSIS Nathaniel Whitmore, Herbalist Meridians are energy channels in which the flow of chi is concentrated. We can organize our discussion of the meridians according to the natural flow illustrated

More information

WHAT IS STRESS. The result of this can have an effect on your physical health and can also change your behavior in the following ways:

WHAT IS STRESS. The result of this can have an effect on your physical health and can also change your behavior in the following ways: STRESS We live in an increasingly stressful world. Pressures of work, family, finance and relationships can take their toll and it can be hard to find time to destress and unwind. Health guru Tiffiny Hall

More information

Extended Health Care Company Do you need any help retaining information about your health insurance coverage? Yes No

Extended Health Care Company Do you need any help retaining information about your health insurance coverage? Yes No PATIENT ENTRANCE FORM Date Circle: Male Female Name Birth Date (dd/mm/yy) Age Address Apt # City Province Postal Code Home # Cell # Work # E-MAIL Occupation Employer Name of Emergency Contact Contact #

More information

Well-Being, Natural Health and Expanded Awareness Shiatsu Therapist Traditional Chinese Practices Trainer

Well-Being, Natural Health and Expanded Awareness Shiatsu Therapist Traditional Chinese Practices Trainer S O N I A BRUCE Well-Being, Natural Health and Expanded Awareness Shiatsu Therapist Traditional Chinese Practices Trainer We e k l y C l a s s e s : P o r t i m ã o, L a g o s, L a g o a W O R K S H O

More information

WELCOME TO THE MILLER CHIROPRACTIC CLINIC

WELCOME TO THE MILLER CHIROPRACTIC CLINIC WELCOME TO THE MILLER CHIROPRACTIC CLINIC We are pleased that you have chosen to consult us regarding your health. In order to help us evaluate your condition thoroughly, please complete the following

More information

Acute Low Back Pain. North American Spine Society Public Education Series

Acute Low Back Pain. North American Spine Society Public Education Series Acute Low Back Pain North American Spine Society Public Education Series What Is Acute Low Back Pain? Acute low back pain (LBP) is defined as low back pain present for up to six weeks. It may be experienced

More information

General Chiropractic/Health Information

General Chiropractic/Health Information General Chiropractic/Health Information Chiropractic Over 20 million people receive chiropractic care every year. What is chiropractic? The basis of chiropractic care is detecting and correcting irregularities

More information

Swedish Technique Class

Swedish Technique Class Swedish Technique Class Massage of the Back Establish contact at the sacrum and occiput, and relax. Effleurage the whole back to apply oil, warm, and soften (3-6 times). Each effleurage of the whole back

More information

ACUPUNCTURE AND DYSMENORRHOEA

ACUPUNCTURE AND DYSMENORRHOEA ACUPUNCTURE AND DYSMENORRHOEA About dysmenorrhoea Dysmenorrhoea is painful cramps originating in the uterus just prior to or during menstruation. It can be primary (i.e. without any organic pathology)

More information

Carpal Tunnel Release

Carpal Tunnel Release Carpal Tunnel Release Carpal tunnel syndrome is a condition in the hand and wrist caused by excessive pressure on the median nerve in the wrist. Compression of the nerve typically causes numbness and tingling

More information

Rotational Forces. : Their impact; our treatments

Rotational Forces. : Their impact; our treatments Rotational Forces : Their impact; our treatments Lee Stang, LMT, LMBT, BCTMB NCBTMB Provider: 450217-06 bridgestohealthseminars.com bthseminars@gmail.com 860.985.5834 Facebook.com/BridgesToHealthSeminars

More information

Complementary therapies for cancer patients and their carers

Complementary therapies for cancer patients and their carers Complementary therapies for cancer patients and their carers What are complementary therapies? Complementary therapies are supportive therapies offered alongside medical treatments. Many people with cancer

More information

The Panasonic Massage Lounger

The Panasonic Massage Lounger The Panasonic Massage Lounger A View from an Acupressure Massage Therapy Expert Michael Reed Gach, Ph.D. Renowned Acupressure and Self-Care Expert. Founder of the Acupressure Institute of America, Inc.

More information

TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS) Dr. Mohammed TA, Omar, PhD, PT Rehabilitation Science Department CAMS-KSU

TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS) Dr. Mohammed TA, Omar, PhD, PT Rehabilitation Science Department CAMS-KSU TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS) Dr. Mohammed TA, Omar, PhD, PT Rehabilitation Science Department CAMS-KSU momarar@ksu.edu.sa Definition of TENS and current specifications Modes of TENS

More information

Sensory Analgesia. Pain Definitions a distressing feeling due to disease, bodily injury or organic disorder. uneasiness of mind or grief.

Sensory Analgesia. Pain Definitions a distressing feeling due to disease, bodily injury or organic disorder. uneasiness of mind or grief. Sensory Analgesia Anesthesia- Analgesia- Partial or complete loss of sensation with or without loss of consciousness Relieving pain, being in a state without pain Pain Definitions a distressing feeling

More information

What is reflexology? physiological benefits general benefits

What is reflexology? physiological benefits general benefits Reflexology A qualification in reflexology is not a prerequisite for this workshop. However, it is important that all participants have a basic understanding of this wonderful therapy. So let us look at

More information

HISTORY OF PRESENT ILLNESS A. TELL US ABOUT YOUR PAIN PROBLEM

HISTORY OF PRESENT ILLNESS A. TELL US ABOUT YOUR PAIN PROBLEM 1 UT Health Austin Comprehensive Pain Management New Patient Questionnaire Thank you for scheduling a visit with the Comprehensive Pain Management Care Team. The responses you provide to these questions

More information

Non-Pharmacological Interventions for Pain:! Chiropractic Manipulative Therapy!

Non-Pharmacological Interventions for Pain:! Chiropractic Manipulative Therapy! Non-Pharmacological Interventions for Pain:! Chiropractic Manipulative Therapy! Dr. Marie Rudback, DC, CCSP, ART! Chiropractic Physician, Certified Chiropractic Sports Physician, Active Release Technique

More information

History of Present Condition

History of Present Condition Name: Date: Address: City: Province: Postal Code: Home Phone: Cell Phone: Work Phone: Email: Marital Status: Name Of Family Physician (MD): Age: Occupation: Employer: Extended Health Care Company: Policy

More information

CONSULTATION ADMITTANCE FORM

CONSULTATION ADMITTANCE FORM CONSULTATION ADMITTANCE FORM Last Name: First Name: Address: City Postal Code: Home Phone: Work Phone: Age: Birth date (dd/mm/yr): Sex: M / F Height Weight Occupation: Alberta Health Care #: PLEASE CHECK

More information

Recuperate Massage Intake Form

Recuperate Massage Intake Form Recuperate Massage Intake Form Name Phone ( ) DOB Address City State Zip E-mail: Referred by/how did you hear about R.M : Phone ( ) Emergency Contact: Phone ( ) Occupation ( ) Male ( ) Female Physician

More information

Qigong Training for Relief of Arthritis

Qigong Training for Relief of Arthritis Qigong Training for Relief of Arthritis Chinese Medicine s View of Arthritis In traditional Chinese medicine [TCM], an imbalance in vital internal energy (Qi, or bioelectricity, in scientific terms) is

More information

FREE CPE OPPORTUNITY

FREE CPE OPPORTUNITY FREE CPE OPPORTUNITY Knowledge of Classical Massage Movements CHALLENGE Complete all Questions In the workbook exam paper attached Send in your Answers office@maa.org.au Collect 20 CPE Points for 90% -

More information

Therapeutic Exercise And Manual Therapy For Persons With Lumbar Spinal Stenosis

Therapeutic Exercise And Manual Therapy For Persons With Lumbar Spinal Stenosis Therapeutic Exercise And Manual Therapy For Persons With Lumbar Spinal Stenosis The program consisted of manual therapy twice per week (eg, soft tissue and neural The components of the Boot Camp Program

More information

UNIT 1 : THE HUMAN BODY

UNIT 1 : THE HUMAN BODY UNIT 1 : THE HUMAN BODY 1.1.- KNOWING YOUR BODY The first thing we need to do before starting the P.E. class, it s to make sure that we really now our own body. But not only its parts, but also how does

More information

Reducing pain by the auricular acupressure with Internet for dysmenorrheal adolescents in Taiwan

Reducing pain by the auricular acupressure with Internet for dysmenorrheal adolescents in Taiwan Reducing pain by the auricular acupressure with Internet for dysmenorrheal adolescents in Taiwan Yu-Ling Hung 1, Hong-Nerng Ho 2, Mei-Ling Yeh 3, Hsing-Hsia Chen 4 1 Outline Background Objective Methodology

More information

PRODUCT SCAN RESULTS

PRODUCT SCAN RESULTS ZYTO Balance 5.0 Chiropractic Report + Therapies ZYTO Demo 956 Anystreet Anytown Alabama 88888 Phone: (123) 456-7777 Test Male Return Appointment: PRODUCT SCAN RESULTS Baseline Biomarkers Out of Range:

More information

Current Developments in the Prevention and Treatment of Repetitive Motion Injuries of the Upper Extremity

Current Developments in the Prevention and Treatment of Repetitive Motion Injuries of the Upper Extremity Current Developments in the Prevention and Treatment of Repetitive Motion Injuries of the Upper Extremity D. Mowry 1 Mowry, D. 1995. Current Development in the Prevention and Treatment of Repetitive Motion

More information

10 Best Yoga Poses For Diabetics

10 Best Yoga Poses For Diabetics 10 Best Yoga Poses For Diabetics Along with well balanced diet and nature cure treatment, Yoga should be done for good control of blood sugar level. Asana, specifically useful to improve functions of the

More information

A N OTHER - 04 September :16 - Source Points. A N OTHER - 04 September :16 - Source Points 11AM-3PM 3PM-7PM

A N OTHER - 04 September :16 - Source Points. A N OTHER - 04 September :16 - Source Points 11AM-3PM 3PM-7PM Exam Findings A N OTHER - 04 September 2008 19:16 - Source Points 200 A N OTHER - 04 September 2008 19:16 - Source Points 175 150 131134 125 126 116 101 100 75 112 130 138136 124 118 148 132 128130 122

More information

July 7, Dear Sir or Madam:

July 7, Dear Sir or Madam: Docket No. FDA-2017-D-2497 for Draft Revisions to FDA Blueprint for Prescriber Education for Extended-Release and Long-Acting Opioids; Request for Comments. American Society of Acupuncturists c/o David

More information

and 532 March Level 3 Advanced Technical Diploma in Complementary Therapies (540)

and 532 March Level 3 Advanced Technical Diploma in Complementary Therapies (540) 600 02 and 52 March 2018 600 0 Level Advanced Technical Diploma in Complementary Therapies (50) 1 One mark for any three of the following; to a maximum of Acupuncture. Aromatherapy. Body work (traditional

More information

Headache & Migraine Survival Guide 4 Steps To Manage Your Pain

Headache & Migraine Survival Guide 4 Steps To Manage Your Pain Headache & Migraine Survival Guide 4 s To Manage Your Pain Why this Guide? According to the National Institute of Neurological Disorders and Stroke (NINDS) and the American Council for Headache Education

More information