Christine Keating MD Physical medicine and Rehabilitation Back and Spine center
|
|
- Stanley Williamson
- 6 years ago
- Views:
Transcription
1 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 % of people will have back pain at some point in their life LBP is a common problem but many different causes, and many times a definite source can not be found 1
2 Low back pain The number # 1 reason for missed days at work Ranked the sixth most costly medical condition Over $100 billion dollars spent annually in the US on back pain At any one time, 80 million Americans are experiencing back pain The number one predictor for returning back pain is previous back pain Bed rest is no longer considered the best treatment option Lifetime recurrence rate 85% Treatments 2
3 Non traditional treatments for Back pain Acupuncture Dry needling Cupping Massage Cranio-sacral massage Rolfing Feldenkrais Exercise Tai Chi Yoga Mindfulness based stress reduction Psychological therapies Multidisciplinary Traditional Chinese Medicine Traditional Chinese medicine is based on the theory that the human body has natural energy flowing through it The meridians are channels that allow the energy chi to flow freely. As long as chi moves freely we feel healthy. Illness and injury create obstructions which effect the way we feel 3
4 Acupuncture Acupuncture Ancient practice of Chinese medicine developed 8,000 years ago with foundations in Dadaist theisms Thin needles are placed in specific points of obstruction in the body to attract blood flow with its nutrients and oxygen to repair the damaged tissue. It is also said to boost lymphatic system to carry away toxins Over 3 million Americans use acupuncture. (It is more popular in other countries) The goal is to release our bodies natural energy by stimulating the 14 energy pathways/meridians It is said to release endorphins which are natural pain relievers 4
5 Acupuncture Acupuncture Spine in 2013 showed self reported pain improvement, but the studies were limited by poor study quality Acupuncture vsno treatment there was a statistically significant improvement in function Acupuncture vsmeds there was statistical significance in level of pain but no clinical relevance Acupuncture vs tens: no difference Acupuncture vs sham acupuncture there was improvement in pain with acupuncture Acupuncture and usual care vsusual care there was greater improvement in self reported pain with using acupuncture Electroacupuncture vs usual care there was statistically significant self reported pain improvement with electroacupuncture Lam, Megan. Galvin, rose. curry, Philip. Effectiveness of Acupuncture for Nonspecific chronic low back pain. Spine. 2013;38:
6 Acupuncture Acupuncture had a clinically meaningful reductions in self reported pain and function post treatment when compared to no treatment, sham treatment, or medications There is improved function and pain when acupuncture is used with traditional non specific chronic low back pain treatment Acupuncture is an effective treatment and should be used with traditional treatment. Studies in the future need longer follow-up, and not just immediately after the intervention Lam, Megan. Galvin, rose. curry, Philip. Effectiveness of Acupuncture for Nonspecific chronic low back pain. Spine. 2013;38: Acupuncture Annals of internal medicine published a review in 2017 They showed that in acute low back pain acupuncture had decreased pain but no improvement in function when compared to sham treatment In chronic low back pain there was improved pain and function immediately after treatment compared to no acupuncture There was no long term difference in pain and function compared to no acupuncture In summary, there are some immediate benefits, but no documented long term benefits, but there were only two trials of acupuncture long term Chou, Roger; Deyo, Richard; Friedly, Janna et al. Nonpharmacologis Therapies for Low Back Pain: A systemic review for an American College of Physicians Clinic Practice Guideline. Annals of internal medicine. 166(7):
7 Dry needling Thin needles inserted into the muscle to stimulate the trigger point and elicit a local twitch response Trigger point is tight muscle band that triggers pain when touched It is different from acupuncture: acupuncture s goal is to release/unblock the energy flow and create balance. Dry needling stimulates the muscle that is causing the pain and muscle soreness Dry Needling Compared to other treatments dry needling myofascial trigger points decreased intensity of low back pain post treatment Dry needling plus other treatments was more effective than dry needling alone in decreasing pain intensity It is unclear whether dry needling improves functional disability, data remains insufficient Liu, Lin. Huang, Quing-Min, et al Evidence for Dry needling in the managemetnof myofascial trigger points associated with low back pain: a systemis review. Arch Phys med and rehab. 2018;99:
8 Cupping Cupping Is an ancient Chinese practice developed 3000 years ago Cupping creates suction above the damaged tissue stimulating blood flow to the area to stimulate healing and get rid of waste It can be done by PT, massage therapist, acupuncturist, chiropractors 8
9 Cupping There are multiple types of cupping. Wet cupping and dry cupping being the most common Wet cupping involves controlled bleeding Literature limited. In a review one RCT, and 6 non- RCT and 20 case reports found The RCT showed decreased pain with wet cupping vs no intervention Research limited, there is large variation in type of cupping, sites and dosage. Cupping is promising for pain control and improved function Huang, Cia-yu, Choong, Mun-Yau. Effectiveness of cupping therapy for low back pain: A systemic review. acupunct Med : Massage Improves blood circulation which can help relieve soreness Relaxes muscles to help with improved movement and ROM Increases endorphin levels There is some short term benefits when compared to other noninvasive treatments with decreased pain and improved function. Results were varied in 13 included trials Chou, Roger; Deyo, Richard; Friedly, Janna et al. Nonpharmacologis Therapies for Low Back Pain: A systemic review for an American College of Physicians Clinic Practice Guideline. Annals of internal medicine. 166(7):
10 CranioSacral Therapy (CST) Developed by an osteopathic physician John Upledger Gentle hands on method of enhancing the craniosacral system which includes CSF and membranes Using light touch to the spine and pelvic bones you release restrictions in the craniosacral system to improve function of central nervous system by regulating flow of CSF Rolfing Developed by Ida Rolf she saw the body as constantly in a struggle with gravity, creating imbalance inefficiency in movement and pain Rolfing bodywork affects the body s posture and structure by manipulating the myofascial system Rolfing is a system of soft tissue manipulation and movement education that organizes the whole body in 10 sessions to align the human body energy field with gravitational field Rolfing focuses on entire body to create overall ease and balance. Massage focuses on specific areas with tension It is not known whether Rolfing is safe or cost effective 10
11 Feldenkrais Method Feldenkrais method It is an exercise therapy It is said to realign the connections between brain and body and improve body movement and psychological state It is movement therapy, helping patients to become more aware of movements and habits, so they can change and develop new patterns The goal is to improve posture, flexibility and coordination to change restrictive patterns. There is no evidence to support its use 11
12 Tai Chi Tai chi is a slow motion exercise where muscles are kept relax and joints are never at the end ROM Focusing the mind on the movement of the body helps bring about mental calm Two trials showed that Tai Chi improved pain when compared to no Tai chi. One study showed improved function Chou, Roger; Deyo, Richard; Friedly, Janna et al. Nonpharmacologis Therapies for Low Back Pain: A systemic review for an American College of Physicians Clinic Practice Guideline. Annals of internal medicine. 166(7): Yoga There are many different types of yoga practices. It is physical exercise with a meditative and spiritual core Fourteen trials evaluated yoga for chronic low back pain. Yoga was associated with better function and pain control but not statistically significant Cochrane review showed no clear difference between yoga and other exercise for back pain Chou, Roger; Deyo, Richard; Friedly, Janna et al. Nonpharmacologis Therapies for Low Back Pain: A systemic review for an American College of Physicians Clinic Practice Guideline. Annals of internal medicine. 166(7):
13 Exercise For chronic low back pain, exercise was associated with greater pain relief and function There needs to be better adherence to home Exercise program, 50-70% do not continue Exercise that incorporates individual stretching strengthening to meet patient needs and functional requirements Chou, Roger; Deyo, Richard; Friedly, Janna et al. Nonpharmacologis Therapies for Low Back Pain: A systemic review for an American College of Physicians Clinic Practice Guideline. Annals of internal medicine. 166(7): Lack of activity destroys the good condition of every human being. While movementand methodical physical exercisesave it and preserve it --Plato 13
14 Mindfulness-Based Stress Reduction It uses a combination of mindfulness meditation, yoga, and body awareness to become more mindful Showed improvement in pain and function over usual care at 26 weeks There was no difference in mindfulness and cognitive behavioral therapy for improvements in pain and function Chou, Roger; Deyo, Richard; Friedly, Janna et al. Nonpharmacologis Therapies for Low Back Pain: A systemic review for an American College of Physicians Clinic Practice Guideline. Annals of internal medicine. 166(7): Psychological therapies Progressive relaxation, electromyography biofeedback, operant therapy, and cognitive behavioral therapy resulted in lower post-treatment pain when compared to no treatment. Progressive relaxation showed improved pain Only progressive relaxation techniques showed improved function No difference in pain was seen in psychological vs exercise therapy individually Chou, Roger; Deyo, Richard; Friedly, Janna et al. Nonpharmacologis Therapies for Low Back Pain: A systemic review for an American College of Physicians Clinic Practice Guideline. Annals of internal medicine. 166(7):
15 Multidisciplinary Physical therapy Incorporates physical therapy with behavioral and psychological counseling. Treat the physical with the mental aspects of chronic pain Therapy included exercises, coping skills, education, and relaxation training, along with cognitive behavior therapy, work-related training, and problem solving in stressful situations. There was improved pain and function with chronic pain MattiasBuchner, MD, PhD, et al. The Influence of the Grade of Chronicityon the Outcome of Multidisciplinary Therapy for Chronic Low Back Pain. In Spine. December 15, Vol. 32. No. 26. Pp Rehabilitationis to be a master word in Medicine. --Dr. William Mayo 15
16 Summary There are few clear differences between the various non-pharmacologic therapies, but limited comparison has been done Exercise and multidisciplinary rehab were associated with increased rates of return to work Exercise therapy, spinal manipulation, massage, and acupuncture were shown to be effective for chronic low back pain but strength of evidence was low to moderate There was little evidence to support passive physical therapies More studies need to be done. There is lots of variation in technique and patients are participating in other therapies Chou, Roger; Deyo, Richard; Friedly, Janna et al. Nonpharmacologis Therapies for Low Back Pain: A systemic review for an American College of Physicians Clinic Practice Guideline. Annals of internal medicine. 166(7): Summary There are many non traditional therapies that can be used for chronic low back pain. There is limited literature and limited long term follow up Most of the therapies are safe and can be used in conjunction with traditional treatment Acupuncture has been studied the most, but there needs to be more consistency in technique and increased follow up. 16
17 Summary Exercise Surgery Chronic Low back pain medication Injections Alternative Helen Keller 17
18 Resources Cao, Huijuan, Mei Han, Xun Li Clinical research evidence of cupping therapy in China: a systemic Literature review. BMC Complementary and alternative med :70 Chou, Roger; Deyo, Richard; Friedly, Janna et al. Nonpharmacologic Therapies for Low Back Pain: A systemic review for an American College of Physicians Clinic Practice Guideline. Ann Internal med. 2017;166: Chou, Roger: Qassem, Amir: Snow, Vincenzeet. al. Diagnosis and treatment of Low back pain: A joint clinical practice Guideline from American college of physicians and the American pain Society. Ann intern. med. 2007;147: Hayden JA, van TudlerMW, Tomlinson G. Systematic Review: Strategies for using exercise therapy to improve outcomes in chronic low back pain. Ann intern med. 2005;142: Huang, Cia-yu, Choong, Mun-Yau. Effectiveness of cupping therapy for low back pain: A systemic review. acupunct Med : Lam, Megan. Galvin, rose. curry, Philip. Effectiveness of Acupuncture for Nonspecific chronic low back pain. Spine. 2013; 38: Liu, Lin. Huang, Quing-Min, et al Evidence for Dry needling in the managemetnof myofascial trigger points associated with low back pain: a systemis review. Arch Phys med and rehab. 2018;99: Mattias Buchner, MD, PhD, et al. The Influence of the Grade of Chronicity on the Outcome of Multidisciplinary Therapy for Chronic Low Back Pain. In Spine. December 15, Vol. 32. No. 26. Pp Qassem, Amir, Wilt, Timothy, Mclean, Robert. Noninvasive Treatments for Acute, Subacute, and Chronic Low back pain: A Clinical Practice Guideline from the American college of physicians. Ann Intern Med. 2017;166: Zhang, Ya-Jing. Cao, Hui-Juan. Li, Xin-Lin. Cupping therapy versus acupuncture for pain related conditions: a systemic review of randomized control trials and trial sequential analysis. Chin. Med. 2017: 12:21 18
Considering Your Non-opioid Options for Pain
YOUR VALUES YOUR PREFERENCES YOUR CHOICE Considering Your Non-opioid Options for Pain Self-Care, Chiropractic, Physical Therapy, Acupuncture and Pain Rehabilitation 2 Managing Your Pain: Options Pain If
More informationComplementary, Alternative, or Integrative Health: What s In a Name?
Complementary, Alternative, or Integrative Health: What s In a Name? Complementary and alternative medicine, complementary medicine, alternative medicine, integrative medicine we have all seen these terms
More informationComplementary Therapies
Complementary Therapies August 7, 2018 Together, we can change the course of the HIV epidemic one woman at a time. #onewomanatatime #thewellproject Complementary Therapies Complementary/alternative/integrative
More informationPolicy Considerations: Systematic Review of Nonpharmacologic Treatment for Chronic Pain
Policy Considerations: Systematic Review of Nonpharmacologic Treatment for Chronic Pain Andrea C. Skelly, PhD, MPH President, Aggregate Analytics, Inc., Pacific Northwest EPC Assistant Director Roger Chou,
More informationHiroyuki 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 informationUSAG 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 informationPost-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 informationMandy and Kristen can be booked through the Spa x259
Bios Kristen Harte, NP Kristen is a Nurse Practitioner specializing in Women s Health. She graduated with a Bachelors of Science in Nursing in 1987 from West Chester University and a Master s degree from
More informationSomatic Patterning. Chapter 01: Section I - SOMATICS
Somatic Patterning Chapter 01: Section I - SOMATICS Chapter 1 has been fully revised and updated for massage students and practitioners. Instructor resources for this new chapter include: New Chapter 1
More informationWHOLE HEALTH: CHANGE THE CONVERSATION
Advancing Skills in the Delivery of Personalized, Proactive, Patient-Driven Care Complementary Approaches in the VA- A Glossary of Therapies and Whole Health Resources for Learning More Clinical Tool This
More informationEffectiveness and safety of nonpharmacological and nonsurgical treatments for chronic pain conditions
Effectiveness and safety of nonpharmacological and nonsurgical treatments for chronic pain conditions Roger Chou, MD Professor of Medicine Oregon Health & Science University Director, the Pacific Northwest
More informationComplementary and Alternative Medicine
Complementary and Alternative Medicine Approaches to Health Care Complementary and alternative medicine (CAM) is a group of diverse medical and health care systems, practices, and products that are not
More informationSpecialty Care National Program
Specialty Care National Program Mini-Residency Pain Management February 10-12, 2015 Myofascial Techniques for Back and Neck Pain Presented by: Edward S. Lee MD National Program Faculty: Edward S. Lee MD
More informationHRSA Grant: D54HP Project Investigator: Carol Monson, DO, MS, FACOFP
Michigan State University College of Osteopathic Medicine Family and Community Medicine and Internal Medicine Division of Geriatrics www.com.msu.edu/fcm HRSA Grant: D54HP23284-05-00 Project Investigator:
More informationmedicine (CAM): group of practices used Alternative medicine: group of practices used as an Integrative medicine: use of conventional medicine in
Chapter 17: Complementary and Alternative Medicine Approaches to Health Care Complementary and alternative medicine (CAM) is a group of diverse medical and health care systems, practices, and products
More informationTaking Charge, Living Life: Managing Your Chronic Pain
Taking Charge, Living Life: Managing Your Chronic Pain Common Questions & Answers About Chronic Pain Treatment What is your pain like? Goals of Pain Therapy You are not alone! Chronic pain is a very common
More informationAlternative Health. A New Look at an Old Way. A free report by:
Alternative Health A New Look at an Old Way of Life A free report by: http://natural-remediesinfo.com Table of Contents Introduction... 2 Concepts of Eastern Medicine... 2 Combining Alternative Methods
More informationAllinaHealthSystems 1
Acupuncture and Integrative Medicine for Neck and Back Pain Michael Egan, LAc, MaOM, DiplOM The Penny George Institute for Health and Healing 11/9/18 Disclosures I have no relevant financial interests
More informationHelping the Mind Heal the Body: Mind Body Approaches to Pain Medicine
Helping the Mind Heal the Body: Mind Body Approaches to Pain Medicine Michelle Dossett, MD, PhD, MPH mdossett@mgh.harvard.edu June 29, 2018 Disclosures I have no relevant financial conflicts of interest
More informationThe perfect place to discover a new you.
The perfect place to discover a new you. Expect the Unexpected 1 Pricing listed throughout this brochure reflects Sunday-Thursday / Friday-Saturday pricing. ACUPUNCTURE ACUPUNCTURE (50 min - $150/$160
More informationDry Needling: Interventions and Clinical Application
Dry Needling: Interventions and Clinical Application Craig A. Voll, Jr. PhD, ATC, PT Jessica Gillespie, PT, DPT Lafayette Area Sports Symposium February 7, 2018 Objectives: Define Dry Needling (DN) Utilization
More informationIt s Official: Acupuncture Doctor Approved
It s Official: Acupuncture Doctor Approved 04 MARCH 2017 The American College of Physicians formally recommends acupuncture for the treatment of back pain. Published in the prestigious Annals of Internal
More informationDiagnosis 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 informationCritical Appraisal of a Clinical Practice Guideline
Critical Appraisal of a Clinical Practice Guideline Goal: To critically evaluate a guideline, using the Users Guides (reference below). Objectives: 1. Assess the validity of a guideline 2. Understand the
More informationGeneral 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 informationChronic Pain Management Strategies
Chronic Pain Management Strategies Angela Gilbert, Psy.D. Licensed Psychologist Kensington Medical Center 2nd Annual Diabetes Wellness Day What We Will Cover Today What Is Chronic Pain And Chronic Pain
More informationTREATMENT 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 informationMyofascial 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 informationComplementary & Integrative Medicine for Headaches
Complementary & Integrative Medicine for Headaches Rebecca Erwin Wells, MD, MPH Associate Professor, Neurology Associate Director of Clinical Research, Center for Integrative Medicine Wake Forest Baptist
More information69a History of Massage: Modalities
69a History of Massage: Modalities 69a History of Massage: Modalities! Class Outline" 5 minutes" "Attendance, Breath of Arrival, and Reminders " 10 minutes "Lecture:" 25 minutes "Lecture:" 15 minutes "Active
More informationChiropractic 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 informationMalaysian 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 information69a History of Massage: Modalities
69a History of Massage: Modalities 69a History of Massage: Modalities! Class Outline 5 minutes Attendance, Breath of Arrival, and Reminders 10 minutes Lecture: 25 minutes Lecture: 15 minutes Active study
More informationNoninvasive, Nonpharmacological Treatment for Chronic Pain: A Systematic Review
Leaders in Multidisciplinary Care Since 1988 Noninvasive, Nonpharmacological Treatment for Chronic Pain: A Systematic Review Supplemental comments submitted to the Agency for Healthcare Research and Quality
More informationNagging muscles and niggling pain
HEALTH Nagging muscles and niggling pain Dry needling to the rescue Terry-Lynn Stone Waking up, your back is killing you. You are convinced you must have broken a vertebra. Groaning, you all but stagger
More informationA touch of SIAM. Therapies & Treatment. In The Orchid Palace Wellness Spa, we offer so much more than simply a spa vacation.
A touch of SIAM It is no secret that spa therapies are an enhancement to life. We emphasize inner healing and balance of mind, body and soul using a fusion of Eastern and Western philosophies and treatments
More informationCure Your Headaches + 7 Other Benefits Of Craniosacral Therapy
Cure Your Headaches + 7 Other Benefits Of Craniosacral Therapy Liivi Hess - September 13, 2017 Three weeks after our daughter was born, she started having issues. Crying constantly, straightening her legs
More informationAnalysis on the Effect of Modified Taijiquan on Stroke Patients in Rehabilitation of Movement Function
ORIGINAL ARTICLE Analysis on the Effect of Modified Taijiquan on Stroke Patients in Rehabilitation of Movement Function ZHANG Gao-feng College of Physical Education, Yangtze University, Jingzhou 434000,
More information1. PARADIGMS IN HEALTH:
1 of 8 INTRODUCTION II 1. PARADIGMS IN HEALTH: In this section I will be discussing the two most prevalent models of health. These two models of health are not, of course, total opposites. There exists
More informationLive 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 informationMIND-BODY PRACTICES TO MODULATE AUTONOMIC TONE FOR CHRONIC DISEASE MSA COALITION PATIENT & FAMILY CONFERENCE
MIND-BODY PRACTICES TO MODULATE AUTONOMIC TONE FOR CHRONIC DISEASE MSA COALITION PATIENT & FAMILY CONFERENCE Landrew Sevel, PhD Osher Center for Integrative Medicine at Vanderbilt Department of Psychiatry
More informationLet s get to the point: Therapeutic Dry Needling
Let s get to the point: Therapeutic Dry Needling JILL THEIN-NISSENBAUM, PT, DSC, SCS, ATC ASSOCIATE PROFESSOR, UW-MADISON SMPH STAFF PT, BADGER SPORTSMEDICINE THEIN@PT.WISC.EDU No Conflict of Interest
More informationOSTEOPATHIC MASSAGE: COMBINING MASSAGE THERAPY AND OSTEOPATHY IN A TREATMENT. By Angele Boyle
OSTEOPATHIC MASSAGE: COMBINING MASSAGE THERAPY AND OSTEOPATHY IN A TREATMENT By Angele Boyle Since the beginning of March 2011, I have had the opportunity while attending the National Academy of Osteopathy,
More informationMICRO-SPA TREATMENT MENU
MICRO-SPA TREATMENT MENU The therapists know their stuff. It s like an oasis of calm and relaxation. Denise Percival Niven Architects Plus PRICES FROM 12.50 Value for you MID FEBRUARY 2018 Plus WALK-INS
More informationComplementary & Alternative Medicine. Integrative Therapies:
Complementary & Alternative Medicine Integrative Therapies: By: Melanie Santos RNIII, BSN, OCN, CMSRN Salinas Valley Memorial Healthcare System Five Branches University Student : March 2019 WHAT IS CAM?
More informationGetting 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 informationComplementary 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 informationNon-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 informationSCS FAMILY MEDICINE Introduction in Osteopathic Principles & Initial Osteopathic Evaluation for Low Back Pain
SCS FAMILY MEDICINE Introduction in Osteopathic Principles & Initial Osteopathic Evaluation for Low Back Pain CATHERINE DONAHUE D.O. ASSISTANT PROFESSOR DEPARTMENT OF OMM MSUCOM WHAT WE WILL COVER Osteopathic
More informationComplementary and Alternative Veterinary Medicine (CAVM)
Complementary and Alternative Veterinary Medicine (CAVM) What is complementary medicine? Complementary medicine, a term often used interchangeably with holistic medicine, provides nonconventional treatments
More informationPress Calendar Retreats 2018
Press Calendar Retreats 2018 DECEMBER 2017 JANUARY FEBRUARY MARCH APRIL MAY JUNE JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER 01.12. 05.12. 04.03. 11.03. 29.04. 06.05. 03.06. 07.06. 29.07. 02.08. with
More informationOpioid Abuse Prevention Symposium. Aram Mardian, MD Chief, Chronic Pain Wellness Center Phoenix VA Health CaRe System September 15, 2017
Opioid Abuse Prevention Symposium Aram Mardian, MD Chief, Chronic Pain Wellness Center Phoenix VA Health CaRe System September 15, 2017 Objective Describe self-management as it relates to chronic pain
More informationWhat are Alternative Pain Methods
Are You Ready for Alternative Medicine: Non Pharmacologic Pain Management Lisa Sigsworth RN, CHPN, CHt, CHI Lsigsworth@ameracare.com What are Alternative Pain Methods The term ''alternative therapy'' generally
More informationScrip Companies 1
By: Kray Kibler, Chief Operating Officer and Chief Financial Officer, Scrip Companies www.scripcompanies.com 2014 - Scrip Companies 1 Responding to cost trends in the U.S. healthcare system and the influence
More informationComplementary therapies
Complementary therapies There is a lot more to managing epilepsy than just seizure control. A good quality of life is important, and this is where complementary therapies can be most effective. Complementary
More informationWhat is the Difference Between Myotherapy and Remedial Massage?
What is the Difference Between Myotherapy and Remedial Massage? We can only imagine how difficult life must have been for the sick a hundred or more years ago. When they were sick they had very limited
More informationThe Zen Desk. Relieving workday stress and tension
The Zen Desk Relieving workday stress and tension What is stress? Definition of stress Is a physical, mental or emotional response to events that causes bodily or mental tension Comes from a situation
More informationHOW TO SPA. RESERVATIONS: Advanced bookings are recommended to secure your preferred date and time of treatment.
ABOUT COOL SPA Extraordinary sensory experiences for your mind, body and soul have been replicated at Baba Beach Club. Leave your stresses at the door because the spa delivers modern treatments infused
More informationHealth & Balance. The Health Benefits of Yoga. Article Link:
Article Link: http://www.webmd.com/balance/the-health-benefits-of-yoga Health & Balance The Health Benefits of Yoga Yoga has been practiced for more than 5,000 years, and currently, close to 11 million
More informationmind, body, and spirit
Barbados Fertility Centre believes in complimenting traditional medical practices to increase our patient s Successful Outcome. Holistic Therapy is intended to treat you as a whole on all levels - mind,
More informationHealth & Wellness. The Physical Therapists At Orthopedic Physical Therapy, Inc. Will Guide You To Pain Relief! orthopedicptinc.com
Health & Wellness The Newsletter About Your Health And Caring For Your Body Is It Possible To Live Without Neck Pain & Headaches? Here s What You Need To Do When Your Regular Treatment Plans Don t Work
More informationAcupuncture PATIENT INFORMATION SHEET
Acupuncture PATIENT INFORMATION SHEET What is acupuncture? Acupuncture is one component of traditional Chinese medicine that has been used for over 2,000 years to treat many health conditions. It is a
More informationChronic Back and Neck Pains: Those That Heal; Those That Don t
Paul Gordon, M.A. Advanced Rolfer 875 Massachusetts Avenue, Cambridge, Massachusetts 02139 617.628.6661 43 Mast Cove Road, Eliot, Maine 03903 207.439.8522 www.paulgordonrolfer.com From: The Physical Therapy
More informationWhiplash! The 3 Phases of Healing Introduction-Full recovery from a whiplash injury requires chiropractic care. and the insurance you already have
Whiplash! The 3 Phases of Healing Introduction-Full recovery from a whiplash injury requires chiropractic care. and the insurance you already have will most likely cover chiropractic treatment for a whiplash
More informationYoga and Low Back Pain: The World Spine Care Yoga Project
Yoga and Low Back Pain: The World Spine Care Yoga Project April 21, 2016 Erin Moon Barrie Risman Yoga Mindfulness Postures Breathing Methodology of Yoga Mindfulness - Bringing attention and awareness to
More informationConsumers. Asthma. and Complementary Therapies. An evidence-based guide
Consumers 5 Asthma and Complementary Therapies An evidence-based guide Contents What is asthma? 1 What are complementary therapies? 2 Why should I consult a healthcare professional 3 about complementary
More informationHealthPartners Inspire Special Needs Basic Care Clinical Care Planning and Resource Guide CHRONIC PAIN
The following evidence based guideline was used in developing this clinical care guide: National Institute of Health (NIH National Institute of Neurological Disorders and Stroke), Mount Sinai Beth Israel
More informationNATURAL MEDICINE. 115,00 (duration 30 min.) 95, ,00 examination and acupuncture session 95,00. 45,00 (duration 20 min.
MEDICAL Specialist medical advice and therapies in the fields of Western medicine, natural medicine, osteopathy and physiotherapy. The offer also includes a wide range of specific checkups aimed at identifying
More informationFibromyalgia , 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 informationNoninvasive treatments for acute, subacute, and chronic low back pain: a clinical practice guideline from the American College of Physicians.
General Guideline Title Noninvasive treatments for acute, subacute, and chronic low back pain: a clinical practice guideline from the American College of Physicians. Bibliographic Source(s) Qaseem A, Wilt
More informationChinese Proverb. He who asks a question is a fool for five minutes; he who does not ask a question remains a fool forever. What do we Fix?
Robert H. Rowe, PT, DPT, DMT, MHS, FAAOMPT Director Brooks Institute of Higher Learning Chinese Proverb He who asks a question is a fool for five minutes; he who does not ask a question remains a fool
More informationIndex. Note: Page numbers of article titles are in boldface type.
Note: Page numbers of article titles are in boldface type. A Acetaminophen in chronic pain management, 225 Acupuncture in chronic pain management, 251, 338 339 Ajurvedic medicine in chronic pain management,
More informationmain/1103_new 01/11/06
Search date May 2006 Allan Binder QUESTIONS What are the effects of treatments for people with uncomplicated neck pain without severe neurological deficit?...3 What are the effects of treatments for acute
More informationFatigue and Chronic Fatigue Syndrome
Fatigue and Chronic Fatigue Syndrome Introduction Nearly everyone struggles with being overtired or overworked from time to time. Temporary fatigue usually has a specific cause. It is easily treated. Chronic
More informationClinical 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 informationFundamentals of Thai Table Massage
Fundamentals of Thai Table Massage Eric Spivack LMT, BCTMB, EAMP, RTT 1 FUNDAMENTALS OF THAI TABLE MASSAGE ERIC SPIVACK, LMT, BCTMB, EAMP, RTT AMTA 2018 NATIONAL CONVENTION WASHINGTON, D.C. AUGUST 10,
More informationHOW TO SPA RESERVATIONS:
ABO UT CO O L S PA Cool Spa by Sri panwa has become known for its extraordinary sensory experiences for both your mind, body, and soul. Now replicated at Baba Beach Club Hua Hin, Cool Spa is designed to
More informationA Guide To Fibromyalgia
What Is Fibromyalgia? Fibromyalgia is a chronic condition that affects about 5 million Americans. Doctors diagnose fibromyalgia based on a patient's symptoms and physical exam. Patients experience pain
More informationChapter 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 informationAlternative Therapies in Sports Medicine
Alternative Therapies in Sports Medicine Sue Falsone PT,MS,SCS,ATC,CSCS,COMT,RYT Owner, Structure & Function Education Owner, Falsone Consulting Associate Professor, Athletic Training, A.T. Still University
More informationAbout Veterinary Naturopathy
About Veterinary Naturopathy Principles of Veterinary Naturopathy Veterinary Naturopathy is based on six principles The Healing Power of Nature (vix medicatrix naturae) The body has the inherent ability
More informationYoga & Pain Relief Suzie Newcome
Disclosure statement: I am the founder and co-owner of Namaspa and have no other disclosures. Yoga & Pain Relief Suzie Newcome Founder & Co-Owner of Namaspa Yoga, in Bend since 2007 500hr EYT and member
More informationComplementar 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 informationModule 8 Course Manual Christina Lyne
Module 8 Course Manual Christina Lyne christina@aromalyne.com Instructions for Module 8 Please take some time to read through this module. Once you have completed the workbook please email it to me for
More informationWell-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 informationWellness Program Guide
Wellness Program Guide Healthy Lifestyle Detox Stress and Burnout Emotional Balance Yoga Index Healthy Lifestyle Programs... Basic Optimal Fitness Comprehensive Optimal Fitness Ideal Weight Structural
More informationProView. BC Region Winter Season 2014/2015 FEATURED ARTICLE. the INSIDE SCOOP What to know about stretching EFFECTIVELY by Majorie Lauzon
ProView BC Region Winter Season 2014/2015 FEATURED ARTICLE the INSIDE SCOOP What to know about stretching EFFECTIVELY by Majorie Lauzon photo: Tom Fuller SKIING Biomechanics What to KNOW the inside scoop
More informationEffective Date: 01/01/2014 Revision Date: Administered by:
ARBenefits Approval: Effective Date: 01/01/2014 Revision Date: Administered by: Medical Policy Title: Physical and Occupational Therapy Services Document: ARB0476 Public Statement: 1) Physical and occupational
More informationOriginally from Russia where he completed his medical training, Leonid Soboleff has been practicing
leonoid soboleff visiting practitioner, March 12 th - April 5 th 2019 Originally from Russia where he completed his medical training, Leonid Soboleff has been practicing and studying alternative healing
More informationChiropractic , The Patient Education Institute, Inc. amf10101 Last reviewed: 01/17/2018 1
Chiropractic Introduction Chiropractic is health care that focuses on disorders of the musculoskeletal system and the nervous system, and the way these disorders affect general health. Chiropractic uses
More informationThe Role of Nonpharmacological Approaches to Pain Management: Why it Matters to Patients
The Role of Nonpharmacological Approaches to Pain Management: Why it Matters to Patients Christin Veasley Co-Founder & Director www.chronicpainresearch.org Insufficient workforce No team-based medical
More informationTHE TRUTH ABOUT OSTEOARTHRITIS. By GRAHAM NELSON RUSSELL VISSER
THE TRUTH ABOUT OSTEOARTHRITIS By GRAHAM NELSON RUSSELL VISSER WWW.NWPG.COM.AU THE TRUTH ABOUT OSTEOARTHRITIS 2 ABOUT NORTHWEST PHYSIOTHERAPY GROUP Northwest Physiotherapy Group was first established as
More informationSUMMARY 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 informationDr. Kashyap Patel Chief Medical Officer, Agape Healthcare President, SCOS Board member, community oncology alliance Chief of Staff, Springs
Dr. Kashyap Patel Chief Medical Officer, Agape Healthcare President, SCOS 2014-15 Board member, community oncology alliance Chief of Staff, Springs Memorial Hospital CAC Member, Palmetto-GBA, Medicaid,SC
More informationMultidisciplinary Approach to Spine Care. Roland Kent, MD Axis Spine Center Post Falls, Idaho
Multidisciplinary Approach to Spine Care Roland Kent, MD Axis Spine Center Post Falls, Idaho Objectives Epidemiology of chronic pain Pain as a disease What is multidisciplinary pain management (MDPM) Discuss
More informationAcupuncture , The Patient Education Institute, Inc. amf00102 Last reviewed: 06/23/2017 1
Acupuncture Introduction Acupuncture is the practice of inserting thin needles into specific body points to improve health and well-being. It originated in China more than 2,000 years ago. Research has
More informationMedical Restorative Massage Therapy as a Novel Treatment for Chronic Low Back Pain: A Retrospective Study.
Medical Restorative Massage Therapy as a Novel Treatment for Chronic Low Back Pain: A Retrospective Study. Thuy Bowyer 1, Jennifer R Larson 1,2, Deborah M Grzybowski 3,4, and Kedar Hiremath 5 1 M.T. Wellness
More informationSai s Visiting Thai Massage
Sai s Visiting Thai Massage Covering Leeds and Surrounding Area s www.saithaimassage.co.uk Page 1 Contents What is Thai Massage The Benefits of Thai Massage My Visit explained Disclaimer www.saithaimassage.co.uk
More informationThe Kaplan Path Beyond Pain
The Kaplan Path Beyond Pain JAN 9 JAN 27 2017 6829 Elm Street, Suite # 300, McLean, VA Dr. Gary Kaplan, D.O. DABFM, DABPM, FAAMA Medical Director, Kaplan Center for Integrative Medicine Clinical Associate
More informationPhysiotherapy. Acupuncture Physiotherapy Service. Serious about health. Passionate about care.
Physiotherapy TAILORED SERVICES FROM CHARTERED PHYSIOTHERAPISTS Acupuncture Physiotherapy Service Serious about health. Passionate about care. All BMI physiotherapists are members of the Chartered Society
More information