Integrative healthcare and Irritable Bowel Syndrome

Some evidence is emerging on the benefits of a few complementary approaches to Irritable Bowel Syndrome (IBS). This is a chronic condition of the large intestine that can cause abdominal pain, cramping, constipation, and diarrhea. The National Center for Complementary and Integrative Health (NCCIH) details the available evidence here including some practices that studies suggest may have some modest benefits including gut-directed hypnotherapy, acupuncture, some probiotics, and peppermint oil.

HIPAA-compliant disposal of clinical records

Covered entities (providers) are not permitted to simply abandon PHI or dispose of it in dumpsters or other containers that are accessible by the public or other unauthorized persons. The HIPAA Privacy and Security Rules do not require a particular disposal method.  You must review your own circumstances to determine what steps are reasonable to safeguard Protected Health Information (PHI) through disposal, and develop and implement policies and procedures. This includes PHI in all forms including electronic and paper. How do you wipe your computers, phone, fax, and copy machines of PHI data? How are your paper records disposed of? Is your staff aware of proper disposal methods? Click here for more information.

Acupuncture and Nitric Oxide

In a recent article in the journal Evidence-Based Complementary and Alternative Medicine, the effects of reinforcement methods such as stimulation (slowly twisting/rotating the needle) and application of local heat demonstrated increased levels of nitric oxide released from the skin. As reported here, the results of this study suggest these methods of reinforcement induce nitric oxide release from the skin which improves local circulation and contributes to the beneficial effects of the therapies, e.g. allows for flush of analgesic or sensitizing substances leading to pain relief.

Surgery vs Non-Surgical Treatment for Lumbar Spinal Stenosis

A January 2016 review by Cochrane looked at the “evidence that compares surgery versus non-surgical treatment” for lumbar spinal stenosis. Conclusions drawn from this comparison reveal non-surgical treatments are inadequately described (charted and entered into large data banks for comparative outcomes). However, it can be reported that a “high” rate of side effects accompany surgical interventions (10%-24%), while zero side effects are reported with conservative treatments. While there is little confidence to conclude surgery is a better option, healthcare providers can provide information on side effect outcome. The study author’s concluded “High quality research is needed to compare surgical vs conservative care for spinal lumbar stenosis. This may include better charting, better intake questionnaires, with pre and post treatment exams.”

Six complementary therapies that ease the side effects of breast cancer treatment

Consumer Reports publishes an article that states to ease these side effects, many people with breast cancer – up to 86 percent, according to a study published in Breast Cancer Research and Treatment – turn to complementary therapies, such as acupuncture, meditation, and yoga. Read more:

Basic prostate information to educate patients & providers

This National Institutes of Health (NIH) article offers prostate education for patients and providers. It includes anatomy, common problems, symptoms to watch for, how to recognize cancer, diagnosis and treatment. In addition, there are patient testimonials from cancer survivors and national organization contact information, to assist patients and providers with decision making. This is a senior-friendly website from NIH that links to health and wellness information for adults. Visitors may opt to sign up for regular email alerts.


Treating individuals with amputations in therapeutic massage and bodywork practice: A qualitative study.

Best practices for massage therapy and bodywork (TMB) treatment of individuals with amputations are not well established. Although anecdotal observations are available, they have limited applicability for informing effective massage therapy and bodywork approaches for individuals with amputations. This study is part of a multifaceted research program seeking to establish a foundation for education and investigation of TMB for amputation related conditions/symptomology. The purpose of this study was to understand how TMB practitioners approach and treat individuals with amputations and their perceptions of outcomes. The TMB practitioner perspective is important in informing the development of a TMB practice framework for people with amputation. Findings support that individuals with amputation benefit from TMB, at least from the perspective of TMB practitioners. Findings of this exploratory research identify important questions regarding approaches to treatment and potential TMB effectiveness hypotheses for amputation populations. Next steps will consider TMB approach and effects from the perspective of those with amputation(s). Read more at

Relationship Between Falls and Complementary and Alternative Medicine Use Among Community-Dwelling Older Adults.

The objective of this study was to examine the potential relationship between different forms of complementary and alternative medicine (CAM) use and falls among older adults in New York City (NYC). Because of the growing popularity of CAM use within this population, CAM practitioners should be included in falls prevention strategies. Particular attention should be taken to include practitioners who provide manipulative and body-based therapies (e.g., chiropractors, osteopaths, physical and massage therapists) because of the high risk for falls observed among individuals who use these therapies. Read more at

Considerations for accepting credit card payments in healthcare

Payment Card Industry Data Security Standard (PCI DSS) and HIPAA rules require entities to maintain reasonable and appropriate safeguards for protecting credit card payments.  Offices that are storing patient credit card information (regardless if on paper or in a practice management software), should follow the guidelines outlined by the PCI Security Standards Council (PCI SSC) for securing this information. The PCI SSC is a global open body formed to develop, enhance, disseminate and assist with the understanding of security standards for payment account security.

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Effect of light pressure stroking massage with sesame (Sesamum indicum L.) oil on alleviating acute traumatic limbs pain: A triple-blind controlled trial in emergency department.

Due to adverse effects of common medications used for traumatic pain management, it is crucial to use complementary methods to alleviate this pain. Present study aimed to assess the effect of light pressure stroking massage with topical sesame oil on pain severity of patients with limbs trauma. Massage with topical sesame oil was associated with significant reduction in pain severity of patients with limbs trauma. Therefore, it is suggested to use this oil on complementary medicine for pain relief due to low cost, easy usage and lack of adverse effects. Read more: