Back Clinic Chiropractic. This is a form of alternative treatment that focuses on the diagnosis and treatment of various musculoskeletal injuries and conditions, especially those associated with the spine. Dr. Alex Jimenez discusses how spinal adjustments and manual manipulations regularly can greatly help both improve and eliminate many symptoms that could be causing discomfort to the individual. Chiropractors believe among the main reasons for pain and disease are the vertebrae’s misalignment in the spinal column (this is known as a chiropractic subluxation).
Through the usage of manual detection (or palpation), carefully applied pressure, massage, and manual manipulation of the vertebrae and joints (called adjustments), chiropractors can alleviate pressure and irritation on the nerves, restore joint mobility, and help return the body’s homeostasis. From subluxations, or spinal misalignments, to sciatica, a set of symptoms along the sciatic nerve caused by nerve impingement, chiropractic care can gradually restore the individual’s natural state of being. Dr. Jimenez compiles a group of concepts on chiropractic to best educate individuals on the variety of injuries and conditions affecting the human body.
Every year an estimated 3.8 million people in the United States sustain mild traumatic brain injuries (MTBI) or concussions. Many of these injuries are due to sports-related activities, work related injuries, motor vehicle accidents, and military operations. It is also estimated that as many as 50% of MTBIs are never reported because the patient does not seek medical attention. This makes it difficult to get a substantial number on how many there are, but it is a prevalent condition.
The Brain and Skull
A patient does not have to hit their head to sustain an MTBI. It can be caused by whiplash even though the person never hit their head. The reason for this lies in the construction of the brain and skull.
The brain is very soft; some experts compare the texture to that of soft butter. The skull is designed to protect the brain, and it is tough. If you run your hand over your head, you may feel some lumps and bumps, it may not feel entirely even, but the surface will be smooth.
The same cannot be said for the inside of the skull. There are boney ridges on the inside that are quite sharp. The design is intended to keep the brain in place.
When the head is hit or is jolted hard enough it caused the brain to shift inside of the skull, coming into contact with those boney ridges � sometimes forcefully. This can cause damage and the result in a brain injury. The harder the jolt, the more serious the injury may be.
Symptoms of Mild Traumatic Brain Injury
Part of the problem with MTBI is that the symptoms may not show up immediately. They could emerge weeks or even months after the incident making it unlikely that the symptoms will be tracked back and connected to it.
Often, MTBI is called a �silent epidemic� because the symptoms that it causes are usually not visible and may not be immediately connected to the injury. Depression, anxiety, angry outbursts, and impaired memory are more likely to be considered a psychiatric issue instead of a neurological one. The symptoms can be debilitating just the same.
Evaluation and diagnosis of an MTBI
Chiropractors routinely treat patients with Mild Traumatic Brain Injuries. When they are presented with a patient that they know has sustained a head injury, or if they suspect a brain injury based on specific symptoms, they use the Sports Concussion Assessment Tool 2 (SCAT2) to determine the severity. The SCAT2 helps the chiropractor create evaluate the physical signs, symptoms, sideline assessment using Maddocks score, Glasgow Coma Scale, coordination, balance, and cognitive.
As they evaluate the patient, they look for specific markers that indicate the patient is experiencing worsening neurological symptoms. These include:
Loss of consciousness
Vomiting
Headaches get�worse
Increased confusion
Weakness on one side or in one leg or arm
Blurred vision
Dilated pupils
Balance or coordination problems
Chiropractic Treatment for MTBI
A head injury usually involves a neck injury as well. The chiropractor may use a variety of techniques to treat the patient, including spinal manipulation, massage, and bracing. The patient will also be advised to avoid anti-inflammatory medication, aspirin, alcohol, and sleep aids, using acetaminophen for pain as needed. If the patient needs to see another doctor or specialist, the chiropractor will refer them.
Neck pain is one of the most common sources of pain and chronic pain worldwide. According to the International Association for the Study of Pain, each year, around 30% to 50% of the general population experiences neck pain and approximately 15% will, at some point in their lives, have chronic neck pain. Women seem to experience it more often than men, and it is most prevalent at around middle age. Neck pain can be debilitating, impacting a person home life as well as their work performance. It can also trigger migraines and limit the range of motion. Understanding the cervical spine is integral in understanding how to manage pain in that area.
What is the Cervical Spine?
Seven vertebrae make up the cervical spine: C1 through C7. They protect the spinal cord and are part of the system that makes up the neck.
C1 is located at the base of the skull and C7 sits at the beginning of the thoracic spine. While C1 is the smallest vertebrae, each subsequent one is slightly larger as you move down the spine. This is necessary because the farther down the spine, the more weight it must bear.
The vertebrae C3 through C6 are called �typical vertebrae.� Like other vertebrae in the spine, they have a similar construction. The top vertebrae, C1 and C2, are �atypical vertebrae.� Their construction is somewhat different from typical vertebrae due to their specialized function and location.
The atlas, C1, is the only vertebrae that have more of a ring shape than a shape resembling a vertebra. It is what connects the skull to the spine and is responsible for about half of the head�s backward and forward range of motion.
The axis, C2, is the second vertebra and has a unique construction that connects it to C1 at the atlanto-axial joint. It is responsible for around half of the head�s rotation. The vertebra prominens, C7, is much larger than the vertebrae that sit above it and its shape is different to facilitate its connection to T1, at the beginning of the thoracic spine.
Neck Pain
The cervical spine has several critical functions. It houses the spinal cord and protects it, supports the head and facilitates its movement, and facilitates the flow of blood to the brain.
The human head is around 10 to 13 pounds and the cervical spine, along with an intricate network of muscles, tendons, and ligaments support it. This is what also allows flexibility to the head so that it can move up and down, backward and forwards, rotational, and side bending. This job alone puts a great deal of stress on the neck and can lead to neck pain. Common causes of neck pain include:
Whiplash (whipping the head forwards and then backward very suddenly)
Degenerative disc disease
Pinched Nerve
Age-related conditions
Spinal stenosis
Sleeping in certain positions
Neck strain
Osteoarthritis
Keeping the neck in one spot too long, such as looking down at a mobile device
Herniated disc
Neck injury
Fibromyalgia
Chiropractic Care for the Cervical Spine
A chiropractor will typically treat a patient with neck pain using cervical spinal manipulation, cervical spinal mobilization, or a combination of the two techniques. Cervical spinal manipulation is what most people think of regarding chiropractic treatment. It involves short, quick thrusts that focus on a single joint at a time, so that range of motion is returned to that area. Cervical spinal mobilization is a gentler, lower impact adjustment that does not use as much force but does move the joint to its correct position.
Other treatments the chiropractor may employ include the application of cold or heat, massage, and exercises to strengthen and stretch the neck. The doctor will carefully consider the patient, their lifestyle, habits, and current level of fitness then create a plan that is tailored specifically for them that will help them manage their pain and return flexibility and range of motion as quickly as possible.
Back pain can be debilitating. A patient can find they have trouble moving or engaging in regular activities like lifting their children or even walking. Pain in the mid to upper back can be caused by a variety of issues, and it can have a significant impact on a person�s quality of life. Many people see chiropractors to get relief from their back pain, but there are some things that chiropractic patients should know so that they can get the most out of their treatments.
What is the Thoracic Spine?
Twelve vertebrae make up the thoracic spine which is located just above the lumbar spine and just below the cervical spine. It is often referred to as the upper back. This part of the spine has several essential functions. The ribs connect with this portion of the spine, and it also is responsible for protecting the spinal cord.
The thoracic spine also differs from the lumbar spine and cervical spine. Instead of curving inward (lordosis) as those areas do, it curves outward (kyphosis). This provides the freedom of movement that allows a person to bend forward and touch their toes. It does not allow for much bending backward; that typically comes from the lower back.
Many nerves extend from the thoracic spine. They control organ function for the major organs, including:
T1 to T4
Heart
Esophagus
Upper body muscles
Lungs
Larynx
Part of the arms
Trachea
Esophagus
T5 to T10
Gallbladder
Diaphragm
Small intestine
Appendix
Liver
Kidneys
Suprarenal gland
Stomach
Spleen
Adrenal gland
Pancreas
T11 to T12
Small intestines
Mid to upper body muscles
Lymph circulation
Colon
Solar plexus
Uterus
Mid to Upper Back Pain
Pain in the thoracic area of the spine is often caused by muscle strain, overuse, and injury to the discs, ligaments, and muscles that surround the spine and support it. Poor posture can also cause pain in that area. It is also very common for myofascial pain to affect the connective tissue of` muscle groups and individual muscles. These problems can occur due to a variety of causes:
Slouching or slumping while standing or sitting
Getting in a car accident where the patient is lurched forward or jolted
Lifting something that is too heavy
Yard work
Getting struck or hit in the back
Playing sports
Osteoarthritis can also occur in this area. It is caused by torn cartilage brought about by the everyday wear and teas and even the simple process of aging. Fractured vertebrae can also cause back pain in the thoracic area, as can a herniated disc, and a spine that is oddly shaped or misshapen. Degenerative disc disease and spinal stenosis can also be culprits.
Chiropractic Care for the Thoracic Spine
The goal of the chiropractor treating a patient for thoracic back pain will usually focus on reducing the pain and inflammation in the area. The treatments may include:
Spinal adjustments
Specialized exercise recommendations
Ergonomic training
Distraction
Heat or ice
Traction
Electrical stimulation
The chiropractor may also recommend nutritional supplements like proteolytic enzymes to aid in managing the swelling and pain that may be caused by disc herniation and some other back injuries. They may also recommend dietary changes or weight loss to help the patient manage their pain.
Chiropractic is a safe, effective, non-invasive treatment for mid to upper back pain. Many patients experience results immediately which is another draw for people. Most patients with back problems will be advised to maintain regular chiropractic visits to manage the pain and keep it at bay effectively.
If you are one of the seven out of 10 Americans who have back pain, you are probably looking for relief. What you probably aren�t looking for are injections or pills with harmful side effects. Your doctor may have told you that exercise is a great way to relieve pain naturally, but you aren�t sure where to start or even what activity is best.
Running and walking are both good exercises, but they aren�t for everyone. Some back pain patients can run with no problem with others have significant trouble. So, which is better for back pain sufferers? The answer might surprise you.
Benefits of running
When it comes to health benefits, running and walking, don�t differ much. Both help to decrease your risk of developing heart disease, diabetes, and hypertension as well as lower your cholesterol.
Running also has the added benefit of increasing the bone that connects the femur head to the shaft, substantially strengthening the hips and helping to prevent hip fractures. Both running and walking burn calories, facilitate weight loss and can help to make you healthier. However, one activity is a lot harder on the back, so if you have chronic back pain, there are some things you should know.
How running affects the back
Running puts repetitive impact and stress on the back. If you have a problem with your lower back, running can exacerbate it or lead to additional issues like sciatica.
You can experience back muscle spasms, muscular strain, and other centralized lower back pain. If you have disc problems, the high impact nature of running can make put a lot of stress on your spine and make your disc problems worse.
How walking benefits back pain sufferers
Walking is a much lower impact activity than running. Although some back problems can be made worse by walking, that is relatively rare.
Most back pain is relieved with walking, and you can enjoy other great benefits as well. By adopting a regular walking routine, you will strengthen your hips, legs, ankles, and feet as well as your core.
This helps to provide better stability for your spine. It also helps to increase circulation in the spinal structures, draining toxins, and pumping nutrients into the surrounding soft tissues.
Pain often restricts mobility. Walking helps to improve range of motion and flexibility. You will find that your posture improves as well as your mood. A stronger body and increased flexibility help to prevent injury.
Walking at least three times a week for at least 15 minutes is great for overall wellness and a strong body. Combine it with a healthy diet and stress relief techniques, and you will look, feel, and move better � and your pain will be easier to manage.
Make walking work
When you start your walking program, don�t push too hard too fast. Go at your own pace and start slow. If you have a higher fitness level, you may want to try speed walking. After a five-minute warm-up, walk as fast as you can for about 8 minutes then slow to a moderate pace for two minutes to cool down.
You can also engage your core muscles by using several techniques. Walk on an incline or using walking poles are excellent for strengthening the core. Pulling your abdominals in toward your spine while you walk is also a great move.
Running is beneficial for your health, but it isn�t for everyone. Walking is a far better choice for most patients with lower back pain. You may even find that your pain is alleviated altogether so get out there and get moving.
The human body is an intricate machine; everything is connected in one way or another. This means that when one part is not functioning as it should, it can throw everything out of balance. The relationship between the feet, back, and hips is significant, so when there is a problem with feet, it can cause pain in those areas. Fallen arches are�a foot problem that is a prevalent cause of lower back pain. However, many people who have fallen arches don�t even realize that they have an issue.
What are Fallen Arches?
There are more than 100 ligaments and muscles in the foot that stabilize the bones and keep everything in the proper position. Ligaments prevent joints from extending beyond their intended limits. They contain elastin which allows them to act much like a rubber band, stretching with movement or flexion then returning to their regular length when the joint returns to its resting position.
There are a�variety of things that can happen that cause those ligaments to stretch, causing them to lose their ability to support the foot as they should. This can lead to pes planus (flat feet), also known as fallen arches.
Most people don�t realize that there are three arches in the foot, not just one: lateral, medial, and anterior. They act as shock absorbers for the body. When they don�t function as they should, don�t absorb the shock of movement and activity, it puts added wear and tear on the body. While foot, knee, hip, and back pain is common with fallen arches, it also is a major cause of impaired functioning of the lower extremities. It can also lead to balance problems.
Causes of Fallen Arches
The primary cause of fallen arches is improper footwear. Shoes that do not adequately support your foot and arch can lead to structural problems.
Other causes of fallen arches include:
Tendons in the foot that are torn or stretched
Certain health conditions including
Rheumatoid arthritis
Pregnancy
Diabetes
Obesity
Aging
Structural abnormalities that are present from birth
Inflammation, deformity, or damage of the posterior tibial tendon that runs from the middle of the arch to the lower leg, running along the ankle
Nerve issues
Bones that are dislocated or broken
Recognizing the symptoms of fallen arches and knowing that you have a problem can help to prevent the pain but can also arrest further damage to the foot.
Do you have Fallen Arches?
While many people with fallen arches experience no symptoms or problems, others do. If you experience any of these symptoms of flat feet, it should prompt a visit to your doctor.
Pain in the foot, knee, leg, hip, or lower back
Feet that easily get tired
Difficulty with balance
Swelling on the bottom of the foot
Pain or achiness in the foot, particularly in the heel or arch
Certain movements. such as standing on tiptoe, are difficult
There is a quick, simple test that you can do at home to see if you have fallen arches:
Wet your feet
Stand on a flat, hard surface, such as a floor or concrete pad (you need to be able to see your footprint) or walk in soft soil or sand
Look at your footprints. If you see a print that shows the heel and ball of your foot with a thin, curved imprint running along the outside, then your foot structure is normal. If you can see the print of your entire foot, then you probably have fallen arches.
The problem with fallen arches is that the damage cannot be reversed once it begins. However, the progression can be stopped with proper treatment.
What are the Treatments for Fallen Arches?
The treatment for fallen arches depends on the cause and severity of the condition. If it isn�t causing pain or other problems, the doctor may elect to do nothing.
However, if there are pain or mobility issues present, treatments may include bracing, prescribing NSAIDs for pain and inflammation, and even surgery in some cases of torn tendons or broken bones. An increasingly popular treatment for fallen arches is chiropractic care. This natural, non-invasive therapy treats the whole body so that it addresses the cause of the condition as well as associated risk factors and helps patients manage the pain, significantly improving their quality of life.
The Texas Board of Chiropractic Examiners (Board) adopts new �78.14 concerning acupuncture.New �78.14 is adopted with changes to the proposed text as published in the July 20, 2018, issue�of the�Texas Register�(43 TexReg 4817).
This new rule with changes is adopted under Texas Occupations Code �201.152, which authorizes the Board to adopt rules necessary to perform the Board’s duties and to regulate the practice of chiropractic.
No other statute, article, or rule is affected by this rule.
Background and Justification
The Board adopts the new �78.14 (with non-substantive changes made to the proposed version)to replace the Board’s previous acupuncture rule in order to promote a clearer understanding of the requirements for the practice of acupuncture as performed by doctors of chiropractic. The rule also delineates the differences between the way chiropractors practice acupuncture and the way that of other Texas health professions do. The new rule clarifies the degree of regulatory oversight the Board exercises over the practice of acupuncture to safeguard the public while not imposing unnecessary economic burdens on either chiropractors who offer the acupuncture modality or on consumers.
Comments
The thirty-day comment period ended on August 20, 2018.
The Board received numerous comments regarding the proposed new rule, including from theTexas Chiropractic Association (TCA), the Texas Medical Association (TMA), the Texas Association of Acupuncture and Oriental Medicine (TAAOM), and eighty-seven individuals.
Comment: TCA urged the adoption of the proposed rule in its current form, but recommended the Board not adopt the proposed 200 hours of training in the use and administration of acupuncture in order for a chiropractor to receive a permit. TCA reiterated its position that increasing the training requirement from the current 100 hours is unnecessary to protect the public. Numerous other commenters also pointedly raised this issue. TCA further noted that it is inconsistent and arbitrary to impose this heightened regulatory burden on chiropractors when medical doctors, dentists, and physical therapists perform acupuncture with far less training.
Response: The Board agrees with TCA and the other commenters that the proposed increase in required training from 100 to 200 hours would impose an unnecessary economic and regulatory burden on chiropractors and students currently enrolled at chiropractic colleges without increasing public safety in any significant way. The Board notes that no evidence has been produced that the currently required 100 hours of training in acupuncture is inadequate to protect the public. The Board acknowledges that the increase in required hours could be seen as an economic barrier to market entry for newly licensed chiropractors, especially in light of the fact that other licensed health professionals are permitted to practice acupuncture with far fewer hours of training. The Board, therefore, has reduced the number of required hours from 200 to the existing 100.
Comment: Two commenters raised concerns about the proposed rule’s permission to use the terms “Board Certified,” “Board Certified in Chiropractic Acupuncture,” and “Board Certified in Acupuncture as an adjunctive modality by the Texas Board of Chiropractic Examiners” in advertising by chiropractors. The concerns were the terms were confusing and too lengthy.
Response: The Board agrees in part and has modified the rule’s language. The Board has kept the language allowing a chiropractor to use the terms “Board Certified” and “Board Certified in Chiropractic Acupuncture” if used in conjunction with the name of the nationally recognized certifying board and the specific credentials granted. The Board concurs that the advertising term “Board Certified in Acupuncture as an adjunctive modality by the Texas Board of Chiropractic Examiners” is too lengthy and may give the impression that the Board is acting as an accredited certifying board. Therefore, the Board has changed the term “certificate” to”permit” throughout the rule to make it clear that the Board is acknowledging a chiropractor’s qualifications.
The Board has also eliminated the provision in the proposed rule that required the Board to issue a separate document to permit a chiropractor to practice acupuncture; the Board will instead include the permitting language on each renewal license issued to chiropractors who meet the rule’s requirements.
Comment: Several individuals submitted comments urging the Board to include the practice of dry needling in this rule.
Response: The Board appreciates the comments but declines to address this issue as it is outside the bounds of this rule.
Comment: The Board received several comments from chiropractors who found the proposed rule’s language confusing regarding the requirements for obtaining a permit to practice acupuncture, especially for those who have been successfully practicing acupuncture in Texas under the Board’s current rule for several years.
Response: The Board agrees with the commenters that the language regarding the requirements for obtaining a permit in the proposed rule was unclear. The Board has changed what is now subsection (e) to be more precise.
The Board removed the requirement to provide patient records as proof of having practiced for at least ten years and substituted it with providing a written statement of having practiced acupuncture in a clinical setting, with the statement subject to Board verification. The Board believes the original requirement of providing redacted patient records, which could go back several years, was too onerous on chiropractors.
Comment: Several individuals said the continuing education provision in the proposed rule that required eight hours of acupuncture education for each two years of licensure was not clear.
Response: The Board agrees and has modified the language in what is now subsection (f) to state that a chiropractor permitted to practice acupuncture must complete a minimum of eight hours in Board-approved acupuncture courses every biennium.
Comment: One individual questioned why the rule’s training requirements for acupuncture only allow for didactic, clinical, and practical training, but exclude online and distance learning options.
Response: The Board appreciates the comment, but declines to include those training methods at this time.
Comment: TMA expressed its strong opposition to the proposed rule on the grounds the Board lacks the legal authority to regulate the practice of acupuncture by chiropractors. TMA made no direct comments on the language of the proposed rule itself.
Response: The Board disagrees with TMA’s position. Acupuncture or filiform needles used in the practice of acupuncture are non-incisive, meaning those needles do not cut or leave a wound when properly used. Texas courts have found that the Board’s position is not unreasonable or inconsistent with Texas Occupations Code Chapter 201. Because the use of acupuncture or filiform needles is non-incisive, their use falls within the chiropractic scope of practice, and thus the Board has statutory authority to enact rules regulating that use.
Comment: Numerous licensed acupuncturists wrote to object to the proposed rule on nearly identical grounds, including objections that the Board lacks the legal authority to promulgate the rule, that the rule potentially endangers the public, and that the rule has the potential to cause economic harm to licensed acupuncturists. These individuals made no direct comments on the language of the proposed rule itself.
Response: Regarding the objections concerning the Board’s legal authority to promulgate the proposed rule, the Board disagrees and notes its response to similar comments by TMA above.
The Board disagrees that the public would somehow be at risk from the continued practice of acupuncture by chiropractors because of a lack of training. The Board again notes there is no empirical evidence that any person in Texas has been harmed by a chiropractor practicing acupuncture under either the Board’s current rule, which requires 100 hours of training in acupuncture beyond the extensive training in physiology and anatomy all chiropractors receive in their four-year chiropractic college degree programs, or in the several decades before the current rule’s adoption. This argument is further undercut by the fact that other Texas health professionals are permitted to practice acupuncture with far fewer hours of additional training or experience.
The Board also disagrees with the argument that allowing chiropractors to practice acupuncture would economically harm acupuncturists. Chiropractors and acupuncturists have both practiced acupuncture, albeit with differing philosophies, for several decades in Texas. the existing were safely practicing acupuncture in Texas long before the enactment of Texas Occupations Code Chapter 205. There is no evidence that acupuncturists have suffered been produced harm up to now, nor is there any to show there will be any future harm. The Board takes seriously its oversight mandate to protect the public health without imposing unnecessary economic costs on either chiropractors or consumers.
Comment: TAAOM submitted lengthy comments to the Board regarding the proposed rule.
Response: The Board disagrees with TAAOM’s assertion that the Board has no authority to define acupuncture or to authorize the practice of acupuncture by its licensees. The Board does have such statutory authority. As noted above in the Board’s response to TMA, acupuncture or filiform needles used in the practice of acupuncture are non-incisive, and thus within the scope of practice under Texas Occupations Code Chapter 201.
The Board declines to respond to TAAOM’s comments concerning dry needling as that is outside the bounds of this rulemaking.
The Board agrees, in part, with TAAOM that the use of the term “board certification” could cause confusion. The rule has been changed to state that a chiropractor who meets the rule’s requirements for the practice of acupuncture will be granted a permit to perform acupuncture as opposed to a certificate, so as not to give the impression that the chiropractor has been credentialed by the Board.
The Board disagrees with TAAOM’s claim that the hours of training in acupuncture chiropractors receive are inadequate to protect the public. Doctors of chiropractic on average receive over 4200 hours of doctoral-level training that focuses on anatomy and physiology, which far exceeds the training an undergraduate-level acupuncturist receives. It is, therefore, incorrect to suggest that a chiropractor trained in acupuncture has a lesser understanding of physiological mechanics than does an acupuncturist.
The Board disagrees with TAAOM’s insistence the Board increase the verification requirements for chiropractors who began practicing acupuncture before 2010 and have always done so safely before the Board may grant them permits. Because it lacks a legitimate public health rationale, TAAOM’s position would only add unnecessary and burdensome economic costs on chiropractors. The Board believes the documentation the new rule requires of chiropractors who began practicing acupuncture before 2010 is more than sufficient to protect the public health.
The Board disagrees with TAAOM’s position that a chiropractor who practices acupuncture should be prevented from advertising that fact. The practice of acupuncture is within a chiropractor’s scope of practice. To deny a chiropractor the ability to advertise without a legitimate public safety rationale, as TAAOM urges the Board to do, is nothing more than the restriction of the economic freedom and commercial free speech rights of one profession for the benefit of another. The Board declines to impose such a limit.
The Board agrees with TAAOM that unnecessary references to other Board rules should be removed. Those references have been removed.
Chiropractic care is an alternative treatment option which utilizes a variety of methods and techniques to treat injuries and/or conditions. As mentioned in the article, when it comes to the use of acupuncture in chiropractic care, the final ruling is that chiropractors, or doctors of chiropractic, are allowed to practice acupuncture. Dr. Alex Jimenez D.C., C.C.S.T. Insight
�78.14. Acupuncture.
(a) Acupuncture, and the related practices of acupressure and meridian therapy, includes methods for diagnosing and treating a patient by stimulating specific points on or within the musculoskeletal system by various means, including manipulation, heat, cold, pressure,vibration, laser, ultrasound, light electro current, and the insertion of acupuncture needles or solid filiform needles for the purpose of obtaining a bio-positive reflex response by nerve stimulation.
(b) A licensee shall practice acupuncture only after obtaining a permit from the Texas Board of Chiropractic Examiners (Board).
(c) The Board shall place on each renewal license to practice chiropractic a statement that a licensee who has met all Board requirements is permitted to practice acupuncture. A licensee whose license does not contain the statement permitting the practice of acupuncture shall not practice or advertise the practice of acupuncture.
(d) A licensee with an acupuncture permit cannot delegate the performance of acupuncture.
(e) Requirements for an acupuncture permit:
(1) On or after the effective date of this rule, a licensee may receive an acupuncture permit from the Board by completing at least one hundred (100) hours of training in acupuncture and passing the National Board of Chiropractic Examiners’ examination. The training must be provided by an accredited chiropractic college, or post-secondary university, or other educational or testing institution approved by the Board. Such training shall include didactic, clinical, and practical training in the practice of acupuncture, clean needle techniques, examination, and protocols that meet the blood-borne pathogen standard established by the Occupational Safety and Health Administration.
(2) A person who became a licensee after January 1, 2010, and before the effective date of this rule, who has been practicing acupuncture in compliance with previous Board rules, shall have until September 1, 2019, to obtain an acupuncture permit from the Board by passing the National Board of Chiropractic Examiners’ standardized certification examination in acupuncture and completing 100 hours of acupuncture training.
(3) A person who became a licensee before January 1, 2010, shall have until September 1, 2019, to obtain an acupuncture permit from the Board by having:
(A) Successfully completed and passed an examination in a one hundred (100) hour training course in acupuncture; or
(B) Successfully completed and passed either the National Board of Chiropractic Examiners’standardized certification examination in acupuncture or the examination offered by the National Certification Commission of Acupuncture before the effective date of this rule; or
(C) Successfully completed formal training along with providing a statement to the Board of having practiced acupuncture in clinical practice for at least ten years before January 1, 2010, and is in good standing with the Board and the regulatory entities of the other jurisdictions in which the licensee is licensed. The Board may audit any statement for accuracy.
(4) Documentation of acupuncture training shall be in the form of signed certificates of attendance or completion, or diplomas from course sponsors or instructors.
(f) A licensee permitted to practice acupuncture must complete a minimum of eight (8) hours in Board-approved acupuncture courses every biennium.
(g) A licensee shall not practice acupuncture until the licensee has submitted proof of compliance with subsection (e) and has received a permit from the Board.
(h) A licensee practicing acupuncture shall not advertise in a manner that suggests the licensee possesses a license to practice acupuncture issued by the Texas State Board of AcupunctureExaminers, including using any of the terms “acupuncturist,” “licensed acupuncturist,” “L.Ac.,” “Traditional Chinese Medicine,” or “degreed in acupuncture.”
(i) A licensee’s advertising may include the terms “Board Certified” or “Board Certified in Chiropractic Acupuncture” if it also clearly identifies the nationally recognized certifying board and credentials.
(j) Approved programs in clinical acupuncture or meridian therapy offered by accredited chiropractic colleges or universities are designed for doctors of chiropractic and other disciplines. These courses are not intended as a substitute for a full curriculum teaching traditional Chinese medicine; rather they focus on the principle, theory, scientific findings, and practical modern application of acupuncture as currently practiced by doctors of chiropractic.
(k) The practice of acupuncture by a licensee who has not complied with the requirements of this section constitutes unprofessional conduct and subjects the licensee to disciplinary action. A licensee who advertises acupuncture without first obtaining a permit also has engaged in unprofessional conduct.
The scope of our information is limited to chiropractic as well as to spinal injuries and conditions. To discuss the subject matter, please feel free to ask Dr. Jimenez or contact us at�915-850-0900�.
Curated by Dr. Alex Jimenez
Additional Topics: Chiropractic for Athletes with Back Pain
Back pain�is one of the most prevalent causes of disability and missed days at work worldwide. Back pain is the second most common reason for doctor office visits, outnumbered only by upper-respiratory infections. Approximately 80 percent of the population will experience back pain at least once throughout their life. The spine is a complex structure made up of bones, joints, ligaments, and muscles, among other soft tissues. Because of this, injuries and/or aggravated conditions, such as�herniated discs, can eventually lead to symptoms of back pain. Sports injuries or automobile accident injuries are often the most frequent cause of back pain, however, sometimes the simplest of movements can have painful results. Fortunately, alternative treatment options, such as chiropractic care, can help ease back pain through the use of spinal adjustments and manual manipulations, ultimately improving pain relief.
Chiropractic care is an alternative treatment option which focuses on the diagnosis, treatment, and prevention of a variety of injuries and/or underlying conditions associated with the musculoskeletal and nervous system. Dr. Alex Jimenez, a chiropractor, has helped many patients find relief from their symptoms of neck pain, back pain, and sciatica, among other health issues. Recommended for his outstanding services and ability to provide care and education to his patients, Dr. Alex Jimenez, and his staff make sure to offer the best treatment option for each patient’s specific needs. The patients express how Dr. Alex Jimenez has helped them find pain relief.
Most Recommended Chiropractor
We are blessed to present to you�El Paso�s Premier Wellness & Injury Care Clinic.
As El Paso�s Chiropractic Rehabilitation Clinic & Integrated Medicine Center,�we passionately are focused on treating patients after frustrating injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility and agility programs tailored for all age groups and disabilities.
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