Rehab / Recovery / Physiotherapy

Integument Hydration for NMSC Therapy

R. Vincent Davis, DC, PT, DNBPM

The application of FIR (far infrared energy) or NIR (near infrared energy) modalities in preparation for the application of NMSC (nerve and muscle stimulating current) therapy is an instance in which there may be clinical legitimacy in the use of multiple modalities for synergistic purposes.

NMSC functions by the electromotive movement of electrolytes, cations, and anions relative to an excitable membrane in response to an applied stimulus as proposed by Melzack & Wall in 1965. Since the principle source of these solutes, as well as the solvent (water), is the blood stream, by increasing the blood flow in these tissues as a result of the addition of FIR, or NIR, wavelengths, the resepective tissues are hydrated. Also, the application of these energy forms results in the elaboration of histamine, a potent vasodilator, which enhances the tissues hydration effect.

The resultant increase in tissue hydration enhances the clinical response of tissues to NMSC application. There are other instances of synergistic multiple modality application and all are based on the same biophysical theorem.

April 1990
print pdf
Trending
Billing / Fees / Insurance
Should You Be In-Network or Out-of-Network With Insurance?
Should You Be In-Network or Out-of-Network With Insurance?

It’s a new year and many chiropractors are evaluating what will enhance their respective practices, particularly as it relates to their bottom line. One of the most common questions I get is: “Do I need to be credentialed to bill insurance, and what are the best plans to join?” It’s a loaded question – but one every DC ponders. Whether you're already in-network or pondering whether to join, here's what you need to know.

Samuel A. Collins
Anti Aging / Healthy Aging
Squaring the Geriatric Curve
Squaring the Geriatric Curve

The geriatric curve – the progressive decline in our health, fitness, mental capacity, and overall constitution – graphically appears as a downward sloping line over time. It is a culmination of the effects of sarcopenia, postural deterioration, frailty, and chronic noncommunicable diseases that occur as we age. While aging cannot be reversed, the goal is to reduce the negative slope or “square off” the curve, thus avoiding a steady decline in health. Here are five ways to get your patients started.

Donald DeFabio, DC, DACBSP, DABCO
News / Profession
How Chiropractors Can Make It the Best of Times
The Best of Times, the Worst of Times

Imagine an environment in which DCs are tightly integrated with their local healthcare system; a trusted resource for PCPs, specialists and self-insured employers; are reimbursed in alignment with value created; use modern technology enabling them to fully engage with their patients; are self-governed; and are able to maintain a fulfilling work-life balance. In the final part of this three-part series, we explore three areas for chiropractors to focus on to leave the current foolishness behind and create “the best of times” for DCs and their patients.