MAY 2019 Hong Kong Chiropractors

Official Newsletter of Chiropractic Doctors Association of Hong Kong

Chairman Eric Chun Pu Chu 朱君璞脊醫 Vice Chairman Global Opportunities in Rick Pak Wai Lau 劉柏偉脊醫 Honorary Secretary Spine Care Kary Ka Wai Lam 林嘉慧脊醫 Honorary Treasurer Valerie Kok Yan Chu 朱珏欣脊醫 World Federation of Chiropractic Ethics/Education Chair Gabriel Ng 吳肇楠脊醫 The theme of our Congress is EPIC2019: Global Opportunities in Spine Public Relation Care. Why EPIC? The shift towards evidence-based, patient-centred, Jeffrey Ng 吳政諺脊醫 interprofessional and collaborative approaches to spine care provides the Founding Chairman perfect framework for promoting ways in which chiropractors can Vincent W H Chan 陳允灝脊醫 Founding maximise the available opportunities as spinal health experts. President Albert C H Leung 梁濟康脊醫 Berlin is one of the great cities of the world and we are delighted to be hosting the joint 15th WFC Biennial Congress and 78th ECU Convention in the heart of Germany’s historic capital. Hosted within the art deco splendour of the Hotel Maritim Berlin, close to the famous Tiergarten and bustling Potsdamer Platz, the venue for EPIC2019 is both luxurious and convenient.

Congress of the WFC and ECU

Country Report by CDAHK Executive Committees

The WFC Biennial Congress is the only international forum for national chiropractic association leaders and executives worldwide to share best practice experience, develop networks and learn about new areas of innovation from other national associations as they face the challenge of remaining relevant to practicing chiropractors.

CDAHK provided country report at the World Federation of Chiropractic. W F C C O N F E R E N C E 2 0 1 9

EPIC: evidence-based, people centric, inter- professional, and collaborative.

E- Evidence Based: A philosophical model of healthcare focuses with the prevention care. Doctors serves a majority of patients (60%) in prevention of disorders; 30% was the pain-based; and 10% was abandoned by EPIC 2019 WFC ECU the traditional healthcare. They are difficult to diagnose. The model gives CDAHK Executive Committees one successfully alternative route. Neck and back pain become an international health crisis. The WHO's report shows that low back pain is the chief P- People Centric: As most of the cause of global disability. Managing these conditions is researches were disciplinary rooted, challenging and effective models must be intergraded. people centric can sometimes not

World leading professionals have met last week to discuss supported by the research evidence. about the solutions for those suffered from spinal However, the CA provides patient's disorders. The future healthcare, EPIC: evidence-based, freedom to choose, which increases the people centric, inter-professional, and collaborative. patients' satisfaction in healthcare.

Drs Eric Chu, Vincent Chan, Albert Leung, Valerie Chu, I- Inter-professional: For non-surgical Jeffrey Ng, and Lucina Ng, have been been worked in cases, chiropractor, psychiatrist, different task forces and developed the chiropractic profession of Hong Kong. Dr Chu, Chairman of the physiotherapist, and traditional CDAHK, had released a Hong Kong model. He Chinese medicine practitioners serve demonstrated its superiority compared with the current as the main treatments; and surgeons mainstream models. help to rule out the major pathology. For surgical cases, orthopedic and neurosurgeons serve as the main, all the rest of the team assist to provide them care.

C- Collaborative: Collaboration apply to the others apart from the professionals. We collaborate with various industry standards, ensuring the quality and cost.

W F C C O N F E R E N C E 2 0 1 9

The World Federation of Chiropractic (WFC) is a global not-for-profit organisation that exists to support, empower, promote and advance chiropractors and the chiropractic profession. We have national association members representing 88 countries in 7 world regions and as an NGO of the World Health Organization we are committed to supporting public health initiatives and advancing spinal health and EPIC 2019 WFC ECU wellbeing through our activities.

CDAHK Executive Committees

Metro Radio Show by CDAHK Chiropractors

Secrets that Chiropractors know radio show that talks on the topic of wellness and staying healthy. With a loyal audience of hundreds of thousands of listeners, Metro Radio has grown to become the one of the largest streaming health radio show in the Hong Kong. Our goal is to provide our listeners with relevant content specific to today’s health needs - sharing important information to expand healthy people, healthy environments and healthy communities. From serious chiropractic content to fun and light health commentary, Metro Radio works hard in bringing our citizen enjoyable and interesting health related news content daily.

Chiropractic can ensure your temporo- mandibular joint is moving at the right position so your jaw up and down and side to side, so you can talk, chew, and yawn." Dr. William Wan CDAHK Past Vice President. Metro Radio Show by CDAHK Chiropractors

"Finding a right posture to sleep is important. Chiropractic ensure your alignment and help you to have a better sleep" Dr. Rick Lau CDAHK Vice Chairman Metro Radio Show by CDAHK Chiropractors

"Chiropractors can identify and correct subluxation, which may causes headache and neck pain " Dr. Valerie Chu CDAHK Treasurer C D A H K C H I R O P R A C T I C S T U D E N T S

Chiropractic orientation for McTimoney EMBRACING THE Chiropractic College in Hong Kong. Over 10 student candidates who have been selected to NEXT GENERATION understand about what Chiropractors do in their daily lives. Chiropractic Students from Hong The McTimoney College of Chiropractic was Kong founded in 1972 and is one of the oldest Chiropractic Colleges in the UK. The College is one of three. Colleges offering Chiropractic courses in the UK and the only College providing a mixed mode training course, which allows students to continue to work while studying. Its five-year (FTE) programme in Abingdon and Manchester are accredited by the ECCE Commission on Accreditation and regonized by Hong Kong Chiropractic Council.

Scholarship students at Life University sharing student experience and enjoy a wonderful hotpot night! M A Y 1 3 2 0 1 9 TENCENT TOUR

mission is to “improve the quality of life through Internet value- added services”.

UNDERSTAND THE FUTURE OF HEALTHCARE

CDAHK Chiropractors

Continuous technological developments in healthcare have saved countless lives

and improved the quality of life for even more. Not only has technology Tencent is the world's changed experiences for patients and their families, but it’s also had a huge largest gaming impact on medical processes and the practices of healthcare professionals. company,one of the world's most valuable Tencent Holdings Limited (Chinese: 腾讯控股有限公司; : Téngxùn Kònggǔ technology Yǒuxiàn Gōngsī) is a Chinese multinational investment holding conglomerates, one of conglomerate founded in 1998, whose subsidiaries specialise in various Internet- the world's largest social related services and products, entertainment, artificial media companies, and intelligence and technology both in and globally.Its twin-skyscrapers one of the world's headquarters Tencent Seafront Towers (also known as Tencent Binhai Mansion) largest venture are based in Nanshan District, Shenzhen. capital firms

and investment

corporations. Tencent Doctorwork adopts user-end online service products, an institutional Tencent Doctorwork information management system and an offline intelligent hardware detection Subsidiary of Tencent terminal, general Tencent practitioner clinic and some other product lines to build an efficient, convenient, safe and Tencent Doctorwork (Beijing Teng Kang Hui Yi Science and professional health management system around its customers. Technology Co., Ltd)

A digital health service enterprise with Internet plus entity They will integrate data on users’ health medical care development, jointly established by Tencent, for analysis and carry out personalized GAW capital, Medlinker, and Sequoia Capital China preventive health management, tracking It is committed to adhering to the reform on China's medical intervention management and and health industry driven by the Internet technology and treatment & rehabilitation management provides quality and safe health management services for according to the data on users’ health to Chinese people. provide their customers with health management and guarantee service featured with an intelligent and integrated life cycle.

2 Chiropractors are now practicing at the Tuen Man Tencent Clinic in Hong Kong N O V E M B E R 2 0 2 0 | I S S U E 1 8 CONTINUING PROFESSIONAL EDUCATION

Organized by Dr Gabriel Ng and the CDAHK strive to provide reliable, credible, high-quality continuing education (CPD) for chiropractic professionals. CDAHK is a CPD provider by Hong Kong Chiropractic Council. Finding your purpose and the high volume practice Evidence Based Dr. Jay Handt“I firmly believe my mission in life is to constantly help others Chiropractic: Writing a innately create excellence in their health and life. I know that, as a chiropractor, I am fulfilling my mission as I endeavor to BMJ Case Study positively touch the lives of everybody I come in contact with, helping to secure by Dr. Eric Chun Pu Chu a healthy, drug free future for generations to come.”

Dr. Jay Handt holds a special place in his heart for the importance of family chiropractic care. We know that the strength of our future is dependent on the health and quality of life of our children. Dr. Handt’s wife, Kathi, and their three children, Josh, Ryan and Morgan, all receive regular wellness chiropractic care. His children have been adjusted since birth. Dr. Handt thinks family health is so important that he has established special family care plans to offset the rising costs of modern health care.

You want to be a better doctor everyday, focus on your adjustment, Are you giving your best to the patient? INTRODUCTORY TO EOS IMAGING & X-RAY DIAGNOSIS AND CASE STUDY

EVENT OUTLINE This seminar and hands on workshop will cover the following topics: EOS concept - cater for chiropractors' practice Role of X-ray in Spine & case sharing EOS live demonstration REVIEW OF XRAYS Dr. Eric Chu 's Case Study Sharing on cervical lordosis and depression EOS imaging is a global medical device LEARNING OUTCOMES company that develops and markets Co-related to the most updated radiology advanced imaging and image-based imaging solutions for musculoskeletal pathologies How to verbally talk to patient via X-ray and orthopedic surgical care. EOS Understand advance imaging system imaging strives to contribute to the Review of taking x-ray improvement of patient treatments and Review of chiropractic case outcomes through safe imaging, complete and precise image-based data and surgical planning based on relevant 3D patient anatomies. In other words, in some cases chiropractic care may 'reset' the way CHIROPRACTIC the brain processes pain information. This is important as the way our brain processes and regulates pain may have RESEARCH an impact on many chronic presentations (2). This supports the CDAHK is dedicated to the advancement of growing body of research that chiropractic health care. We taps into the suggests that chiropractic care has latest information in chiropractic neuroplastic effects (3-5) in the brain which may modulate the central therapeutics and features high-quality, peer- processing of pain and therefore alter reviewed journal articles and practical the perception of pain (6,7). Remember that in this study we information for clinical settings. weren’t trying to ‘treat’ pain, we were looking at how chiropractic care may affect the way our brain responds to

information from our environment. If you want to read the full study just follow this link www.nature.com/articles/s41598-019- 42984-3 This study was a collaborative effort between our team from the Centre for Chiropractic Research at the New Zealand College of Chiropractic, and researchers from Aalborg University Hospital and Aalborg University, Aalborg, Denmark, as well as AUT University, Auckland, New Zealand. We’re especially grateful to the Obel Family Foundation who made this study possible by partially funding the project. Also, thank you to the Centre for Chiropractic Research Supporters Programme members who have provided funding for this study!!!

New research Good news, another collaborative Centre for Chiropractic suggests spinal Research (CCR) study has just been released by Scientific Reports, a high impact factor journal from the publishers of Nature. This randomised control crossover trial investigated adjustment may how spinal adjustments affect the way the brain processes pain information and pain perception. What we found was alter the way the that a single session of chiropractic care altered central nervous system processing of pain and self-reported pain unpleasantness (1). brain processes

pain information! The patient had received 12 sessions of cervical adjustment which helped HONG KONG attain symptomatic relief of her neck and upper limb complaints at which time the patient also reported CHIROPRACTIC CASE substantial recovery in her vision. Restoration of the normal retinal REPORT 2019 morphological appearance was illustrated upon re-evaluation of OCT. CDAHK is dedicated to the advancement of Spontaneous resolution of myopic retinoschisis may be a multifactorial chiropractic health care. We taps into the cause. Further studies elucidating the latest information in chiropractic exact mechanism resulting in visual therapeutics and features high-quality, peer- improvement after chiropractic adjustment are needed before any reviewed journal articles and practical claims regarding its efficacy for the information for clinical settings. treatment of myopic retinoschisis can be made.

Spontaneous resolution of myopic retinoschisis after chiropractic adjustment was found by chiropractor at the New York Medical Group and Ophthalmologist at the Hong spontaneous anatomic Kong Adventist Hospital. It is an unusual event due to the fact that most eyes of patients with this condition have and visual already undergone certain morphological changes and vision will progressively worsen over time. We present a case improvement, in a of spontaneous anatomic and visual improvement in a myopic eye with a macular retinoschisis. The patient was myopic eye with monocular oculus dextrus (OD) with a history of left eye enucleation for recurrent retinal detachment and glaucoma macular retinoschisis, for 30 years prior. Recent optical coherence tomography (OCT) depicted features characteristic of myopic following 12 cervical retinoschisis. At the same time, the patient sough chiropractic treatment for neck pain and numbness in upper limbs spinal adjustments Benign acute childhood myositis is a self‐limiting muscle disorder HONG KONG characterized by calf pain with an isolated finding of elevated serum creatine kinase, being preceded CHIROPRACTIC CASE by an influenza‐like illness. The classic clinical and laboratory features may REPORT 2019 allow for a correct diagnosis. This report describes some CDAHK is dedicated to the advancement of accompanying symptoms which are not usually perceived. An chiropractic health care. We taps into the incorrect diagnosis could lead to latest information in chiropractic unnecessary treatments. therapeutics and features high-quality, peer- reviewed journal articles and practical information for clinical settings.

Reported by doctors at New York Chiropractic & Physiotherapy Center, New York Medical Group and the Department of Orthopaedics and Traumatology, University spinal adjustment of Hong Kong, An 11‐year‐old girl with a history of recurrent episodes of calf pain and difficult walking for the last 3 may help reduce the months sought chiropractic care for pain relief. In late January 2018, the child had suffered from fever (38.5°C), spinal nerve headache, coryza, cough, and diarrhea. A rapid flu testing at a district hospital led to a diagnosis of tension, release its influenza B. She was then given oseltamivir (Tamiflu®, an antiviral drug), ibuprofen (a nonsteroidal anti‐ pinched nerve, and inflammatory drug, NSAID), chlorpheniramine (an antihis- tamine), bromhexine (an expectorant), and subsequently alleviate diphenhydramine compound linctus (an antitussive) for 5 days. neurological symptoms Neck-tongue syndrome (NTS) is characterised by unilateral headache HONG KONG triggered by head turning and accompanied by dysaesthesia of the ipsilateral hemitongue. CHIROPRACTIC CASE The pain of NTS is in the distribution of REPORT 2018 the C2 nerve root.

CDAHK is dedicated to the advancement of NTS is rarely reported but may be more frequent than hitherto surmised. chiropractic health care. We taps into the latest information in chiropractic Conservative management, including therapeutics and features high-quality, peer- physiotherapy and minor cervical adjustment, may be the preferred reviewed journal articles and practical initial treatment. information for clinical settings.

Neck–tongue syndrome (NTS) is a rarely reported disorder characterised by paroxysmal episodes of intense pain in the cervical upper cervical or occipital areas associated with ipsilateral hemiglossal dysaesthesia brought about by sudden neck adjustment could movement. The most likely cause of this clinical entity is a temporary subluxation of the lateral atlantoaxial joint with impaction of the C2 ventral ramus against the articular be an effective processes on head rotation. NTS is an under-recognised condition that can be debilitating for patients and challenging for the treating physicians. Here, we report a approach for 47-year-old man who fulfilled the International Classification of Headache Disorders, third edition criteria for a diagnosis of NTS was treated successfully with a some cases of chiropractic approach. There are currently no consensus guidelines for dealing with this disorder. Reassuringly, chiropractic care for uncomplicated NTS appears highly NTS effective. FELLOWSHIP Organized by Dr Kary Lam, Honorary Secretary

According to Wikipedia, a newsletter is a regularly distributed publication that is generally about one main topic of interest

WHY BONDING IS THE BEST TIME

CDAHK connects our members through e- newsletter publication that relevant news and information. The chiropractic profession, along with opportunities for members to become more engaged with CDA through education, advocacy, networking, specialty groups and volunteerism. ANCESTRAL TEMPLE

Foshan Zumiao is Daoist temple in Foshan, , Chi na. It is a national tourist attraction approved by the China National Tourism Administration, covering an area of 25,000 square metres (270,000 sq ft). Foshan Ancestral Temple captures a million visitors at home and abroad every year with its well preserved ancient construction complex and its luxuriant folk culture. Foreign leaders and celebrities of various counties are frequent visitors of the temple.

VISITING QINGYUAN

Qingyuan, formerly romanized as Tsingyu n,[a] is a prefecture-level city in northern Guangdong province, China, on the banks of the Bei or North River. During the 2010 census, its total population was 3,698,412, out of whom 1,510,044 lived in the urbanized Qingcheng and Qingxin dis tricts. The primary spoken language is . CDAHK NEW YEAR FELLOWSHIP BRUNCH

New Year is about relationships. It’s about giving. It’s about sharing. Strengthen our professional relationship by simply giving an invite to CDAHK members and sharing the family New Year celebration with colleagues we like to know better.

CDAHK XMAS TAIWAN FELLOWSHIP 2018

A FAMILY SUN MOON LAKE

The area around the lake is home to the Thao tribe, one of aboriginal tribes of Taiwan. Sun Moon Lake surrounds a tiny island called Lalu. The east side of the lake resembles a sun while the west side resembles a moon, hence the name.

CHRISTMAS 2018

Merry Christmas from CDAHK chiropractors and families

CENTRAL TAIWAN TOWNSHIP OF LUGANG REGAINS FORMER GLORY

The Central Taiwan township of Lugang once possessed one of Taiwan’s busiest harbors and was an important commercial center back in the 18th and 19th centuries W E L O V E A N D W E S E R V E

WE SERVE THE COMMUNITY Chiropractic Doctors Association of Hong Kong

GIVING BACK TO THE SOCIETY DR JEFFREY NG, UBLIC RELATION COMMITTEE CDAHK chiropractors have been giving back to the local community and providing quality chiropractic care across the city of Hong Kong. Whether it’s sponsoring a community event, donating prizes for local community; attending local celebrations and events; volunteering for a charity work to the caregivers; or volunteering at the sports event, CDAHK has always been a supporter and participant in many community events, fundraisers, and programs. WE SERVE THE COMMUNITY

Sinomax Pillow Fight

WE SERVE THE COMMUNITY

Dr Jeffrey Ng joined the Service Without Boarders at the Emma's Mattress, endorsed the CDAHK.

INTERNATIONAL CHIROPRACTIC COMMUNITY

OPEN UNIVERSITY MEETING LIFE PROGRAM UNIVERSITY IN CHIROPRACTIC COLLEGE IN HONG KONG HONG KONG

Dr. John Downes had lead the team to help the Hong Kong community in providing superior chiropractic education in Hong Kong. CDAHK committees are committed in building the next DR. ERIC CHU, ALEX generation healthcare service. SHIU, AND ALBERT LEUNG LOWER: The Rubicon Group

Taiwan Chiropractic Doctors Society

When TCDS (Drs Patrick Lin and Joey Chuang) meet with CDAHK chiropractors ( Drs. Eric Chu, Rick Lau, Vincent Chan, Albert Leung, Kary Lam, Jen Ng, The Taiwan Department of Health has Hubert Ng, Joyce Tse, Janis Luk): we are delighted stated and confirmed that spinal to meet with the leaders of Taiwan chiropractic manipulation are considered medical community and discussing vision of each country, acts. Taiwan Chiropractic Doctors and profession as a whole. Many taiwanese Society (TCDS) had faced with a chiropractors are specialized in sports chiropractic situation where the medical profession and they played as the major players at different has essentially stolen the right to international games. Great passion and love! perform chiropractic from the chiropractic profession. The lack of chiropractic legislation left them vulnerable to lose the right to practice.

Reunion of Hong Kong and Taiwan Chiropractors: sharing past experience and future vision CMCC Alumni Dinner in Berlin

The Canadian Memorial Chiropractic College (CMCC) is a non-profit, private higher education institution in Toronto, Ontario, Canada. Dr Vincent Chan, Founding Chairman of CDAHK, was invited by the CMCC presidents, Drs Last day of the WFC conference, we David Wicks and Jean Moss, at the CMCC Berlin have heard many good feedback from Dinner. the audience. Some audience described the presentation by Dr. Eric Chu, Chairman of CDAHK, was the most important lesson to their association. Today is also the day we enjoy the conference with great friends, Dr Christina Cunliffe, Principle of McTimoney Chiropractic College.

Another TRG successful Rubicon Group meeting, Next one will be in Paris Nov 15th and 16th 2019. The Rubicon group will present a fun and entertaining way how science is finally catching up with philosophical theories about how chiropractic works. Heidi Haavik, Phd, DC. The annual meeting with the National Chiropractic Sports Council Presidents' has just wrapped up. Many thanks to each President who made the journey to Berlin and for sharing their councils successes and stories. The engaged and enthusiastic NCSC Presidents that we had in attendance was productive. Hong Kong is proud to see everyone and looking forward to the year ahead.

P H O T O B Y M A R T I N R . S M I T H

Fantastic Year of 2019 by Jeffrey Ng

Dr Jeffrey Ng participate at the FICS NCSC Presidents' Meeting. 2019 is a rebuilding year for FICS after a number of strategic changes will provide the platform for growth through 2020.

THE FÉDÉRATION INTERNATIONALE DE CHIROPRATIQUE DU SPORT FICS

C D A H K N E W S L E T T E R M A Y 2 0 1 9

VISITING GERMAN CHIROPRACTIC ACADEMY

Dresden International University The goal of the full-time

Bachelor and Master of Science program is the optimal training and preparation needed for a successful Chiropractic career in Germany

CDAHK ON MEDIA

N O T A B L E M E D I A O U T L E T S C O N T A C T C D A H K M E M B E R S F O R I N F O R M A T I O N A B O U T C H I R O P R A C T I C A N D H E A L T H C A R E T O P I C S A N D T O S E T U P I N T E R V I E W S . W E K E E P A W A T C H F U L E Y E O N M E D I A P O R T R A Y A L S O F T H E C H I R O P R A C T I C P R O F E S S I O N A N D H A S B E E N R E S P O N D I N G T O B O T H P O S I T I V E A N D N E G A T I V E R E P O R T S I N A N E F F O R T T O B U I L D R E L A T I O N S H I P S .

HOUSEWORK AND DESK POSTURE CHIROPRACTIC A newsletter is a regularly distributed publication A newsletter is a regularly distributed publication that is generally about one main topic of interest that is generally about one main topic of interest to its subscribers. Newspapers and leaflets are to its subscribers. Newspapers and leaflets are types of newsletters. types of newsletters.

Newsletters are published by clubs, churches, societies, associations, and businesses—espe"

P A G E 2

SLEEP AND GROWTH SCHOOL BAG

Dr. Albert Ho shares on how chiropractic can help pediatric sleep and growth M A Y . 2 0 1 9 | C D A H K

Thank you for supporting CDAHK

CDAHK is the largest Chiropractic Professional body in Hong Kong. Most of the members are full-time practicing chiropractic doctors and all are serving the public professionally. CDAHK has actively involved in all kinds of chiropractic activities and public health care events since its establishment. With the supports from local chiropractors, until now, CDAHK is the fastest growing chiropractic association ever in Hong Kong CDAHK is committed to advance chiropractic health care by raising awareness through public education. We serve our profession by helping our members in practice, education and communication.