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Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Code Connection: Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
August, 2004, Vol. 04, Issue 08
Stuck With Positioning in Seated Massage?
By Lee Chaffee
I feel a need to address the subject of client positioning during seated massage. I hurt for those clients I've seen in airports, malls, and wherever chair massage is administered, who are positioned with necks over-contracted, shoulders up to their ears, and severely arched low backs.No wonder there aren't lines of people waiting to jump aboard! Just as a client cannot be expected to climb onto a massage table, lie down, and have everything "comfy," a seated massage takes some adjusting. It takes being familiar with your chair and "sizing up" the client.
Get familiar with your massage chair. Open and close it several times, and position your friends and family in it, adjusting for different body builds, before you attempt to sit a paying client in it. As clients enter your room, notice their height, weight and proportion. Sizing up clients will become easier with practice. For the comfort of the client, the neck muscles need to be elongated, not contracted. This position also gives you the ability to get your hands in between the upper traps and base of the occipital ridge.
Observe the positional needs of the client throughout the massage, since it can change based on the amount of pressure applied. Usually, asking the client to put his or her chin a little closer to the chest will correct any loss of position. If the neck is contracted after a few moments of applying pressure to the back, the client will usually end up with a headache. Would you want to pay a minimum of one dollar a minute to obtain that result?
This is how I help direct clients sit comfortably in my massage chair: First, I tell them to sit, then kneel on the kneepads and place their hands on the armrests. Then, with me standing in front of the chair with all levers unlatched (no matter what brand of chair I'm using), I ask them to put their chin to the chest and aim their forehead for the top of the hole in the face cradle, applying a little weight until they feel comfortable. Then I lock the face cradle in place.
Next, I check the client's shoulders to make sure they are not too high or low. I also make sure that the traps are not too contracted or over-stretched, and will raise, lower, or angle the chair's arm rest accordingly. If the chest plate is adjustable at an angle (as well as for height), make sure it is not pushing in on the diaphragm. Doing so can cut off a client's breath and may cause them to faint. I prefer a 45-degree angle, if possible.
The position of the knee rest is up to the clients, as to whether they feel comfortable with their feet touching the floor or not. Usually, if they are not comfortable with their toes touching the floor, they can slide their knees forward. On some chairs, the knee rest comes off.
On some chairs, the seat adjusts but not always to my height. If possible, and if it does not disturb the client's comfort, I prefer the seat of the chair to be a bit higher than my knee. I have found that this height works for any modality. Experiment with this aspect of chair adjustment so that you and your clients are as comfortable as possible.
With a little adjusting, clients can also sit face-forward in a massage chair. I have used the chair this way when clients want work done on their face, head and shoulders. The client carefully sits backward on the seat and leans back against the chest rest, while the headrest is brought up as far forward as it will go. Most chairs have an added adjustment to bring them forward for larger clients. I hope these suggestions have helped. Happy seated massaging!
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