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Syncretism: Acupuncture and Public Health in Cuba
"Syncretism" is defined as a union of diverse tenets or practices. On a recent trip to Cuba designed to demonstrate the integration of Traditional Medicine and biomedicine, our group witnessed this union firsthand.
Dietary Fat and Prostate Cancer: An Important Update
K.M. Di Sebastiano and M. Mourtzakis published a review paper examining the role of dietary fat on prostate cancer development and progression late last year that does a stellar job of summarizing the available data on fat and prostate cancer.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 2
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
The Concussion-Subluxation Complex
In the Aug. 1, 2014 issue of Dynamic Chiropractic, I reviewed some of the literature demonstrating the role of the chiropractic adjustment in post-concussive care.
Pro-Con: Swaddling for Newborns
The practice of swaddling has been used for thousands of years and was popular until the 1700s, when it was slowly abandoned by many cultures that considered it old-fashioned or barbaric.
Chinese Herbs and Pulmonary Fibrosis: A Case Study
"Mary M."* recently celebrated her 90th birthday. Even the former sheriff dropped by to kiss the hand of this diminutive retired teacher, to honor the years she interpreted for him during interviews with Latinas and Latinos.
Making Sense of an Increasingly Obvious Conclusion
Where's U.S. health care heading? Like it or not, the list of telltale signs is growing to a point that stands out to even the most myopic observer. Consider this list of facts as you look into the future of health care in the United States:
Designing a Fitness Plan (Part 1)
It doesn't matter if you come to my practice for pain relief, weight loss, healthy aging or something else. The formula I talk about for each patient's fitness strategy is pretty much the same.
F4CP Making a High-Impact Impression
The Foundation for Chiropractic Progress has released details of its 2016 strategy, certain elements of which are already in play. The strategy includes ads, posters and other resources available to all F4CP members.
Your Billing Questions Answered
I hear a lot of the following questions: I am afraid I may doing something illegal. I have heard I cannot have different fees for the same service.
Diagnose Sprain Injuries in MVA Cases With Dynamic X-Rays (Pt. 1)
Am I the only person to notice hospitals are doing a seemingly insufficient job lately in their initial radiological workup of motor vehicle accident (MVA) victims?
It's Time to Review
It is amazing to see the changes that are occurring in the acupuncture profession. Let's look at some of the news and events that have contributed to this growth and awareness.
Tailor-Made Knee Pain: The Sartorius Muscle
A patient was referred to my office after receiving treatment from various providers with no results. The patient was training for the Olympics as a marathon runner and was unable to run or walk without severe medial knee pain.
Too Many to Remember: Tips to Revive Your Ortho / Neuro Test Skills
When I was at Palmer in the mid-1980s, we were given a set of notes in one of our diagnostic courses. The notes covered approximately 70 orthopedic and neurological tests for various regions of the body.
Which Way is the Energy Going? Are You Burning Yourself Out?
One of the simple methods that I use to define Yin/Yang theory to patients is to ask the question, "Which way is your energy going?"
One Size Does Not Fit All: Exercise and Nutrition According to Your Yin/Yang Body Type
There are countless new exercise and nutrition plans out there, emphasizing the latest ground-breaking research and claiming to revolutionize the way we view health.
Mechanism: Experimental Approaches to Understanding Acupuncture, Part 1
The clinical benefits of acupuncture are difficult to ignore, but also can be difficult to explain to a Western audience. For nearly 50 years, relentlessly inquisitive scientists and physicians have been working toward a conceptual model to explain acupuncture.
North Carolina Acupuncture Board Files Dry Needling Lawsuit
In early September, the NCALB filed a complaint against the North Carolina Board of Physical Therapy Examiners over the issue of dry needling, a form of acupuncture that uses solid needles to puncture the skin and muscle tissue to relieve pain.
Targeting the Bad Apples in the Bunch
While everyone was focused on the conversion to ICD-10, the Office of Inspector General for Health and Human Services released a new report on chiropractic titled "CMS Should Use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services."
Acupuncture and Oriental Medicine in the West
We know acupuncture and Oriental medicine as the indigenous medicine of East Asia; in particular China, Korea and Japan are the countries of origin of this wonderful healing system.
Omega-3 Fish Oil: An Underappreciated Element of Men's Health
As a clinician with many male patients -- and as a man myself -- I am all too aware of the fact that we like to convince ourselves that we are doing great, when that may be the farthest thing from the truth.
The Modern Application of Ancient Mei Rong
Chinese Medical Cosmetology (Mei Rong) has a well-documented and venerated history dating back to the Qin (221-206 BC) Dynasty.
Footsteps of the Sages: An Apprenticeship with Dr. Kezhan Zhang
When I met Dr. Kezhen Zhang in May 2013, I was his translator and the integrity, creativity, and passion he demonstrated as a practitioner and advocate of the medicine convinced me to travel to Beijing to study with him.
January, 2001, Vol. 01, Issue 01
What's on Your Table?
By Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President
I have the single best job in the world for me, anyway. It is my pleasure and privilege to teach students of massage therapy about the role of bodywork in the context of pathology. I get to research and talk about diseases for several hours every week.This gives me the opportunity to renew my awe of the human body on a regular basis. I am honored to live in a state of constant appreciation for the elegance of our design and the strength of our recuperative powers.
As increasing numbers of people seek out massage as a way to take control of their health, it has become more important for massage therapists to be conversant with a wide variety of disorders. While it is tempting to "rubber stamp" some situations as indicated or contraindicated for massage, we all know that this is an impossible task.
The very word "massage" means different things to different people, and each modality carries its own set of rules and guidelines for working in the context of disease. The disease process may manifest completely differently from one person to another. Add other variables like basic resiliency, a history of receiving massage, diet, sleeping habits, medications, ad infinitum, and it becomes clear that making decisions about the appropriateness of massage must happen on a day-by-day, case-by-case basis.
My job as a teacher is to give students the tools to make informed judgments about the relative risks and benefits of their work, so that they can make the best possible choices for their clients. Sometimes that choice will be to alter their goals for the day; sometimes it will be to reschedule the appointment for another time. Sometimes it may even be to call a cab to get to a hospital. Certainly we hope that these are uncommon situations, but as massage moves further into the mainstream, our chance of being asked to work with clients who have precarious health situations increases every day.
The uncomfortable truth is, there are few hard-and-fast rules about massage in the context of disease, and most of those rules can be carefully broken, under the right circumstances. As a person who tries to stay current on the role of bodywork in the disease process, I am eager to find out what other therapists are doing with their clients who may be in ill health. My guess is that the majority of practicing therapists who went to school more than a few years ago received little or no training on the subject of pathology. We were told, "when in doubt, check with the doctor" an admirable, but rarely practical recourse. My experience with teaching this material to current students and therapists in pursuit of CEUs is that not many of us feel confident that our skills and knowledge are up to speed on this topic.
I hope with this column to open a line of communication between massage therapists. Let us share our concerns about working with clients who have complicated health pictures. I invite therapists to send me information about their experiences with clients whose health has made working with them a special challenge. My vision is for this to be a place where we can all share, in a setting that is respectful of each other and of our clients, our questions and concerns about massage: "Should I have worked with that client? Could I catch whatever this person has? Is there a better way to help someone with this condition? What could happen if I work with someone who has this disorder?" This respectful setting is an important issue. Few things elicit strong emotional responses from massage therapists like someone making pronouncements about health. Although this is a subject we all take seriously, I ask us all to be open-minded and open-hearted in our discourse. Let us aim for an attitude of positive support for each other in our chosen profession, not of judgment that "my modality is better than yours."
So here is how it will work: You, send me brief, true case histories of clients whose health picture caused you some concern. (It will be my job to protect the confidentiality of the massage therapists who contact me, and the confidentiality of their clients.) Let me know what you did that you think worked, or didn't work, or that you'd like to try if you get another chance. I will take the incoming stories and sort through them to come to a conclusion about what people want to read. Then, in a subsequent issue of Massage Today, I will discuss the disorder in question, in terms of how it affects the body, and the relative risks and benefits of bodywork in various forms. I will incorporate your information and try to draw some conclusions about how best to accommodate similar clients. I will also try to include resources where interested readers can go for more information.
Here's a news flash: I am not infallible, and there is a stunning lack of information about how massage affects most conditions. I make decisions, and I teach my students to make decisions, based on the knowledge of how a condition affects normal body processes, and how various types of bodywork can influence that progression. Sooner or later (probably sooner) I will write something that some of you will disagree with. I invite you to share your concerns with me, as long as it is done in a spirit of open-mindedness and open-heartedness that allows for mutual respect and benefit.
Looking forward to hearing from you.
Click here for previous articles by Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President.
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