resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
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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