resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
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.
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.
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.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
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.
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).
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.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
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.
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.
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.
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.
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.
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.
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?'
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.
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?
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.
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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