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Pain Underfoot: Metatarsalgia
Foot pain can interfere significantly with normal activities and severely limit participation in sports. Metatarsalgia is foot pain involving the metatarsal bones in the forefoot – the complaint of pain on the bottom of the ball of the foot.
Don't Turn a 2 Into a 10
The Wong-Baker FACES Pain Rating Scale1 is so useful because it can be used by almost anyone. Patients can use the numbers associated with the faces depicted on the scale or select the face that demonstrates their current level of pain from 0-10.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
Chiropractic Research in Review
Chiropractic Treatment of Lateral Epicondylitis; Cost / Benefit Analysis: Different Doses of SMT for Low Back Pain; Imaging for Occult Rib and Costal Cartilage Fractures; Treating Neck Pain: Thoracic Thrust Manipulation vs. Non-Thrust Mobilization.
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
Why Young People Need Chiropractic Now More Than Ever
According to a recent study published in BMC Musculoskeletal Disorders, "It is now widely acknowledged that neck pain (NP), mid back pain (MBP), and low back pain (LBP) (spinal pain) start early in life and that the lifetime prevalence increases rapidly during adolescence to reach adult levels at the age of 18."
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
News in Brief
National Chiropractic Health Month: Be Proactive; Collegiate Roundup: Academic Appointments at Parker, Logan.
Waking Up the Gluteus Maximus
In previous articles in this series, we expounded on the importance of the gluteus maximus (GM) in athletic performance and protecting the knee from injury. We also know there is a link between iliotibial band syndrome and GM weakness.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
CCE Finally Takes a "Baby Step" Toward Reform
During a 16-month period from October 2010 to February 2012, I devoted four separate columns to the heavy-handed attempt by the Council on Chiropractic Education to radically change the chiropractic profession through the accreditation process.
MPA Media Wins 7 Publishing Awards
MPA Media, publisher of Dynamic Chiropractic and DC Practice Insights, among other titles, has been recognized for editorial and design excellence with an unprecedented seven publishing awards by the American Society of Business Publication Editors (ASBPE), the nation's largest organization for business-to-business publications.
9 Common Causes of Thyroid Imbalance and How You Can Help
How you sleep, how easily you wake up, and how much energy and stamina you have during the day are directly related to levels of the thyroid hormones.
A Vibrating Capsule for Constipation? Relevance to Your Chiropractic Practice
The relationship between gastrointestinal (GI) complaints and back pain is not typically written about or discussed.
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
January, 2001, Vol. 01, Issue 01
Bodywork Therapies of Asia
By Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc
"What are you doing here?" was the question put to me 10 years ago at a meeting in Maryland to create a massage law. It may be the same question you are asking now when you look at an Asian medicine column in a massage publication.
The woman who made that comment had a point.Asian bodywork therapies (ABT), a term used to include shiatsu, acupressure and other forms of bodywork with their roots in China, have no resemblance to "massage" as she knew it and would complicate the process of getting her law passed. She was right, there are few similarities.
If you put massage and ABT curricula side by side, the only places they would overlap are anatomy, physiology, ethics and CPR, leaving the remaining 400 hours to deal with entirely different techniques, treatment principles and practice. The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) administers our national board exam. For all intents and purposes, Asian Bodywork Therapies (ABT) are not massage, they fall under the umbrella of Asian medicine.
But wait a minute. Of the 30 states with massage laws, and the 23 responding to a survey given by the Maryland Board of Chiropractors, 20 of those states include shiatsu and other forms of ABT under their laws. And over 1,000 massage therapists list that they on the AMTA website locator service, perform forms of ABT (like shiatsu and acupressure).
According to the AMTA standards of practice and code of ethics, their members, "meet the standards established for his or her profession" and they "market themselves in an accurate, truthful and ethical manner." So you would assume that they have passed the NCCAOM OBT exam or at least have met the standards to sit for it. Sadly, this is not the case. Few have met a fraction of the standards established for the profession.
I do not mean to single out AMTA this seems to be an accepted practice in the massage field. Yet I find it more painful to see it done by AMTA members because I associate them with high ethical and professional standards.
ABMP's website is no better, revealing just as many practitioners who misrepresent themselves. They don't list shiatsu as a separate modality, though. They call it an "interest."
The International Massage Association (IMA) has far fewer practitioners who listed other modalities on their website, but that may be because it costs more to list techniques. The more they pay, the more they can list, with no verification in training. Still, the most skilled shiatsu practitioner that I could come up with only had 20 hours of training!
I know there are many well-trained, proficient bodywork therapists practicing forms of Asian Bodywork Therapy (ABT), but unfortunately, they seem to be outnumbered by those with minimal or no training in ABT.
Many massage therapists think of ABT forms such as shiatsu and acupressure as "massage," but few have had the training to fulfill the national standards. So, I see my column as a great opportunity to educate people on the depth and breadth of Asian Bodywork Therapy (ABT).
In this column, you are not going to find simplistic suggestions like, "for a headache, press LI-4." That may mask the symptoms, but it won't address the cause, and besides, it will only be effective if it is a yangming headache. What you need to do first is look at the client's five element type and emotional and spiritual relationship to the headache. Then differentiate whether it is jueyin, yangming, shaoyang or taiyang; if it is caused by an excess or deficiency; dampness, wind, heat or cold and so on. Then you can choose points and meridians that will not only relieve the symptoms of the headache, but treat the root of the problem as well.
Besides headaches, other topics I'd like to focus on include back pain, shoulder pain, menstrual irregularities and other common problems our clients bring to us.
Send in your suggestions for future topics. I must emphasize, though, we don't "treat" any of these conditions. We look at the signs and symptoms that the client is presenting, then find and treat the underlying root of the problem. Using Chinese medicine treatment principles and techniques, our goal is to bring our clients into a state of homeostasis in which they can heal themselves.
Reading this column will not give you the level of skill to say that you practice shiatsu or acupressure. But I'm hoping that it will inspire you to study this ancient healing art so that you can truly call it your own.
Click here for previous articles by Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc.
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