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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.
A Healthy Dose of Failure is Vital to Your Success
As an acupuncturist I tend to see people after they have already suffered for years and "tried everything." They are so desperate for some relief that they want to know everything about how to get better, right now.
MPA Media Wins Seven Publishing Awards
MPA Media, publisher of Acupuncture Today, among other titles, has been recognized for editorial and design excellence with an unprecendented seven publishing awards by the ASBPE, the nation's largest organization for business-to-business publications.
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."
News in Brief
National Chiropractic Health Month: Be Proactive; Collegiate Roundup: Academic Appointments at Parker, Logan.
The Spirit of the Point
After receiving a large amount of positive feedback on my San Zhen Protocols series, I have decided to focus this article on some relevant clinical aspects of acupuncture therapy prior to moving on to San Zhen Protocols III.
The Truth About Herbs
I appreciate the effort and research put into the article written in the June issue of Acupuncture Today regarding pesticides and Chinese herbs.
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.
A Glimpse Into China's Top Brain Hospital
The sounds of the city pass through the open window are overwhelming the microphone - car horns, construction machinery - and then there's the family at the adjacent bed talking loudly on cell phones, yet you can still hear the faint beep of our patients monitoring equipment.
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.
The Science Behind Happiness
Are you happy right now? Whether yes or no, there are a myriad of reasons why you feel that way. A whole academic discipline has developed to find out what causes or obstructs happiness, and how to amplify it.
Thoughts to Live By
When speaking to your patients about their health make sure to ponder the following points and have them assess if they are making themselves even more sick by the thoughts they have about life. Are these some of the traits and thoughts that your patients might have?
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.
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.
Healing Community Trauma in Israel and Palestine
It's the beginning of August and Israel and Hamas have just agreed to a 72-hour ceasefire after a month of brutal fighting. In the last four weeks, 1,830 Palestinians and 67 Israelis have been killed.
When Big Pharma Meets Chinese Medicine
Earlier this year, Bayer made a media splash with their decision to buy the Dihon Pharmaceutical Group Co., a Chinese TCM manufacturer.
History of Animal Acupuncture: Part II
In Part I of this article, I had gone back to 1969 and tried to describe the atmosphere and events of that year that engulfed many of the younger generation, some who were all the core members of the National Acupuncture Association.
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.
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.
January, 2001, Vol. 01, Issue 01
Exploring Orthopedic Assessment
By Whitney Lowe, LMT
Welcome to Massage Today! In upcoming issues, I will have the opportunity to share some of the wonderful things I have learned about orthopedic assessment with you. Massage practitioners are increasingly called upon to treat various pain and injury conditions, and in many instances act as a primary provider.This is a great benefit and a tremendous responsibility. Assessment is a valuable part of practice, especially for anyone seeing clients with pain or injury conditions.
In the late '80s, I began to see the crucial importance of orthopedic assessment skills for massage therapists. Since that time, I have attempted to share all I have learned with as many practitioners as possible. This publication will be another great avenue that will allow you to help many more people reduce the pain and discomfort in their lives.
There is often significant misunderstanding about the definition and role of assessment. Many people confuse the concepts of assessment and diagnosis, and for that reason they shy away from learning about them. Assessment skills are a systematic method for gathering information to make informed decisions about treatments. Since assessment is really information gathering, you can't really do any kind of massage without doing some level of assessment. When your hands feel a tight area in your client's muscle tissue, you naturally focus your attention on reducing the tension in that area. You have performed assessment through palpation and then chosen a particular course of action as a result of your assessment of the client's tissue state.
Diagnosis, on the other hand, is the assigning of a name or a label to a certain group of signs or symptoms. To arrive at a diagnosis, the practitioner (usually a physician) will perform some type of assessment, and based on the findings, will assign a name or a label to the problem. When you assign a name or label to the problem and state to the person they have "x" condition, you have given them a diagnosis. Gathering information about someone's condition to determine if you should proceed with massage, is assessment, not diagnosis.
Assessment skills have become increasingly important for massage therapists. Numerous studies have indicated that people are increasingly using alternative medical approaches such as massage therapy to treat all kinds of problems. In many instances, these people are coming to massage therapists before seeing some other primary care provider, such as their physician. They may present a certain group of signs or symptoms and ask a massage therapist to help them, because they have heard massage therapy can be helpful for people with similar ailments. While this is a wonderful opportunity to demonstrate the healing power of massage, there is tremendous responsibility that comes along with that opportunity.
We must be able to determine if that person's condition is something that we should work on. If it is, we must determine what type of soft tissue work will be most effective. In many instances, one type of massage may be beneficial, while another type may be harmful. It is not really accurate to make blanket statements such as "massage is good for this problem, but not for that one." It may depend on what type of massage is used.
In this column we will focus on assessment of orthopedic problems those that decrease or limit a person's ability to move their body properly. There are a variety of orthopedic assessment systems. Despite their differences, they all share several common components: a detailed client medical history, visual examination, palpation, and some form of movement evaluation, which may include any number of special testing procedures.
While learning new massage treatment methods has certainly improved my skills, nothing has made as much impact on my ability to treat pain and injury problems as studying orthopedic assessment. It is my hope to share some of the wonderful things I have learned, so that you may improve the quality and success of your practice.
Click here for more information about Whitney Lowe, LMT.
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