resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
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Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
February, 2001, Vol. 01, Issue 02
A Sense of Direction
By Myk Hungerford, PhD, PT
To obtain peak performance in sports massage, an understanding of the sport, the athlete and the phase of the sport are essential.
On first observance of the athlete, note gait and posture, and gain a general sense of direction.Posture will always play an important role in the athlete's performance and sense of well-being. Hans Selye, MD, Nobel Prize laureate, proclaimed, "Postural distortion is the beginning of the disease process"; Ida Rolf stated, "Gravity is a therapist, if we are functioning with gravity properly."
Dr. Jeff Rockwell refers in his lectures to the two types of sensory receptors: proprioceptors and nociceptors. Proprioceptors give information regarding muscle motion and position in space: whether the body is posturally correct. A nociceptor is a peripheral mechanism for reception of painful stimuli. Both proprioceptors and nociceptors send messages to the central nervous system. Proprioceptors travel at 120 meters per second, while nociceptors travel at .5 meters per second. Therefore, proprioceptive impulses reach the spinal cord much faster than nociceptive impulses.
We have ascending and descending nerve tracts in the spinal cord. These function to assure that we have normal posture and normal structure. Cumulative trauma such as birth trauma, repetitive motion, and repetitive use syndromes affect these sensory receptors, inhibiting them from firing into the brain. The result is alteration in our body posture. If there is not enough stimulation from mechanoreceptors (a special type of proprioceptor) due to quality of motion, there is not enough sensory input into our brain.
Pleasure feelings from proprioceptors, fired into the spinal cord, block nociceptor impulses. This is known as the gate theory, postulated by Melzak and Wall. The ascending tract filled with proprioceptive information blocks nociceptive impulses from ascending into the cerebellum.
There are eight phases of sports massage:
Training/conditioning encompasses all seven of the other phases. Training and conditioning occurs when the athlete is competing against him/herself for PR (personal record) or PB (personal best). This article will concentrate on restoration and rehabilitation of the skeletal, muscular and nervous systems. The techniques may be used for prevention against injury and to keep an existing injury from exacerbating. Used in the pre-event phase, these techniques are adjunct to the warm-up regimen and help to prevent biomechanical dysfunction and imbalances. The outcome is enhancement of mental state; increased flexibility and neuromuscular responses; and kinetic system connective tissue and neuromuscular junction flexibility.
The more common injuries for swimmers are due to an overuse phenomenon. Other than diving injuries and bumping into other swimmers or the side walls of the pool, most injuries are overuse-related. Occasionally, failure to warm-up properly is also a contributing factor.
The most common injury in swimmers is a rotator cuff problem. The rotator cuff muscles hold the head of the shoulder in the joint; they are not meant to be overstressed by having the arm at an angle above parallel to the ground. All swimming strokes except the breaststroke place the arm in this overhead position, stressing these muscles as they are pulled through the water. The stress on the rotator cuff muscles is similar to that imposed by the throwing motion in baseball, or the serve in tennis.
When the swimmer's arm is in a full overhead position, the small rotator cuff muscles become stretched, allowing the head to slip around in the shallow socket. As it slips, the head catches the biceps tendons, pinching them and eliciting pain.
Hydrotherapy is highly productive with rehabilitation orthopaedic massage therapy. An hour of exercise in the water equals two or three hours on land. Horse trainers were among the first to recognize the benefits of hydrotherapy. They had thoroughbreds with sore ankles run through the surf. Also some professional baseball players swing a bat underwater to increase their strength, since water offers 12-14 times the resistance of air.
Cycling with the body in a horizontal position puts all the weight at the cycle's saddle on the ischial tuberosities, the home of the hamstrings. As the seat is pressed into the saddle, the glutes and piriforms are squeezed. Padded cycling pants are helpful in this regard.
Penile numbness also may occur. The nerve behind the scrotum can be compressed against the cycle saddle. This is due to the front of the saddle being too high. The seat should be lowered; however, do this by small increments each week, not all at once. The sciatic nerve is often affected, causing pain in the buttock and sometimes radiating into the thigh and leg, causing sciatica. Sciatica is a condition, not a disease.
(Ilio Tibial band syndrome has been described as an overuse injury caused by friction of the iliotibial band over the lateral eipcondyle of the femur. Tenderness is felt, especially at 30 degrees of knee flexion. The ITB is both an abductor of the hip and a knee flexor and extensor. The ITB contributes to knee extension during the first 30 degrees of a complete circle, and will contribute to the last 30 degrees of knee flexion. At 30 degrees of knee flexion, it will cross over the epicondyle of the femur. Shortening or "tightening" of the ITB will affect mechanics of the knee, limiting internal rotation. When pedaling through a "12 o'clock to 12 o'clock" cycle, the knee travels once each through flexion and extension, forcing the ITB to cross over the lateral femoral epicondyle twice per 360 degrees of rotation. This continuous motion of the ITB over the epicondyle subjects the ITB to cumulative trauma.
Triathletes who crosstrain cycling and running are most susceptible to cumulative trauma leading to ITBS (iliotibial band syndrome).
Mechanisms contributing to irritation of the ITB include dysfunctional patellar tracking; excessive foot eversion with resultant pathomechanic knee rotation; increased Q-angle with resultant knee valgus stress; and a physically shortened ITB. These pathomechanics, in combination with repeated flexion/extension, can create ITBS.
More than 25 million Americans run regularly, with 70 percent sustaining an injury sometime during their running careers. Anatomical flaws, especially in the feet, lead to a great majority of problems. The surface you run on, the shoes you wear, and the way you train also influence your risk of incurring a running injury.
In general, sprinters suffer hamstring strains and tendonitis; middle distance runners commonly have backaches and hip problems; and marathoners complain of foot and leg problems.
Lower back pains are often caused by an anterior spinal muscle, the psoas. Pain may also be caused by a difference in leg lengths. Back pain is usually felt on the side of the longer leg, which takes more pounding.
When a runner with back pain has a pronating foot on one side and a supinating foot on the other side, suspect a leg length discrepancy. The body is trying to compensate by shortening the long leg with pronation and lengthening the shortened leg with supination.
The hamstring is the main driving force in running, making a hamstring pull one of the more common muscle pulls. If warm-up is not part of the athlete's program, the athlete is also at risk for a calf muscle pull.
"Shin splints" is a common catch-all term, used to describe pain on the inner side of the shin. True shin splints are caused by overuse of the posterior tibialis, the muscle that pulls the arch back up. This muscle contracts with every stride in response to stretching of the attached tendon. About 75% of shin splint pain is due to overuse of this muscle. Every time the foot is put down, the posterior tibial muscle strains to hold the arch up. In running a mile, the muscle is stressed 50-70 times per minute for each foot. Compression approximation is the treatment of choice. Place the palm of one hand above the pain and the other palm below the pain, press posterior, then approximate (pushing the hands toward each other).
Costa Mesa, California (714) 642-0735
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