resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Day in the Life of an Advanced- Practice DC (Pt. 2)
Let's continue our Q&A with Stephen Perlstein, DC, APC, chair of the New Mexico Chiropractic Association PAC and president of the American Academy of Chiropractic Physicians. Part 1 of this interview appeared in the May 1 issue.
Diet, Nutrition and the Context of Risk (Part 2): Food Poisoning
Other than the morbidity and mortality linked to eating too much food, "all-natural" organisms that contaminate our food cause more illness, more hospitalizations and more death than food contaminated by heavy metals, plastics, preservatives, artificial colors, emulsifiers, artificial sweeteners and pesticides combined.
Are Herbs Useful for Chronic Pain?
The human nervous system is what makes us special, but our greatest strength also makes us vulnerable: witness the growing incidence of chronic addictions, anxiety, depression, sleep disorders and chronic pain syndromes.
The Effectiveness of Chinese Medicine in Treating Infertility in the Philippines
Infertility is defined as the inability to achieve a successful pregnancy after 12 months or more of regular unprotected intercourse.
Who is Your Ideal Patient?
Being in a healthcare practice requires you to think critically about many things including your equipment, techniques, documentation, financial goals, and the retention of clients and staff.
Five-Element Reaches Out to Serve the Community
In 2006, a student at the Institute of Taoist Education and Acupuncture (ITEA) approached the administration about an idea for his senior project.
What Should You Call Your Patients (and What Should They Call You)?
When I walked into the exam room, the new patient looked uneasy, fumbling with his cellphone. He was a huge Polynesian man, probably in his 40s, with unrecognizable island tattoos.
The Good, the Bad and the Successful in Social Marketing
You might be thinking, "social marketing, don't you mean social media?" No, I mean social marketing. Every day, I keep reading, hearing and learning more and more about the changes happening in social media.
Immunotherapy: Where Molecular Medicine Crosses Into Holistic Thinking
Immunotherapy, and its promise as a cancer treatment, has been in the news a lot in the last few years, and for good reason. Real shifts are happening in oncology and exciting researchers, clinicians, and patients.
Shoulder Rehab: The Gait Connection
Shoulder problems can be difficult to rehab completely for several reasons. The shoulder is made up of several joints that must function together smoothly to provide the extreme mobility that is possible and necessary for many activities.
We Get Letters & Email
Another Slap in the Face for DCs; I Know Where to Find the Missing Chiropractic Patients; Clarification on Vitamin D Study.
Does Anyone Know You're a Good Chiropractor?
If you had a chance to read the recent article in Time magazine (April 6), you know it provided some good information about the efficacy of chiropractic to the magazine's substantial consumer audience.
The Liver: The Official of Planning
The Liver, with its paired Official, the Gall Bladder, belongs to the Element Wood within us. Wood grants us the power of birth – new beginnings, growth, breaking through boundaries and surging forward. It is the vigorous, exuberant energy of the spring season.
Time for World-Wide Growth
Acupuncture is the organically growing around the world. The legislative body in Quatar has said acupuncture is "okay." The United States has five states to go to have every state recognized and regulated.
F4CP Campaign Addresses Public Misperceptions of Chiropractic
In late 2015, results of the Gallup-Palmer College of Chiropractic Inaugural Report: Americans' Perceptions of Chiropractic were published. The report found that 33.6 million U.S. adults (14 percent) had utilized chiropractic care within the previous 12 months.
Case Studies and Answer Analysis for NCCAOM Exam in Foundation of Oriental Medicine
Case studies are very common for acupuncture school students, either in class exams or during taking the national board exam. Most test takers feel they have no idea where they should start and how they should start to analyze those complicated cases.
Acupuncture at a Pain Clinic
Introduction: Pain is the most comprehensive human experience. The experience of pain is associated with the somatic, emotional and social impact. Pain has not only somatic symptoms, but also psycho-social dimension, especially in case of chronic pain.
The Eight Extraordinary Confluent Points
The eight extraordinary confluent points are a very popular set of acupuncture points in the modern practice of acupuncture. They are also called the intersection, meeting, command, opening, master, and the flowing and pooling points of the eight extraordinary vessels.
Bring on the Bitters
Out of all the possible flavor choices with foods, such as sweet, sour, salty, and umami (deliciousness), which would you choose first? Bitter, though not as enjoyable, is also a flavor.
Treatment of Type 1 Diabetes Mellitus: The Latest Breakthroughs
There are now more than 29 million diabetics in the U.S. and 10% of them have Type 1. The incidence has been increasing in recent years at an epidemic rate.
How to Bill Evaluation and Management Codes
Q: I am in need for guidance on how to bill evaluation and management (E&M) codes in addition to acupuncture the same date of service, I have never been paid for an exam when done with acupuncture and I believe I am doing it wrong.
Herbal Medicine Continues to Evolve
Product manufacturers, industry partners, distributors and practitioners work as a collective Traditional Chinese Herbal Medicine (TCHM) community to produce high quality TCHM prescriptions that bring low-risk healthcare to thousands of patients everyday.
Introducing the Dynamic Chiropractic Digital Edition
In response to the changing habits of our readers, Dynamic Chiropractic is proud to introduce a digital edition of the publication beginning with the July 2016 issue.
2016 Trudy McAlister Foundation AOM Scholars
This year, the Trudy McAlister Foundation (TMF) received a record number of excellent applications for the 2016 scholarship awards and has awarded five scholarships for $2000 each. More information is available on our website: AOMScholarship.org
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).
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