resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Treating Menopausal Women in Your Practice
I love what I do for a living. It's a great way to trade health for bread. And no topic of health, with the right bedside manner, is taboo.
Solving the Pain Puzzle
Legendary former New York Yankees baseball player Yogi Berra once said, "You can observe a lot just by watching." He would have been a great chiropractor. We are trained to become experts with our hands: palpation, adjusting, soft-tissue release, etc.
Avoiding "Just a Pop Doc" Syndrome
Yes, it's harsh. Patients don't like to admit it. They have an unspoken plan when they first visit you: to come one time, get rid of their pain and then get rid of you. They know it's unrealistic, but they'd like to pay nothing for this service.
Introduce Your Patients to Collagen Induction Therapy
Cutaneous (skin) aging generally occurs from either intrinsic or extrinsic processes. Intrinsic aging results from natural skin tissue damage and degeneration.
Treating Acute and Chronic Neck Pain With Ischemic Compression and Exercise
There are many reasons not to manipulate the neck with cavitation: the patient is too old, their neck is too tight, etc. But the most common reason is that plenty of patients are afraid of "the crack," mostly because of the bad publicity about that procedure.
Inspire Your Patients to Make Healthy Choices
Have you tried to get your patients to change their eating habits or their diet and couldn't get them to succeed? Were they confused and unsure of what the right thing was to eat? You are not alone!
Foundation for Chiropractic Progress Announces First Group Member
The Michigan Association of Chiropractors has joined the Foundation for Chiropractic Progress as its first group member.
Meat in the Middle
Have you ever wondered what's the truth about meat? Is it really as bad as many people think?
Implications of Section 2706: The Non-Discrimination Provision Survey
In late April 2014, NCCAOM diplomates received an email survey with the subject line: "End discrimination against acupuncturists" polling CAM practitioners for a Request for Information from the Department of Health and Human Services, released in mid-March.
Micro-Needle Dermal Roller Use in the Treatment Room
Recently micro-needle dermal rollers have been getting a lot of media attention. As a practitioner who specializes in acupuncture facial rejuvenation, I know that skin needling with a dermal roller (also known as collagen induction therapy), promotes the natural reproduction of collagen and elastin, making the skin feel smoother and tighter.
The Power of Mu Xiang to Treat Irritable Bowel Disease
Bloating and gas pain is something that everyone has had to deal with at one point or another; however, that's usually reserved for holiday dinners and other large gatherings.
Are You Ignoring the 10,000-Hour Rule?
Having trained interns and mentored new practitioners, it has been my observation that their No. 1 clinical concern is adjusting skills. Their second clinical concern is their ability to read X-rays. Physical diagnostic skills are a distant third.
Capturing the Essence of Tai Chi
Over the last 12 years, I have been working on one of the few documentaries about Tai Chi. It's called The Professor: Tai Chi's Journey West and it's about Cheng Man-Ching who moved to New York in the 1960s.
DC App – The Next Generation
According to a survey by technology firm CDW, health care professionals gain approximately 1.2 hours per day in productivity simply by using a tablet computer in practice.
It Pays to be a Foodie
If there is an inner foodie in you, just waiting to burst out—this article is for you! Do you want to know how I know? I'm that girl. My middle name might as well be "Foodie." I love food! And if my patients are any indication, many of them do as well.
Chronic heightened emotional states create a perfect breeding ground for illness. Through my practice I noted the increasingly obvious relationship between one's mental focus on negative thinking, emotions, resistance to experiencing feelings and disease.
Peer Points: Promoting TCM Knowledge
When Elaine Wolf Komarow, LAc, received her first acupuncture treatment in 1989, she said it changed her life. "I felt more aware, calmer, and happier. I was so fascinated by the changes that I began to learn everything I could about the underlying philosophy of Chinese medicine," said Komarow.
Chinese Medicine: The Natural Way to Children's Wellness
As a child, I did not like going to the doctor. For the most part, when I had to go I wasn't feeling good to begin with, and I was heading into a sterile environment to be awkwardly probed by a man in a white coat for a very short, impersonal period of time.
Make Low-Level Laser Therapy Part of Your Evidence-Based Practice
Low-level laser therapy (LLLT), also referred to as photobiomodulation, has been increasingly utilized in the clinical setting over the past decade.
Are You Ready for the 2016 Patient?
In October, Apple released its iOS 8 operating system for the iPhone and iPad. The new system includes Health, a new app that will interface with an ever-growing number of other apps.
News in Brief
Life to Open Branch Campus in Italy; Northwestern Research Arm Benefits From Big Donation.
The Death of the Travel Card
As long as I have been in practice, the travel card has stood as the primary style of documentation for chiropractic. It is quick, simple and direct. Unfortunately, the rules have changed.
Five Element Acupuncture Can Enhance Your Practice
For eight years I have been teaching and supervising TCM students at an acupuncture college in Colorado, in Five Element acupuncture.
Treating Chronic Depression with Acupressure
In Traditional Chinese Medicine there already exists a comprehensive theory linking the body and mind.
We Get Letters & Email
Is It Time for a Popeye Moment? The Flaw in Recommending Chiropractic as a Career.
Why Drugs and Supplements Can't Cure Disease
Chronic diseases are the outcome of disease-promoting, goal-oriented behaviors. So, the notion that diseases can be cured with drugs or supplements should be abandoned. Hypertension is the best example of this.
Acupuncture Detox as Part of Drug Rehabilitation
In the U.S., more than 2,000 alcohol and drug rehabilitation programs have added ear acupuncture to their practice. The development of the protocol was determined by Lincoln Hospital as it delivered 100 acupuncture treatments daily.
Following the Thinking of the Classics
I have heard about the "best time of day" to carry out certain examinations or therapies. For example, I remember making a note years ago that early morning is the best time to take someone's pulses.
Home Safety: Help Families Avoid Common Injury Hazards at Home
These days, many parents childproof their homes before a baby is even mobile. You will see an array of electrical outlet covers, bumpers on the corners of the coffee table and safety latches on the cupboards.
The Acupuncture Now Foundation: What Our Profession Needs
Although acupuncture is growing in popularity it continues to be underutilized due to misunderstandings about its true potential. Only a fraction of those who could be helped by acupuncture know enough to seek it out.
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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