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Insomnia Treatment Based on the Yu Theory
In recent years, acupuncture has risen in popularity as a form of alternative or supplemental medicine for the treatment of many different types of disorders.
What's Bugging You? Probiotics and Your Health
An estimated 100 trillion microorganisms representing more than 500 different species inhabit every normal, healthy bowel. Gut-dwelling bacteria keep pathogens in check, aid digestion and nutrient absorption, and contribute to immune function.
Scope of Chiropractic Practice: Why Now Is the Time to Expand
In my January article, "Scope of Chiropractic Practice: Is It Time for Change?" I discussed the use of the term primary spine care practitioner, the loss of privileges to diagnose in Texas, and the fact that the definition of "chiropractic" varied from state to state.
5 Ways to Enhance Your Family Practice
Every practice has a personality style. A practice that caters to athletes, PI cases or adults, for example, projects differently to patients than a family wellness practice.
The Qi Focus: A Guide to Managing Stress
Stress, are you experiencing heightened stress levels? Your own, and your clients? Is Trumpitis getting to you? I recently polled a cluster of acupuncturists, Asian Bodywork Therapists (ABT) and psychotherapy colleagues on the issue.
The First (Only) Choice for Spinal Pain
The study on NSAIDs for spinal pain summarized on the front page of this issue is intriguing on a number of levels, the most obvious being the conclusion that "compared with placebo, NSAIDs do not provide a clinically important effect on spinal pain, and six patients must be treated with NSAIDs for one patient to achieve a clinically important benefit in the short-term."
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
Treating LBP the Right Way: Think Natural
An updated clinical practice guideline from the American College of Physicians (ACP) recommends spinal manipulation and other non-invasive, non-drug therapies as first options for acute, subacute and chronic low back pain, rather than pain medications, as stipulated in the original 2007 guideline.
Toxicity & Kids: The Importance of Environmental Intake
The old adage is true that children are not little adults. Traditional Chinese medicine (TCM) has long known that the physiology of children is unique, as are the diseases that plague them.
Chiropractic: A Great Fit for the White House
Dr. Eric Kaplan is a New York Chiropractic College alumnus; a No. 1 best-selling author whose books include Awaken the Wellness Within and The 5 Minute Motivator; a chiropractor for professional sports teams and elite athletes; and even served as an advisor under the Clinton Administration to the President's Council on Sports & Physical Fitness.
The Chiropractor's Guide to CRISPR
Science magazine's "Breakthrough of the Year" award for 2015 was described as "the gene-editing tool called CRISPR." CRISPR stands for "clustered regularly interspaced short palindromic repeats."
NSAIDs No Better Than Placebo for Spine Pain
A meta-analysis of randomized, placebo-controlled trials comparing the efficacy and safety of NSAIDs with placebo for spinal pain concludes that among 6,065 spine pain patients, "NSAIDs reduced pain and disability, but provided clinically unimportant effects over placebo."
How to Correct a Cuboid Subluxation
Cuboid subluxation is a poorly recognized condition, even though it is not uncommon. It has been described in the literature under various names: cuboid subluxation, cuboid syndrome, locked cuboid, dropped cuboid, cuboid fault syndrome or peroneal cuboid syndrome.
Treating the Terrain of Chronic Sinus Infections
Chronic sinus infections can be stubborn to treat, but the therapeutic path forward can be simplified when utilizing three distinct treatment principles which take into account the terrain of the body, and the way in which microbes grow.
Give Your Patients the Ergonomic Advantage
Prolonged sitting contributes to low back pain and is a health risk. When I discuss my POLITE technique practice recommendations with patients, ergonomics may be last, but not least!
Shedding Light on the Benefits of Heliotherapy
I can't imagine anyone not feeling good strolling in the sun on a beautiful spring day. The sun is responsible for all life on earth and is best illustrated along the equator touting the richest biodiversity on the planet, in stark contrast to the Arctic Circle and South Pole.
Making Sense of Liver Regulation
In Chinese medicine, the liver has the function of moving and storing qi and blood. In its moving function, the liver smoothly distributes qi and blood to the tendons, muscles and flesh through microcirculation.
Waist Circumference: A Conversation Starter (Part 2)
Now let's discuss the clinical approach to reducing WC and implementation in today's chiropractic practice. The primary intervention centers around dietary modification and lifestyle habits aimed to reduce adiposity, improve insulin sensitivity and ultimately, diminish systemic metabolic dysfunction.
Help Save an Important Chiropractic Landmark
The chiropractic profession has a splendid and varied history. Sadly, many landmarks have been lost to bulldozers and wrecking crews, such as the Ryan Building, Little-Bit-O-Heaven, Spears Chiropractic Hospital, and Clearview Sanitarium.
News In Brief
A "Modern" Business Model. Acupuncturists may have a new professional atmosphere to consider, as a new concept is on the horizon - at least for one business.
Good Works at the Canandaigua VA
Faculty and students of the Finger Lakes School of Acupuncture and Oriental Medicine (FLSAOM) of the New York Chiropractic College have provided acupuncture to veterans at the Veterans' Administration Medical Center (VAMC) in Canandaigua, New York since September of 2007.
April, 2001, Vol. 01, Issue 04
By Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President
Hello readers, and thank you for your wonderful responses to the first article of my Dealing with Pathologies column in the January 2001 edition of Massage Today!
Several people wrote in with interesting questions that they wanted to bring to public discussion.Some of these were fairly simple, like, "Is shingles contagious?" (Not if you've ever had chicken pox, but shingles can be extraordinarily painful, so take care!), and "What are the rules for working with high blood pressure?" (If it is manageable with diet and exercise, go to town; if it requires medication, use more caution with circulatory massage).
One of the most complex questions was raised by a massage therapist from the South, who wrote that she had worked for a short time in a salon. Her employer made all her appointments and controlled all the initial contact with her clients. The owner of the salon, not understanding the profound impact massage can have on health and disease, expected her to work with clients with a variety of conditions that could contraindicate Swedish massage: advanced atherosclerosis patients, clients with unexplained dizziness, and clients with unregulated diabetes. When the therapist repeatedly voiced her concerns, her employer didn't seem to grasp the seriousness of the problem. The working relationship was short-lived, and the therapist found another situation in which she could have more control over her choices.
How could this problem have been avoided? I see a need for three related areas of education:
1) Therapist-Employer Education
Any therapist who works as an employee has an obligation to meet the commitments outlined in that relationship, but those commitments need to be clearly stated from the beginning. This is obviously true for financial matters, but it also applies to how the therapist manages clients. In other words, massage therapists need to make clear that they may refuse to do circulatory massage with any client if they feel it is not in the client's best interest - regardless of whether the client or employer agrees. (And of course, therapists should also be able to refuse to give service to any client who abuses the client-therapist relationship; this is a safety issue.)
Many employers of massage therapists, especially those working in the "relaxation" aspect of the profession rather than in "clinical" settings, don't know the risks that circulatory massage may have. It is the therapist's job to educate these employers for the benefit of all their clients. For this purpose, it might be useful to make up a brief list outlining cautions and concerns for Swedish massage; circulatory and sensory disorders, contagious diseases, certain medications, and undiagnosed problems are all cause for concern. Of course, any such list needs a disclaimer explaining that decisions must be made on a case-by-case basis.
Other client management issues include being able to interview clients before they come for a first appointment; being able to take a thorough health history; and being able, when necessary, to consult with other members of a client's health care team.
The better we become at educating massage therapy employers about the risks and benefits of massage, the safer the profession will be for therapists and clients.2) Therapist-Client Education
Another front-line education target is our clientele. Swedish massage is our industry standard. It is what most people expect when they pay money to receive massage. The vast majority of massage therapists use Swedish massage with most or all of their clients. However, we all know that whole worlds of bodywork have been developed that lack the circulatory impact Swedish massage has. When we, the therapists, are better able to educate our clientele about alternatives to Swedish massage that can yield outstanding benefits with minimal risks, we will have more options when people come to us with conditions that contraindicate Swedish massage.
I have found that when I discuss bodywork choices with clients, in terms of their own health and safety, they are usually open-minded about receiving work outside of their expectations. Not all clients will enjoy non-circulatory bodywork, however. Some may leave to find therapists who will do Swedish massage, regardless of their medical conditions. But every therapist needs to define boundaries for keeping clients safe. Beyond legalities and the threat of litigation, we need to keep the health and well being of our clientele first and foremost in our judgment.
3) Therapist Education
Finally, we ourselves have an obligation to be continually learning and adding to our skills. An old saying goes, "if all you have is a hammer, everything looks like a nail." If all you know is Swedish massage, every client looks like a good candidate for circulatory work! But if we have, in addition to our Swedish hammer, a craniosacral screwdriver, reflexology pliers, a Bowen technique drill... you get the picture. The more tools we have in our tool belt, the more versatile we can be. This benefits not only ourselves, keeping lively and interested in our work as we incorporate new skills, but also our clients, who will have therapists with skills that apply even when medical situations preclude circulatory massage.
This whole issue of making decisions about bodywork when our clients are not completely healthy, brings up a few more questions I'd like to put to you:
How do you talk to your clients about their health? When you see or notice something that requires attention from a medical professional, what do you say or do? Have you ever had to send a client away because his or her medical situation was too precarious? How did you convey your concerns? Did you feel you did a good job?
Send me your feedback, along with any other questions about massage and pathology, and I'll discuss it in a future article in Massage Today! Until then, good health and happiness.
Click here for previous articles by Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President.
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