resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 2)
As mentioned in part 1, using a flexion-distraction table is a great way to unlock this particular fixation. You have found the stuck segment. You have determined whether it is unilateral, midline or bilateral.
Lime Jello on Morphine
Taste is in the eyes... actually the mouth... of the beholder. My food preferences have changed, lightening from the food of my youth. My parents loved heavy eastern European cuisine and I loved it as a child. Now I enjoy leaner, healthier whole foods.
The Tao of Gender
If you think gender is as simple as having a new client check off the "male" or "female" box on your intake form, we hope this article will expand your understanding and thus the reach of your health care.
Uncle Sam Needs You (Part 2)
Where chiropractic care has been used in the military health services, it has been deemed very successful.
Simple Ways To Find True Happiness
Patients in our clinics are always seeking happiness. As their health advocate, we need to ensure we inform them that in order to find happiness, they have to make sure to identify what makes them happy in the first place.
Essential Orthopedic Testing: Tests That Involve Standing on One Leg
Since these tests have a common mechanism of performance (standing on one leg), there are differential diagnostic concerns during testing. The tests cannot be completely isolated from each other for performance.
Chiropractic Research in Review
Predicting Pain With Disability in Office Workers; Traction Approaches for Discogenic Cervical Radiculopathy; Intra-Articular Gas Bubbles Following Manipulation; Nonresponsive Chronic Ankle Sprains: Think Tendon Rupture.
Pulse Diagnosis: What We Know
I am still finding pearls of wisdom from the books and papers that I inherited from my pulse diagnosis mentor Jim Ramholz.
The Wonders of Light Therapy: An Interview with Wes Burwell
I first met Wes Burwell in 2011 when he was teaching a class on light. Since then, every time I hear him speak, his understanding of the benefits, function and capacity of light has evolved.
Sports Science: What's in That Drink?
Athletes frequently ask me what the best liquid is to drink during exercise – water or a sports drink? Water provides the necessary hydration, but unfortunately, it lacks the key nutrients to aid in performance and recovery.
To The Finish Line With the Help of TCM
When acupuncturist Eddy De Smedt pursued a career in Traditional Chinese Medicine, he knew he wanted to make a difference.
The Heart Protector
On the physical level, the Pericardium is a double-layered sac of fibrous tissue that envelops the Heart. The space between the layers is filled with serous fluid that protects the Heart from external shock or trauma and lubricates to allow for normal Heart movement.
Correcting Pelvic Rotation Around the Long Axis: Adjustment Protocol
The pelvis can be considered a ring that can misalign on the sacrum rotating around the long axis. The following is a description of an adjustment that helps to correct sacroiliac rotation around the long axis.
Communication 101: Please Explain Yourself!
Twice this past week, I overheard conversations about chiropractic. As you can imagine, it is a topic my ears naturally pick up. In both cases, a patient was talking to a friend about their experience with a chiropractor.
AOMA Strengthens Leadership Team
AOMA Graduate School of Integrative Medicine, a leading college of acupuncture & herbal medicine, announced the appointment of Donna LaPoint Hurta, MBA as the new VP of Finance & Operations this Fall.
Managing Patient Expectations About Acupuncture
Last year, I attended the Pacific Symposium in San Diego for the first time in six or seven years. It was the 25th anniversary of this event, and on one evening there was a panel discussion with the title; "What is Qi?."
Jingei Diagnosis: An Effective and Powerful Diagnostic
I graduated from the Kotatama Institute under the direction of Drs. Masahilo and Katsuharu Nakazono in 1984. As a student, I was exposed to the practice of most of the various theories and modalites of Oriental Medicine.
Healing With TCM at San Quentin State Prison
For the prisoners at San Quentin State Prison, life-sentences are the reality of every day life. It is not often that prisoners get the opportunity to use alternative medicine to deal with common ailments they encounter behind bars such as, depression, anxiety and pain.
The Case for Immunization
As long as I have been a chiropractor, I have seen many in this profession oppose vaccinations. Indeed, it has often been taken as a "given" that to be a principled chiropractor requires a curmudgeon's willingness to hold aloft that banner of opposition.
Managing Today's Fertility Patient
I recently received an email from one of my fertility patients: "Got my lab results back. FSH is 11, AMH is 0.7. My doctor said these numbers aren't good. I guess I'm infertile. Just as a thought. Just set up an appointment to speak with an adoption agency."
Dr. George Goodman and His Legacy to Logan University
Those who knew him called him a revered leader, a visionary and one of chiropractic's biggest advocates. George A. Goodman, DC, Logan University's sixth and longest-serving president, passed away on Sept. 9. He was 70 years old.
Commingling Money: 12 Questions for the ACA About the CHAMP / NCLAF Merger
The American Chiropractic Association recently announced it was merging the National Chiropractic Legal Action Fund and the Chiropractic Health Advocacy and Mobilization Project into a single entity that will support both legal and legislative actions.
May, 2001, Vol. 01, Issue 05
Nerve Compression and Tension
By Whitney Lowe, LMT
The nervous system is a fascinating communication network. When functioning properly, it can coordinate a tremendous amount of essential information moving throughout the body.When it is impaired, it can cause us excruciating pain or even complete limitations to movement. Because we work so closely with the soft tissues of the body, it is valuable for the massage therapist to understand more about various nervous system pathologies.
The nervous system is a complex network for the transmission of information going in two different directions. We have sensory (afferent) signals moving from the periphery of the body back to the central nervous system and motor (efferent) signals moving from the central nervous system to the periphery. Both types of signals are transmitted along the same nerve tissue. Therefore, if there is an impairment of nerve function, it is likely to affect both sensory and motor signals.
During the course of normal daily function, the structures of the nervous system are exposed to a variety of different forces. The two forces that cause problems most frequently in the nervous system are compression and tension. When something causes a problem with the proper function of nerve tissue, it is called a neuropathy. Therefore, when speaking of nerve compression and tension injuries, we call them compression or tension neuropathies.
Compression neuropathies are the most common type of nerve injuries. There may be various causes of compression neuropathy. Compression by other structures in a small space (such as an anatomical tunnel) is a common cause. Examples would include compression of the median nerve in the carpal tunnel, the posterior tibial nerve in the tarsal tunnel, or a spinal nerve root as it travels through an intervertebral foramen. Often there is some reason that the tunnel or space through which the nerve travels has narrowed, and the adjacent structures will compress the nerve. This location, where nerve tissue is immediately adjacent to other tissues that often impinge on it, is referred to as the "mechanical interface."1
Sometimes a compression injury will be caused by an outside mechanical force. For example, the radial nerve is often injured in the axillary region from improperly fitted crutches. Prolonged pressure underneath the axilla from the crutches will compress the radial nerve. Long-distance cyclists often experience a similar problem, termed "handlebar palsy." Handlebar palsy is a compression of the ulnar nerve in the wrist that occurs from long periods of direct pressure on the nerve, when the weight of the upper body is resting on the handlebars.
Tension neuropathies, while not as common as compression neuropathies, are increasingly viewed as important clinical problems. It has been demonstrated that for the body to move properly, the nervous system must have significant mobility. This is especially true in the extremities, in which the nerves must bend around joints and allow for increases in length as the joints bend at sharp angles. If such mobility is compromised, increased tension on the nervous tissue can cause pathological changes.2
Symptoms of compression or tension neuropathies are very similar. In fact, you can't tell the difference in a compression or tension neuropathy simply by the symptoms. In many instances compression and tension neuropathies will exist together. For example, if there is excess compression on the brachial plexus, proper mobility of the nerves of that plexus will be impaired. Therefore these nerves may be subjected to tension neuropathies farther down the arm, because the compression of the brachial plexus has limited the neural mobility.
The most common symptoms of compression and tension neuropathies include pain (often described as sharp, stabbing or electrical in nature); paresthesia (the sensation of pins and needles); numbness; or muscle weakness. These various symptoms will usually be identified with a thorough client interview and detailed physical examination procedures. In future installments of this column, we will look at a number of special tests for evaluating specific nervous system pathologies.
One of the most fascinating aspects of compression and tension neuropathies is something called the double (or multiple) crush phenomenon. This was originally described because a large number of patients with carpal tunnel syndrome also appeared to have brachial plexus neuropathies. The investigators wondered if it was possible that one site of nerve compression might make another site more sensitive and susceptible to compression pathologies. To understand how this occurs, it is helpful to investigate nerve anatomy more closely.
The nerves are not only responsible for transmitting afferent and efferent signals along their length; they are also responsible for moving their own nutrient proteins, which are essential for optimal function. The movement of these nutrient proteins is accomplished through a special type of cytoplasm within the nerve cell called axoplasm (referring to cytoplasm of the axon). The axoplasm moves freely along the entire length of the nerve. If there is a blockage to the flow of the axoplasm (called axoplasmic flow), the nerve tissue distal to that site of compression is nutritionally deprived and more susceptible to injury.
Because of the increased understanding of neural anatomy, the presence of double and multiple crush syndromes has gotten a great deal more attention. Many clinical practitioners are now finding explanations for groups of signs and symptoms that previously didn't make much sense, but are much more easily explained with the idea of the double crush. The massage practitioner whose client may have compression or tension neuropathies is strongly encouraged to study nervous system structure and function more thoroughly. Since many of these neuropathies occur because of soft tissue restriction, there is a great deal that we can often do to help alleviate these problems.
Click here for more information about Whitney Lowe, LMT.
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