resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
We Get Letters & Email
Is It Time for a Popeye Moment? The Flaw in Recommending Chiropractic as a Career.
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.
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.
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.
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.
Meat in the Middle
Have you ever wondered what's the truth about meat? Is it really as bad as many people think?
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.
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.
Step by Step: Long-Term Treatment of Soft-Tissue Injuries Combines Skill and Care
Treating soft-tissue injuries with long-lasting results starts the moment an individual enters the office. When it comes to pain, the only thing that matters to the patient is relief.
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.
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.
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.
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.
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.
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.
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 Chronic Depression with Acupressure
In Traditional Chinese Medicine there already exists a comprehensive theory linking the body and mind.
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.
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.
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.
News in Brief
Life to Open Branch Campus in Italy; Northwestern Research Arm Benefits From Big Donation.
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.
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.
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.
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.
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.
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.
November, 2001, Vol. 01, Issue 11
Bringing Relief to WTC Rescue Workers
Masssage Services Provided at New York City's Stuyvesant High School
By Liz Pasquale, LMT
Editor's note: Liz Pasquale is a licensed massage therapist in private practice in Ossining, New York since 1993.Liz and fellow massage therapist Susan Galbraith (who took the photos presented in this article) were two of many health care professionals providing care to rescue workers at Stuyvesant High School, only a few blocks from the World Trade Center.
The airplanes hit the Twin Towers on Tuesday, September 11th, at about 9 a.m. The next morning, I called my friend, Dr. Antonio Abad. He told me he had gone to the towers Tuesday morning to create a triage center at Stuyvesant High School on Chambers and West Side Highway, about two blocks from the site.
I asked him if he needed my help. "Come on down," he replied. "I don't know if you'll be able to get in, but if you can, we could use you."
It was a sunny day as I walked toward the black mushroom cloud. Emergency vehicles passed every few moments. The scene was overwhelming. I almost wished the guards would stop me, but no one did. In fact, I was given a ride to the door. I stepped out of the van into a sea of billowing dust, smoke and people rushing about in protective clothing.
It no longer seemed like New York at all, or any other place I knew. It was a war zone. I felt like I'd left my home state light years behind.
Asbestos Dust Coats the Air
The wind carried swells of dust into the school with us. It covered everyone. We looked like we were all wearing the same gray uniform.
Signs said, "Asbestos levels high. Please wear a mask." Almost everyone had a paper or surgical mask, generally hanging casually around his or her neck. None had filters. I placed one over my nose and mouth, though I suspected it was no good for asbestos.
I found my friend, Dr. Abad, and he explained my job: to ferret out workers showing signs of extreme fatigue and stress. I was to get them to lie down for a massage. If I thought they were in really bad shape, I was to get him or her a nurse to check them personally. It was pure chaos. One floor housed the food, a central area of communications, and a long hall with cots set up. There were IV units, medical supplies, doctors and nurses everywhere. The police and firefighters were in the school theater.
Everything was covered with that dust. With each step, it clouded around us. The communications center had no phones - the electricity was out. People would just come into the center of the room and ask for whatever they needed. The person behind the desk would shrug. Somebody in the crowd would overhear and point in the right direction, to a police officer or an army staff person or an emergency vehicle out front.
Generators provided the limited electricity we did have. The toilets had just gotten up and running again, for the first time since Tuesday. There were upwards of 200 people rushing about in the dust clouds, eating, organizing, talking, medicating. And always a few search dogs.
A Firefighter Shares His Sorrow
I found a dusty massage table in the midst of everything, so I took it upstairs and found a clean, quiet room. It was filled with school desks and historic pictures showing a barricaded village at the tip of Manhattan. Dr. Abad brought in a middle-aged fireman. I'll call him Paddy O'Flannery.
Paddy was covered with the asbestos dirt. On top of his clothes he wore fireproof gear. He took off his boots, and I had a moment of doubt. How was I going to feel anything under his gear? I decided to start with lymph drainage therapy and began at the clavicles. I could get my hand on the skin there. After that it was easy. The lymph rhythm actually came to me through the gear. I was in it.
Paddy was a chatty guy, but his significance detector quickly indicated we were in deep stuff. He said he had been home when he saw the TV report shortly after 9 a.m. He got over there right away. That was his home turf. He had wondered if his guys were dead already.
When he arrived, he was so glad to see they were all there. A fireman named Ray Downey walked over to them. "Ray Downey is a god," Paddy said. "He's got a chest full of medals. I've been in this business 15 years and I've got two puny medals. He's got a million of 'em. And he went to Oklahoma. Everywhere there's a big fire, he goes.
"So he walks over to us and says, 'Hey, why don't you stand back a bit. This is looking pretty sketchy.' So my guys turn around and start to walk back, and the other guys next to us walk to the right. All those guys, my buddies who walked to the right, they all got it. All gone. And my guys, we were running for our lives cause at that second it all comes down.
"And Ray Downey is gone. Thirty seconds after he told us to get back, gone. He was a god to us firemen."
A Stairwell Landing Becomes a Crossroad of Care
I noticed that a few chiropractors had set up on the landing between the first and second floors, so I joined them. We were between the door and the food, so everyone saw us when they passed. It was a never-ending stream of people carrying supplies, talking, and kicking up dust. Yet even in the chaos people would get up from the table after their sessions and say, "That was the most relaxing massage" or " I feel like I've slept for a week."
For days we treated overworked, traumatized firefighters, police officers, rescue workers and debris diggers. Some of them were brought there by their bosses and slumped onto the table wearing whatever they had on - bunker pants, harnesses laden with clips and ropes, gun belts, flashlights, pockets filled with tools. All covered with that gray dust. I had started working on Thursday. By the time most men reached my table, it was the first break they had allowed themselves since they began Tuesday morning.
I got into the habit of starting with lymph drainage therapy because it immediately relaxed them. Working over their clothes was no problem. I'd switch to CranioSacral Therapy, then to visceral manipulation as we went along.
Other massage therapists soon joined me. Eventually, we had about six or seven chairs and four tables set up. Most therapists were doing Swedish massage over clothes. Some did acupressure and shiatsu, while others worked on floor mats. After four days it grew to be 12 to 15 massage therapists on the landing, with two or three chiropractors who had moved to the 3rd floor.
A rough schedule evolved. It became busy around 9 p.m. The therapists were swamped straight through until dawn. Most of us worked without a break as long as there were men waiting. The funny thing was, I never felt tired. When people did, we would badger them to take a rest.
Then morning came and the night shift would leave. I'd have breakfast, shower, and sleep. Fresh faces would appear to man the day shift, which wasn't nearly so busy. I'd work on and off during the day when I wasn't napping. Then in the evening we'd be ready to start the all-night massage marathon again.
Emotional Releases Run High
Ordinarily in my practice, about 20% of my clients - usually people I'd seen a few times - experience an emotional release. But here, more than 80% of these men discharged their emotions, often in the first 5 to 10 minutes. Most of them I'd never met, and they'd never had a massage before.
This is how it went: First I'd give each man some water when he arrived. A quick evaluation always pointed to restrictions of the thorax: compromised lungs. This wasn't surprising, since they'd all been inhaling smoke for hours. Grief appeared to be omnipresent at the heart level.
I would check the cranial rhythm, which usually seemed shocked - very faint or completely stopped. Then I'd start with lymph drainage therapy at the clavicles, proceeding up the neck to the face. That's when the sudden presence of tears rolling down the man's face would alert me.
Only one policeman cried in silence, not telling me his thoughts. All the others related some traumatic event, usually involving a search through the debris.
Afterward, each man would continue to process quietly in what resembled a deep sleep. I would continue following the body, doing CranioSacral and visceral work. By the end of the session, the cranial rhythm would have revived somewhat, even approaching what one might consider normal. I often ended by inducing a few still points or returning to lymphatic work.
Memories Help Ease Fluid Dynamics
Before this tragedy, I had just returned two weeks prior from an Upledger Institute workshop in the Bahamas. We spent four days on The Upledger Foundation's boat, and had two sessions swimming with dolphins.
During the day we did bodywork in the warm, shallow water at remote beaches. The movement of the ocean became integrated with the cranial and lymph fluids we were palpating, which helped facilitate healing.
Now as I worked on this crowded, noisy, dirty balcony, I drew on that experience. I imagined all of us at the beach, immersed in water, using that vision to access each man's internal ocean. I imagined dolphins assisting us. As I did I gained easy entry into each person's fluid dynamics, and together we moved toward healing.
I worked on a man named Michael, who was there with his dog, Max. They had driven up from Mississippi in record time. "I saw it on the news at 9 a.m. By 11 a.m. I was 300 miles away, headed here," he said. "The police in my home state gave me an escort, changing as I crossed each county line. After I left Mississippi, each time a cop stopped me and I told him where I was going, he waved me on."
Michael had trained Max himself, and they had had a good day yesterday. But today was Max's best day. He found 17. "Most were parts. Confused the bejesus out of Max," Michael said. "He's not used to this. But neither am I. That's why I don't do this anymore. I usually train. I just come out for the big stuff. Like Oklahoma. But this is the biggest. Today we found a kid's hand. I can't take this anymore. I lost a kid myself, so I just can't take it." After I finished working on Michael, I worked on Max.
Light Touch Brings Profound Results
Later that night, Dr. Abad and I met privately. He wanted to know how it was going. When I told him most of the men I was seeing were having emotional releases, he was shocked. I told him it was the nature of the work. Lymph drainage moves fluids and tends to draw emotions out of the places they're buried. CranioSacral Therapy and visceral manipulation have the same effect, I told him.
"Keep it up," he said. "The others are only massaging for 20 to 30 minutes, mainly doing muscles. What you're doing is different and very helpful." At that point, I felt like every workshop I'd ever taken had led me to my work here, one week in time.
Sorrow Reflects Off the Altered Skyline
It was 2:30 Friday morning. The massage tables and chairs were full, and there was no sign that it was the middle of the night. As I gazed out the window, I was constantly struck by what wasn't there. I never thought in my lifetime there would be no Twin Towers. I remembered years ago when they were first built. People said they were so tall they might just fall over.
James was a volunteer from Connecticut. His boss's daughter was on Flight 11. He was working in the rain. Lasers are trained on the buildings still standing, so the emergency personnel can tell if they're going to fall. When the buildings move, they trip evacuation alarms. The rain had made the buildings heavier and the alarms were going off.
"Scariest thing I ever heard," James said. "I heard that alarm and ran as fast as I could. Everyone was in a panic. I saw a girl get trampled. They knocked her down. A fireman stopped to help her out. I just had to take a break after that."
Another man, Mario, began to shudder during his session. His body jerked as tears streamed down his face. "It's not right," he said. "I pulled a young woman out of the rubble today. She was in terrible shape. She was dead. She had red fingernail polish," he sighed deeply, "and no head."
Common Cause Transcends All Barriers
And so it goes, night after night. Generally, it seems to slow down during the day, pick up around 7 or 8 p.m., and then gets really busy around 11 p.m. and stays that way until 4 in the morning. By the fourth day, someone actually made a 3 a.m. appointment with me.
Eventually, I had a real respirator that filtered asbestos. I worked and slept with it on. Other supplies were plentiful. One hallway was packed with donated clothes. New socks, underwear, t-shirts, even boots. On the 5th floor I could take a shower, even a hot one by the fourth day. There was shampoo, soap, towels, toothbrushes, deodorant, anything you could imagine. The generosity was overwhelming.
And the food was really good. They eventually got the 7th floor kitchen operating, so the city's great restaurants started sending their chefs to our kitchen to cook. Hundreds of workers came in every day to help with it, all of them volunteers. Many lived here and just walked in when the trouble began. Others came from up and down the East coast.
"The Department of Health was in here today," Suzie said as I worked on her. "They told us to leave because we're not their employees. So I asked them, 'Who's going to feed all these people?' Now they're letting us stay."
So here it is, five days later. I'm still wearing my respirator and working on people wearing flak jackets, bunker pants, harnesses and gun belts. One man asks me if I've had a lot of marriage proposals this week. "More this week than ever in my life," I reply, my voice contorted by the respirator. "And they haven't even seen my face." He laughs and says, "We're not marrying your face. We're marrying your hands."
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