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The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
November, 2001, Vol. 01, Issue 11
By Steve Capellini, LMT
Author's Note: The Spa Letters column features news, personality profiles, trends, and plenty of professional possibilities for LMTs in the spa industry. The style is epistolary, meaning the articles are letters to a fictional massage therapist friend of the author.
I'm glad to hear you're staying on at the spa and learning in-depth about each of the treatments offered - you'll become an increasingly invaluable employee (not to mention a better therapist) as a result. There will be plenty of opportunities for adventure in other locations as you follow your spa dreams into the future, but for now, you should build a strong foundation in the fundamentals, e.g., spa therapies.
As I travel around the country teaching basic spa therapy course, as I have for years, I'm continually amazed to rediscover just how powerful the generic, no-frills treatments really are. I show people a simplified version of several of the most common modalities: herbal wraps; mini-facials; seaweed wraps; mud and clay packs; aromatherapy applications; hydrotherapy; and body scrubs. In hopes that it will help you better understand these powerful therapies and be able to explain them clearly to your clients, maybe I can give you a little primer, starting with my favorite: the herbal wrap.
Herbal Wrap Basics
Why do we wrap people up in spas in the first place? There are several reasons. First of all, when we apply therapeutic ingredients to the skin, at whatever temperature they're applied, people tend to get chilled really fast. This includes a hot application of products, such as in the case of the herbal wrap. Within minutes, your client will be shivering if not wrapped or otherwise kept warm. Some spas use infrared heating lamps to keep clients warm, which works fine but can be awkward if the lamps are placed around the table on stands, instead of attached to the ceiling. Another reason we wrap is to create a self-contained system in which the products we apply interact with the client's body over and over again, instead of escaping into the surrounding atmosphere. Lastly, many people like the sense of security and privacy that being wrapped creates.
The mere act of being wrapped can have a bit of a therapeutic effect because wrapped people sweat, and sweating is good. Too many people (probably including many of your clients at the spa) spend too much couch-potato time, and the sweating produced by simple wrapping is a way to get their largest eliminatory system working again. But the most powerful benefits to any wrap come, of course, from the ingredients applied to the client's skin.
When I visited the Golden Door Spa in California, I discovered that they grew their own herbs right on the property for use in the herbal wrap. Many spas worldwide do the same, but it is not necessary to have locally grown herbs to make an herbal wrap work, as I'll explain in a second. The herbs can be fresh or dried, and of course organic is best. A large handful immersed in a muslin bag can last all day. Most spas change the herbal solution each night.
Each herb has a specific effect: some increase circulation, others soothe the skin, others are diaphoretic, and so on. These herbs are steeped in nearly boiling water, then special canvas-grade muslin sheets are soaked in the solution. It is these herb-infused sheets, along with outer insulating layers, that wrap around the client.
You've learned the basics of wrapping there at the spa, and from what you've told me, I can tell that the technique used there is sound. There are several variations on the basic wrapping technique, with different equipment used for each. Many spas heat their sheets in hydrocollators which, as you know, were not originally intended for this purpose. They do work well, even though they don't get the sheets as hot as the original industrial-kitchen style boilers. Of course, rubber gloves are important to protect the therapists' hands. I've found in my workshops that simple wood clamps help when wringing the heavy muslin sheets out over the steaming herbal solution.
What makes a wrap work is the way the combination of heat and the properties of the herbs "trick" your body into thinking it has a fever. And we all know what happens when you have a fever - you perspire and try to throw of toxins and invading microorganisms. As you naturally begin to release these, the herbs stimulate the process even further. The result is a detoxification effect that can range from mild to extremely intense. I remember performing a series of herbal wraps on a gentleman who was at the spa to give up smoking. At the end as I unwrapped him, a powerful order of nicotine filled the room. The sheets smelled like a used ashtray.
I'm glad to hear that your spa promotes the massage therapists as wrap practitioners. That's the law here in Florida, but in other areas, wraps are performed by unlicensed technicians. It's always best to have a qualified professional working with the clients, someone who can explain the treatment and be ready in case of any emergency.
The herbal wrap is not a treatment to be taken lightly. It has profound effects on the body, and there are contraindications for wraps, just as there are for massage. Primarily, you must remember that the herbal wrap is a heat treatment; as such, it is contraindicated for anyone who is pregnant, hypertensive, or suffering from heart conditions or diabetes.
Also, a surprisingly large number of people feel claustrophobic when wrapped in heavy sheets and blankets. Fortunately, there is a simple solution that works for over 90% of the people with this problem. Instruct your clients to leave their arms out of the wrap, and they will feel quite comfortable. The most important thing is that they feel they can get out of the wrap themselves if they so desire. There will always be a few people who still feel trapped, even with their arms out; they're better off taking an herbal bath rather than a wrap.
Well, that's all the time I have now, Lou. I bet you didn't think there was so much to know about herbal wraps alone! Next time I write, I'll fill you in on some of the other spa treatments that I've personally seen help hundreds of people in spas over the years.
Talk to you later,
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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