resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
March, 2002, Vol. 02, Issue 03
Putting the Pieces Together
By Keith Eric Grant, PhD, NCTMB
Parenthood has pulled me into some unexpected byways of learning. One such journey came in reading about those who design imaginative constructions for LEGO®, the maker of the ubiquitous small, brightly-colored plastic bricks that fit together - the same sharp-edged bricks that I've stepped on too many times while walking barefoot through my house. While LEGO® makes many specialized pieces, those who design and make creations for LEGO® itself first have to demonstrate high proficiency with the simple basic brick. From the basic bricks spring forth the larger modules that eventually combine into thematic displays. In learning to skillfully practice the art and profession of massage, we can take lessons from LEGO® - the basic bricks are the starting points, to which we must add a larger context that guides us in joining the individual bricks into something greater.2
In teaching sports and deep-tissue massage classes, my basic bricks include evaluative skills, specific manipulation techniques, biomechanics, and knowledge of how to access and facilitate specific soft-tissue structures. Surrounding the individual kinesthetic skills and concepts is an ongoing context of client connection and communication motivated ultimately by the intent to create lasting benefit for our clients. It is this context of creating benefit that guides us consciously and unconsciously and allows each new session to evolve into something that is fresh and unique. As with the LEGO® bricks, there are countless "right" ways to create a massage from our store or conceptual and kinesthetic knowledge.
Like a good horticulturist, part of teaching the craft of massage comes in grafting the new learning onto a student's rootstock of experience, so that it will bear fruit rather than wither unused and unusable. I often start this process with exercises designed to build our kinesthetic vocabularies, initially backing off from the pressures of "doing massage" into the practice of coordination, movement and connection found in variations of tai ji push hands. This kinesthetic practice teaches us to match the movement and to become aware of the pressure and contact that we exert vis-a-vis our partner. We can maintain the contact on the physical level or loosen it into contact via a viscous visualized "energy taffy" - still maintaining the moment-by-moment connection of intent and awareness - in touch yet not physically touching. A primary effect of this practice is that we rapidly move from being a room of strangers to being a class of individuals who have moved together and laughed together into feelings of cohesion and commonality. We are practicing the nonverbal skills of perception that will allow our clients to teach us touch-by-touch what works for them.
This movement practice allows us to examine and relearn our own body usage. The exercises slow us down to practice the flow of one position into another, so that we can become aware of our proprioception of bearing our own weight and how that realization shifts as we move forward and back or side-to-side. We become aware of those places in which our movements are smooth and continuous and learn new neuromuscular patterns for those places that we previously sped or jerked through.
The movements integrate us, moving not just in our hands and wrists, but in our arms and shoulders; and not just in our arms and shoulders, but through our torsos and legs into our feet. Through our feet, we create contact with the floor. When we align our pelvis with the direction of performing our massage strokes and roll tissues using our entire body rather than just the intrinsic muscles of our hands, the strength and smoothness of our moves are palpable to our clients. Our work becomes a tai ji dance, rather than an injury inviting strain of our own muscles and tissues.
With our skills of movement and nonverbal contact accomplished, we are freer to sense and attend to our clients' needs, letting each session develop from their expressions and our own perceptions. We can glean background from our clients in words either written or verbal or by the visual means of having a client color in problem areas on a body image diagram. 3 Visually, we can look for areas of asymmetry and dislocation in the alignment of the different sections of a client's body. 1, 4 Via palpation and range-of-motion checks, we can seek areas of muscle hypertonicity and abnormal tissue texture. I've found Philip Greenman's mnemonic of ART to be useful - Asymmetry of related parts, Range of motion of joints, and abnormalities of tissue Texture. 4 Depending of the focus of a massage, we sometimes observe these implicitly within the context of an opening stretch or compressive effleurage, and sometimes explicitly in seeking the causes of pain or limitation. Our therapy also can be done implicitly by focusing on a tissue lesion within the flow of a general massage, or explicitly as part of a planned facilitation with considerable client interaction and participation. There are indeed nearly an infinite number of ways to put the pieces together to further our goal of creating long-term client benefit.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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