resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Waist Circumference: A Conversation Starter
New estimates suggest more than two-thirds of Americans are either overweight or obese. The medical significance of this statistic is astounding.
Paperwork Done Wrong, Done Right
I was visiting a doctor's office recently and a member of his staff brought a stack of forms to his private office and laid them on the doctor's desk. She informed him he needed to complete the forms for patients and a few third parties.
VF Works / DMX Works Epilogue: Almost Two Decades Later, the Lawsuits Continue
An article in the March 8, 1999 edition of Dynamic Chiropractic examined whether then-VF Works / Nu-Best Franchising was selling its franchises illegally to doctors of chiropractic.
A Brief History of Acupuncture and Oriental Medicine Doctoral Programs
A doctorate in acupuncture and Oriental medicine has been a goal of the profession since its beginnings in the late 1970s. At that time, however, the maturity of the educational institutions and the regulatory environment made it a goal with only a distant completion date.
The Acupuncture Channel System (Part 2)
The primary channels (main channels) are introduced in chapter 10 of the Ling Shu, these channels are referenced in many chapters throughout the Su Wen and the Ling Shu. The primary channels have become the main channel system used in TCM.
Treating the Lower Pelvis (Pt. 2): Midline Structures and Fascia
My previous article [October 2016 issue] outlined evaluation and treatment of pelvic issues involving the sacrotuberous ligament and the pubic symphysis. Now let's discuss two case studies that illustrate how to address additional problematic areas of the pelvis.
Reader Beware: Consider the Source
The aftermath of last year's presidential elections brought a running conversation on the role played by "fake news" that was largely presented via social media.
4 Things Every DC Should Know About Levels of Care & Prevention
As health practitioners, we help people with their health problems and assist them with health promotion and disease prevention.
Latest Cassidy Study on Stroke Risk Published
The latest study to investigate whether a unique association between chiropractic manipulation and risk of cervical artery dissection / stroke exists has yielded similar encouraging findings, with the authors noting "no excess risk of carotid artery stroke after chiropractic care" and no significant risk difference between patients receiving care from a DC or a primary care medical provider.
Gather & Grow
I recently attended a faculty seminar held by one of the acupuncture schools. There was a facilitator who led us through some very interesting experiences. The attendees were a diverse group with varying opinions.
News in Brief
The American Association of Acupuncture and Oriental Medicine (AAAOM) board members recently met with the Korean Customs Service, which is similar to the FDA, to discuss herbal safety and importation issues.
House Calls With Dad
My father was a chiropractor and he did house calls. On Wednesday nights, while my mother attended the weekly women's meeting at the Odd Fellows and Rebekahs hall in our small town, dad loaded up the portable adjusting table, fired up the Pontiac and drove off to treat a few patients in their homes. I went with him.
TCM & the Caregiving Population: Treatment Considerations & Our Vital Role
Informal caregiving is increasingly a reality for many Americans who find themselves providing unpaid care for a loved one or a family member with a long-term, terminal, or chronic illness.
AOM Residency at NUNM
Imagine you're a recent acupuncture graduate, worried about making enough income as you forge your new career and seek more in-depth training in a particular treatment style.
ICA Goes on the Vaccine Offensive
Have you watched the vaccination documentary, "Vaxxed: From Cover-Up to Catastrophe," by Andrew Wakefield MD, director, and Del Bigtree, producer? This is the documentary Robert DeNiro was pressured to remove from his Tribeca Film Festival.
Spiritual Initiation: Opening Your Higher Healing Abilities
People drawn to the field of acupuncture and Oriental Medicine tend to be those who march to the beat of a different drummer.
Correcting Rib Dysfunction: Improve Patients' Pain, Posture and Breathing
As chiropractors, we tend to focus on the spine, and rightly so. Many problems our patients face can be corrected by manipulating the correct spinal level.
Helping Patients With Parkinson's Disease
Parkinson's disease (PD), a long-term degenerative disorder of the central nervous system that mainly affects motor function, has a slow onset over time.
The Large Intestine Official
The large intestine (AKA colon) is the great eliminator, or as J.R. Worsley called it, "The Drainer of the Dregs." Dregs are defined as the remnants of liquid with its sediment left in a container, or the basest, least valuable portion of anything.
Chiropractic in Texas Is Under Attack
The profession of chiropractic faces an unprecedented challenge in Texas, an attack that is more aggressive, sustained and dangerous than anything previously seen. The medical lobby has launched a coordinated, multi-front assault.
Advancing the "Whole Organ" Spine Model
Historically, the human spine has been organized by body region utilizing specific anatomical landmarks and transition zones.
Getting Unstuck: Healing From Trauma With TCM, Qigong & Movement
We all come into this world vulnerable, with seeds to grow into our strength. Some of us — through a combination of good fortune (i.e., family and culture we are born into, constitutional inheritance, or ability to learn) grow with minimal interruption from traumatic injuries and experiences.
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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