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Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
April, 2002, Vol. 02, Issue 04
Six Months of Healing and Heroism
Submitted By Claire Posada, LMT - New York, New York
Editor's Note: On March 11, 2002, America and the world marked the six-month anniversary of the tragic terrorist attacks that took so many innocent lives in New York City, Virginia and Pennsylvania.Massage Today presented several perspectives on the disaster relief efforts in the November and December 2001 issues, and requested that readers "share their stories."
In the past several months, countless stories have poured in - far too many to publish and still have editorial space for the "other" happenings in the massage profession. However, we'd like to mark the anniversary of that tragic day by sharing one story in particular; we feel it captures not only the courage and selflessness demonstrated by so many during this crisis, but the essence of massage therapy and the massage therapy profession.
One tragic element of the collapse of the Twin Towers was the scarcity of injured people. Often in disasters the wounded outnumber the dead, but this was not the case on September 11, as many who rushed to donate blood found out when they were turned away. Many hospital beds lay empty, and volunteers were also turned away since there wasn't enough to do. However, with rescue teams, police, firefighters and army personnel working around the clock, both at "ground zero" and all around the city, the volunteer massage therapists who arrived to help were able to offer much-needed relief and were soon recognized as vital to these efforts.
We have continued supporting the recovery workers and have also expanded to aid support staff and family members. What a rewarding journey it has been to witness skepticism and machismo transform into respect and appreciation for the tangible benefits of massage therapy. And what an intense learning experience it has been to adapt to these conditions and needs.
My first experience volunteering was on Friday night, Sept. 14. The massage school in NYC, the Swedish Massage Institute, was organizing and dispatching volunteer massage therapists to relief stations and hospitals that night. We all brought what we had: massage chairs, tables, foam pads, or just our hands. I was sent to Chelsea Piers, a coordination center and rest stop for the general public and police and emergency staff, located a few miles from ground zero. There were plenty of supplies, like food, water and clothing, and services such as grief counseling, a place to file missing person reports, and help with temporary housing for displaced residents and out-of-town rescue workers. Many of these volunteers had been working virtually nonstop for four days. My first introduction to the atmosphere of the place was the ladies room, where I encountered a policewoman who was in tears because of all the heartbreaking stories she had been hearing.
The coordinator of our massage group told us that the main organizers viewed our work as peripheral, and encouraged us to mingle with the relief staff and suggest that they try a massage if it seemed appropriate. Most of these folks had never had a massage, and we heard a number of reasons for declining: "I'm okay, I don't need it," "So-and-so needs it more than I do," and "My superior forbids it" (from the police). We also sensed some unspoken reasons, such as, "How can I indulge in such a luxury when thousands are dead?"
I had many questions of my own during this time: How could I determine if a massage would be beneficial or harmful in any given case? Would I be dissolving someone's protective defenses by touching them? Could post-traumatic stress disorder be prevented at this stage? How could I keep from absorbing more trauma myself? It soon became apparent that a relaxing, nurturing massage was not necessarily the best medicine at this point; many were not ready to get back in touch with their bodies and feelings yet. It seemed more appropriate to concentrate on the energizing aspects of massage, such as the increased circulation and range of motion that would enable these men and women to get back to their jobs, which is what they most desperately wanted to do. The first ones willing to try massage were traffic cops who had been standing for hours on end, detectives, EMT workers who had been sitting in their ambulances for days with little to do, and other volunteers such as mental health counselors and chaplains.
I worked on a firefighter from Massachusetts who had hurt his back when some debris shifted under him. I was able to help loosen his tight back muscles, but not his zombie gaze. It is so painful to see another human being in that condition, and it is a supreme challenge to administer care when you feel the shock, grief and horror yourself. However, as the night wore on, we saw more and more faces transform into smiles of relief and amazement at the wonderful results of even a 15- or 20-minute treatment. A naval patrolman I worked with had neck pain from the rocking of the boat and constantly jerking his head up to stay awake. An ambulance driver had headaches from the diesel fumes of his idling engine. I checked in with one cop wearing a vest under his shirt, and he said he could feel my elbows (yes, some of the police sneaked in anyway!). Later it dawned on me that the power of massage is pretty incredible if it can penetrate a protective vest! Eventually the main organizer told us that although the whole operation was going to be downsized, the massage therapists were now considered a vital part of the services that would remain.
Although it took me a couple of days to recover physically and mentally from that first night, I volunteered again, traveling to the family assistance center, the medical examiner's office, a firehouse, and the navy ship U.S.N.S. Comfort, which was a hospital ship turned into a "motel" for rescue workers. The ship's operating room had been transformed into a massage station since it wasn't needed for surgery. We used the gurneys instead of massage tables, and some therapists brought massage chairs as well.
At a relief center at ground zero, I had to pass through a police barricade and, upon showing my ID and explaining that I was a massage therapist I was surprised and delighted by the National Guardsman who broke into a huge smile and waved me through, saying, "Massage? Great! So glad you're here!" I worked on firefighters with sore necks from their helmets; cops with aching lower backs from the weight of their holsters; military personnel who had been standing on guard for 14 hours at a time; out-of-state morticians who were also doing interminably long shifts; Red Cross volunteers with knots in their necks from carrying heavy boxes of donated goods; stressed-out family members; and a woman who still had pain in her hips and legs from running away from the burning buildings. The positive response was tremendously encouraging. I heard comments like, "I feel like a new man," "I could go another 100,000 miles" and " Wow, that was better than... anything!"
One friend e-mailed me to say she overheard a cop on the street say that he never believed in massage before, but that the one he had just received had converted him. A soldier with the Air Force asked me how to go about finding a massage therapist in the town near his base. And after the first three weeks, the firemen at one house invited massage therapists who had worked on any of the firefighters to come for dinner one Sunday night. They cooked us a fabulous meal. One of them told me that although the gifts of money and food they had received were important, it was the massage therapy that was indispensable because of the stress relief and comfort it provided.
It has been such a privilege to be able to be of some help during this crisis, and exciting to see the increased appreciation and respect the massage therapy profession has earned. Not only did the cops and everyone else come to think differently about us, but we were educated about them as well. I talked to a vegetarian fire captain who knows hand reading, and an Army reservist who asked if it had been difficult for me to give up my dancing career, since he felt that people in the arts work so very hard at their professions. A female detective from a downtown homicide unit and I confessed to each other that we got hooked on TV's "NYPD Blue" because we both adore Jimmy Smits!
This is one of the wonderful human sides that came out of this crisis: the recognition that we really are all one, and how much more alike we are than different. Massage therapists all across the country have an opportunity to help re-establish the calm and trust we all need to move forward with our lives.
Massage Today would like to thank Claire and all the contributors for their courage and their words; we offer our apologies that their stories (and many others) cannot be printed in their entirety.
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