resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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%.
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).
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.
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.
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).
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
July, 2002, Vol. 02, Issue 07
Cutting Through Chaos
By Keith Eric Grant, PhD, NCTMB
We all benefit at times from retreating to a place in which the input to our nervous system is less chaotic than that of the normal pace of life. In doing so, we provide a space for regrouping our own energy and direction so that we may better meet creative opportunities. As I sit down to write this month's column, I have just returned from such a time; five days at the Esalen Institute, taking a workshop on Thai massage facilitated by Richard Gold.2 One of the impressions I have taken away with me is that of an interleaving dance of gentle rhythms.
Esalen is located on a sliver of land along the rugged Big Sur coast of California. At the western edge of the institute, the land sweeps precipitously down to the sea. Immediately to the east, the Santa Lucia range rises steeply. Within this sliver of land bathed by alternating sun and cloud, the ever-present rhythmic surge of waves breaks against the rocky shore. Joining these natural rhythms are the predictable human rhythms of the meal and workshop schedules. To these general rhythms, my own experience added the slow palm presses and stretches of Thai massage. Richard, both conscientious of time and material and possessing an ever-present twinkle of eye, marked the session boundaries with the soft tones of a meditation bowl/bell struck three times and with the chanting of the traditional homage to Father-Doctor Shivago.2 Day by day, we worked together through the slow, well-organized protocols of touch.
I dwell on these descriptions of rhythmic tempo and organization because I believe that we can learn much about the power of massage to center and heal from looking at situations in which chaos overwhelms and sensory integration fails. It is in these venues that the tools used to cut through chaos become most needed and most obvious.
Carol Kranowitz describes children who become overloaded with sensory information and cannot integrate the world around them to respond appropriately.4 Many individuals with pervasive developmental disorders (PDD) have difficulty attending to tasks and learning new skills because they operate at high levels of arousal and anxiety due to over-reactivity to sensory stimuli.6 For these individuals, stimuli that for most of us would be barely noticeable evoke sensory defensiveness and flight-or-fight responses. What's interesting from a massage perspective is that rhythmic brushing of their skin with soft surgical brushes and rhythmic joint compression often seems to help children with deficiencies in sensory integration deal better with their surroundings and achieve a state of calm alertness. The patterned stimulus appears at least partly to counteract the sensory chaos.
While those with PDD form the outlying edge of those having difficulty with sensory input, they are not alone in struggling with sensory overload. Elaine Aron estimates that about 15-20 percent of the population is composed of what she terms highly sensitive persons (HSPs).1 Aron describes HSPs as having both greater sensitivity to subtle sensory inputs and a much higher susceptibility to experiencing sensory overload and fatigue from intense or sustained stimulation. While discussing the use of anti-anxiety medications for crisis intervention, Aron recommends more lifestyle-oriented methods for ongoing care:
These lifestyle methods combine to create a space of sanctuary, seeking emotional support, and immersing ourselves in repetitive rhythmic motions. In applying rhythmic movements and pressure, we perhaps intuitively act on the physics observation that nearby systems with similar resonant frequencies will synchronize, a phenomenon that can produce entire trees filled with synchronously pulsing fireflies.8 We pace so that we may subsequently lead. Behind the slow rhythmic patterns of a dance, such as Ma Avarech 7 or the gentle repetitive patterns of caring touch, there is great power for integrating our bodies and minds and cutting through chaos.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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