resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The MRI: When and Why to Order One
As I lecture around the country to both chiropractors and medical specialists, it's clear one of the main disconnects between the two professions is that of an accurate diagnosis.
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.
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.
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.
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.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
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."
The Amazing Clinical Versatility of Milk Thistle (Part 1)
Most of us know that the standardized extract from the seeds of milk thistle (Silybum marianum) is probably the best-proven herb for protecting the liver from chemical and inflammatory damage.
Osteoporosis Isn't Always the Case
What is your diagnosis? The patient is a 58-year-old female with back pain. I am sure all of you see the compression fracture at L2; however, there are some findings that suggest this is not a compression fracture due to osteoporosis.
We Get Letters & Email
In the Dec. 1, 2015 issue, we have Donald Petersen reporting on "the adapting chiropractic practice," which includes multidisciplinary practice as an option; a ChiroPoll indicating 59 percent of DCs are seeing at least 21 patients per day and 27 percent are seeing more than 40.
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.
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.
Top 10 Fitness Trends for 2016
The American College of Sports Medicine (ACSM) published its annual fitness trend forecast in the November / December 2015 issue of ACSM's Health & Fitness Journal.
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.
Spine Surgery: A Tale of Greed and Corruption
All too often, where there's substantial money to be made, greed and corruption inevitably follow.
Elevated Shoulder? Check the QL
As you know, posture reveals a great deal about the body. Posture is a unique mental and physical landscape revealing compensations and adaptations to life. It's a classic mind-and-body story.
Preventing ACL Injuries in Female Athletes
For female athletes, the key to optimal athletic health lies in preventing ACL injuries. In medical terms, the anterior cruciate ligament (ACL) is the primary restraint to the anterior displacement of the tibia on the femur at all angles of the knee flexor.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
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.
The Future of Functional Neurology
Functional is the hot buzzword in health care these days; witness the rising popularity of functional medicine, functional testing and yes, functional neurology.
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."
News in Brief
A Winner in and Out of the Office; Ready for the "Have-A-Heart" Campaign? New Integrative Medicine Journal.
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.
Do You Teach Patients How to Breathe Properly?
Spinal manipulation often produces quick results in terms of pain alleviation and improved range of motion. Unfortunately, once the patient is no longer in pain, they may discontinue therapy, only to be plagued by the same complaint at a future date.
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.
Sell Out: Using Research for the Wrong Reasons
The above chorus is from the ska band Reel Big Fish's 1997 hit song, "Sell Out," from their album, "Turn the Radio Off." In the song, the singer sarcastically relates the plight of a musician who is tired of "flipping burgers" and is willing to get "lots of money" by playing "what they want you to hear" in order to get a recording contract.
August, 2002, Vol. 02, Issue 08
Move Your Anatomy
By Keith Eric Grant, PhD, NCTMB
As midsummer's day approaches each year, it marks the reappearance of one of my favorite micro-communities. For one week in June, Scandinavian dancers and musicians gather in the redwood forests just inland from the Mendocino, California coast.Teachers of regional dances and fiddle tunes are brought in from Sweden and Norway, and other teachers and participants arrive from across the United States. It is a community marked by the respect and encouragement given to each student struggling with the nuance of a dance or tune, and by the ways in which all contribute to the week. Part of what I contribute are my skills with muscle and tissue, which help keep a number of my fellow participants more comfortably dancing and fiddling. Given the motions of what we are about, my fingers may work deep into the muscles of the anterior torso, hip, and gluteals of those asking for my help.
I stress these bodily areas for their great importance to movement and posture,1 and because, as I've discovered via a number of e-mail discussions, many massage schools apparently give only summary attention to these areas. In my mind, this is a very serious omission for those hoping to more than momentarily ameliorate the tensions and pains of their clients. It is not enough to simply move our work over painfully tight areas, because the pain and tightness can be secondary to the shortness and adhesions of another area.7 Consequently, it is important to understand the basic patterns by which maintained tension leads ultimately to dysfunction, and to work to relieve these patterns.
Vladimir Janda grouped muscles into postural and phasic muscles.2 Postural muscles are oriented toward static support and tend to shorten when stressed; phasic muscles are oriented toward movement and tend to weaken when stressed. These two types of muscles are key in understanding two common patterns of muscle dysfunction: upper-crossed syndrome and lower-crossed syndrome.2,3 In upper-crossed syndrome, the pectorals, upper trapezius, and levator scapula (postural muscles) become short, while the deep neck flexors, rhomboids, and serratus anterior (phasic muscles) become weak. In lower-crossed syndrome, the iliopsoas and erector spinae become short, while the abdominals and gluteals become weak. In both syndromes, weak muscles can be strenthened by exercise only after the shortened muscles have been released. While forward-pulled shoulders may result in weak, lengthened and taut rhomboids, habitual anterior flexion can compress the ribs and cause weak and short abdominals. Thus, relieving back pain may require releasing and lengthening the entire anterior torso, as well as releasing shortened posterior muscles.
Dance kinesiologist Sally Sevey Fitt notes the extent to which our cultural habits affect our muscles and body.4
Bodyworker Erik Dalton similarly calls us a "society of flexion addicts."3 Fitt further discusses the symptoms resulting from tightness of the anterior torso muscles pectoralis minor and serratus anterior.4
From the perspective of his concept of "anatomy trains," Tom Myers discusses the clinical implications of the superficial front line. He notes the effects of a maintained "startle reflex" pattern of shortening of the anterior line along with cervical extension.6
It is tempting to see these considerations as applying only to clinical massage. Yet, apart from sudden injuries, the tensions held from day to day presage the eventual pain-producing dysfunctions. When the tensions are coaxed out in a timely way, via gentle stroke and jostling, the need for remedial work can often be avoided. Working the right areas means making the mental jump from static anatomy on pages of books to the moving anatomy of the actual human body. It is a leap we must take to be effective in the long run.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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