resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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).
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.
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%.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
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.
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.
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.
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).
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'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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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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