resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
September, 2002, Vol. 02, Issue 09
Breathing Fresh Air
By Keith Eric Grant, PhD, NCTMB
Breathing fresh air has literal and metaphorical significance. In the beginnings of the industrial revolution, little thought was given to the environment. As a severe result, the particulate air pollution in London from coal burning resulted in "killer fogs" from the 1800s into the 1950s.9 Since then, greater understanding and attention to the system as a whole has freshened the air. This is partly a change from perceiving everything as simple stand-alone machines, to understanding more of the interactions, feedbacks, and true complexity of systems. It is the change of viewpoint from the industrial revolution to the information revolution. The "fresh air" of a wider perspective can contribute significantly to the literal freshness of the air.
The somatic consideration of breathing fresh air returns us to thoughts from last month's column. I brought up the effects of chronic shortening of our anterior line, including compaction of our ribcage and dysfunctional breathing patterns. Philip Greenman notes that alteration in ribcage function can negatively impact respiratory activity, circulatory activity (arterial, venous, and lymphatic), and neural activity.3 During inspiration, as the diaphragm contracts and descends toward the pelvis, the ribs should elevate and expand using secondary muscles of respiration.1,3,6 The reverse occurs during expiration. Lengthening the anterior line restores space for the ribs to function, but does not automatically restore function. Art Riggs comments on working with clients to correct their breathing patterns:7
Sometimes, especially in relation to chronic postural patterns, the motion of one or more ribs can become restricted - fixed in either exhalation or inhalation. Directly working the soft tissues of the thoracic regions around the costotransverse, costovertebral, costochondral, and sternochondral regions is a first step toward restoring movement.5 Additional steps can involve direct work on the deep intrinsic muscles of the spine, gentle movements of the ribcage, and gentle resistance against breathing in the manner of post-isometric relaxation.5,7 Gentle resistance techniques can also be used to help a client become aware of and relearn breathing patterns.7
Breathing fresh air also has the metaphorical meaning of taking a new path in looking for solutions to well-known problems. One such problem comes in seeking ways to reach out and help at-risk and disadvantaged segments of our population to help themselves. I've recently become involved in such a project via the Touch Health Association, the community outreach agency of the McKinnon Institute at which I've long been teaching massage.8
Many young mothers are unaware of their children's needs because they lack maturity and/or education to pick up on their cues. An infant massage training program, now in its own gestation, will teach disadvantaged mothers to touch their children in a healthy/healing way that improves infant development and increases their familiarity and comfort with appropriate touch. It is planned that, as these women complete their training in massage therapy, they will be hired through the non-profit agency to bring massage and appropriate touch back to their own communities. We will make use of the community knowledge the young mothers already have and the trust they can access from being part of the community served. The focus of the project is to create sustainable job options for young mothers as well as increase availability of massage to underserved populations.
Much of the coursework is based on results of developmental research from the Touch Research Institute (TRI). In many cases the trainees will not be persons fluent in academic learning and assessment methods - chalk and talk and standardized tests won't cut it. The project will have to move both to use of active visual media and to an experiential/kinesthetic mode of teaching topics such as anatomy.1,6 Assessment will need to be done directly within the context of practice.
What I'm describing is without a doubt at odds with many existing state practice acts - laws written and passed without a thought of using massage as a tool for community intervention. The pursuit of "credentialism" embodied in such laws can have needless impacts on those already disadvantaged.2
Such laws were written by people and can be changed by other people. Advocate such change to colleagues and legislators when licensing acts are either being initially considered or are up for a review of need and efficacy. Cherish and preserve the flexibility you do have, working with nonprofit resources and government agencies to create touch-based outreach programs. By caring enough to participate, we can create a breath of fresh air in how we reach out as massage therapists to improve community and culture and stem the tides of despair and violence.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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