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News in Brief
ACA Exec. Vice President Out, Acting EVP In; F4CP Executive Director Retires; New ED Named.
Striking a Blow to the Medical Monopoly
The U.S. Supreme Court has issued a landmark ruling in North Carolina State Board of Dental Examiners v Federal Trade Commission.
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.
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.
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.
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.
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.
God and the Chiropractor
My wife went to church last Wednesday night and brought home a CD of the pastor's message. As she handed it to me, she said, "You should listen to this; you'll like it." Our family regularly goes to church and our faith plays a major role in our lives.
Pain Is Only a Piece of the Puzzle
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, etc.
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!
Managing Tibialis Posterior Tendon Injuries
The tibialis posterior is the deepest, strongest and most central muscle of the leg, with fibers originating from the tibia, fibula and interosseous membrane.
Treating GERD and Incontinence: Focus on Trigger Points
Gastroesophageal reflux disease (GERD) is defined as the regurgitation of stomach acid in the esophagus. Previously, it was thought that GERD was caused by a hiatal hernia, but recent trials suggest the cause is an inability of the hiatal sphincter to contract normally.
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.
Joint Supplements for Athletes (Part 2)
A fairly recent discovery in nutrition supplemental medicine has proven to be a breakthrough in maintaining athletic joint health. Research suggests a combination of undenatured type-II collagen and tetrahydro-iso-alpha acids helps revitalize joint function and performance in athletes.
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.
Keep Seniors Safe: Age-Proofing the Home
I want to give Dr. Claudia Anrig kudos for her Dec. 1, 2014 column, which highlighted safety issues youngsters might encounter in the home.
Viewpoints: Massage Reduces Nonspecific Shoulder Pain, Improves Function
While seemingly universal, pain and stiffness in the shoulders can be a significant cause of disability. Often a pain that does not go away on its own, shoulder complaints tend to linger, sometimes for 12 months or longer.
Older Patients, Stroke Risk and Manipulation
The first population-based study in the United States to evaluate stroke risk following spinal manipulation – and the first involving older adults – suggests that "[c]hiropractic cervical spine manipulation is unlikely to cause stroke in patients aged 66 to 99 years with neck pain.
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."
What Do You Know About Physician Compare?
Physician Compare is a website that allows consumers to search for and obtain information about physicians and other health care professionals who provide Medicare services.
How We Can Help the Injured Brain
The majority of patients with mild traumatic brain injuries recover within seven to 10 days. If concussion signs and symptoms continue beyond seven days, the diagnosis changes from acute concussion to post-concussion syndrome.
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.
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.
February, 2003, Vol. 03, Issue 02
Movement Awareness: Connecting Client With Self, Part II
By Josef Dellagrotte, PhD, LMHC, CFP, RMT
Editor's note: Part I of this article appeared in the December 2002 issue, available online at www.massagetoday.com/archives/2002/12/04.html.
The Essential Qualities of Human Movement
When the practitioner moves well, it indicates that forces are being transmitted along pathways of contraction and lengthening - an interplay of force vectors matching up with myofascial pathways of lengthening, such that the net effect is both postural uplift and neutralization of torquing stresses.An observer would see smooth motions and a relaxed, satisfied client. Movement is a science, a skill, an art form which, when well executed, affords practitioners a better chance of working without the attrition rate of injuries associated with the profession; a sustained pain-free practice; and more-satisfied, better-managed clients.
The Essential Skill of the Practitioner Is in the Quality of Movement
The real science and art of massage begins with the practitioner's awareness through movement, which has higher-grade value than simply learning several external techniques. Movement is the very condition of life and all life activities.
There is no escape: If the practitioner does not have awareness of movement and how she/he is being affected, it is only a matter of time before the gravitational stresses of life lead to structural and functional disorders in the form of musculoskeletal or myofascial pain. Disorder, the dreaded entropy of the body, sets in. Will power and determination are no match for these forces. The practice life of the bodyworker is cut short; damage and pain becomes recurrent - and all the unnecessary result of poor learning or weakened kinesthesia!
Moshe Feldenkrais, the somatic innovator and pioneer, observed that life without movement is inconceivable. Ida Rolf understood that structure was the key to stability, balance and mobility. Several somatic innovators have developed new learning approaches, so that not only the practitioner, but also the client can experience basically efficient movement, leading to the maintaining of supported upright posture. The field of somatic study has moved outward, from treatment to educative therapy.
Once again, historically speaking, the client has another chance at self-learning and self-maintenance. Once aware that the way we move is a major key to practice, we can look into the detail of primary functional movement actions. What I'm referring to are species-based activities of daily life that have a purpose, satisfy life needs, and even share a species commonality, to some extent. For example, people all over the world must lie down, get up, sit, stand and walk.
What Practitioners Need to Know
To be structurally, functionally and even psychophysically well-integrated, every person needs the essential movement nutrients: resonant movement; lengthening through the spine and along myofascial pathways; stretching of local connective tissue pathways; strengthening of muscle groups in a balanced way; relaxation responses, which are built into every movement activity; feelings of satisfaction and enjoyment from movement activity; and clarity of direction and intention. We may not get the full complement at any one time; as when taking vitamins and minerals into our bodies, it can take place at different times.
The bodyworker needs to be able to access lengthening, which is how energy is being transmitted through the body. Every position we assume when working on clients requires this lengthening. Otherwise, shortening or harmful compressions start to take place by default. When you work, you are either lengthening or shortening; there is no in-between.
Stretching is an essential component, but a highly misunderstood one. Ideally, stretching takes place when we slowly move one local myofascial area. For example, yoga stretches work so well because they take place in slowed down, stillness time, with breathing, relaxation and focus.
Strengthening takes place whenever we move in concentric fashion against gravity. We also can focus on conscious strengthening through particular exercises. Doing massage work can strengthen, but it also can weaken. (I have done therapy with many practitioners who were getting weaker in certain areas of the body, especially the shoulder girdle and upper back.)
Resonance, or smooth movement, is an essential quality that represents everything working together, with forces being distributed without internal turbulence or damage. Resonance derives from physics: the resonant frequency-of-motion principle, represented in pendulums, coils and springs. All living bodies seek and enjoy resonant movement.
Relaxation is an internal physiological experience. The response has been described and documented by many. How does it occur in movement? Whenever movement is resonant, the points at which we move through our own center of gravity (the neutral place), we experience a millisecond of effortlessness, even enjoyment.
Psychophysical (Somatoemotional) Dimension: Empathic Touch
The client who is being moved well unconsciously responds and registers positive somatophysical or psychophysical well-being. This response is enhanced further when the client begins to notice improved sensation when sitting, standing, walking, or performing other activities. Whenever the client notices that, following a session, something has carried over, and that some function has improved, this has significance. Whenever the nervous system has an experience which is not imposed upon it, but is suggested through a empathic touch contact that matches the client's need state, there is likely to be not only healing, but more: improvement of function, and with this a further move in the direction of health and wellness.
Whenever the client notices that something beyond temporary alleviation of discomfort has occurred, he or she is far more likely to return. The massage therapist who follows this path soon has not only a regular clientele, but also a set of learners and movers who are ready to reclaim their bodies and actively take charge of their own wellness.
Josef DellaGrotte is a certified Feldenkrais trainer, registered muscular therapist, integrative somatic practitioner and body-centered psychotherapist. He began training with Ida Rolf, then with Moshe Feldenkrais, who named Josef as a training assistant. His interest and practice is in combining therapy with somatic education, taking the client beyond passive experience and dependency into learning and self-care.
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