resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
February, 2003, Vol. 03, Issue 02
Spotlight on Research
By Editorial Staff
Welcome to the world of massage research! This periodic column will keep you abreast of the latest research documenting the benefits of massage and bodywork. Published research will be summarized, with references to the full study text provided; abstracts of research projects planned or in progress will be reproduced verbatim whenever possible.
Developing a massage protocol for research on temporomandibular joint disorders.
Purpose: A massage protocol for temporomandibular joint disorders (TMD) was developed and pretested for use in a TMD research project. Massage therapy has never been incorporated into a TMD research design.
Methods: Four potential TMD protocols were identified, based on a literature search (MEDLINE and Bodywork Knowledge Base) and follow up interviews with massage therapists who reported experience with TMD or experience developing massage protocols for research. Techniques across the protocols were consolidated into a list of TMD-specific massage techniques. Expert review helped generate a core TMD-specific massage protocol that was pretested using eight TMD patients. Feedback from the patients, the licensed massage therapists, and the supervising massage therapists was used to select two massage therapists to deliver the protocol in clinical studies. The protocol specified setting; forms and record keeping; session length; treatment duration; and specific massage techniques. The protocol was evaluated by patients along five dimensions: effectiveness, responsiveness and overall satisfaction (1=worst, 5=best), as well as pressure and communication (3=just right).
Results: TMD patients found the bodywork protocol to be acceptable, including intraoral work. Mean values for the five variables were: effectiveness, 3.9; responsiveness, 4.2; overall satisfaction, 4.3; pressure, 2.7; and communication, 2.8.
Conclusions: A flexible, yet repeatable, TMD-specific massage protocol was developed in accordance with the best practice in the massage profession. The final protocol incorporated Swedish, myofascial, craniosacral, neuromuscular therapy and structural integration styles, and combined intraoral work with external massage focusing on the trunk, neck and face. Although the protocol was developed specifically to study the effect of massage on TMD, the development process could be adapted to generate syndrome- or condition-specific massage protocols for research with other complex, chronic disorders, such as migraines or fibromyalgia.
Massage therapy for chronic low back pain in low-income patients.
This ongoing study examines the effects of whole-body massage therapy in reducing pain and improving health among low-income Hispanic and Caucasian women who suffer from chronic pain. In many cases, chronic pain is part of more complex mental health problems, such as depression and anxiety. Whole-body massage therapy, which is not readily available in poorer communities, offers a complementary approach to standard treatments of chronic pain. Each patient in this study receives eight hour long massage treatments from experienced massage therapists.
The working hypothesis is that massage therapy will be useful in reducing pain, improving functional health, and curbing excess medical utilization in these patients, for at least eight weeks after the program. To test this hypothesis, researchers will compare health care utilization (office visits, urgent care, and emergency care) from three periods: the year before the study; during the six months of the study; and one year after the study.
Dr. Candib has begun massage treatments on 54 patients, and has collected detailed information about them. This information is awaiting analysis by a statistician. Dr. Candib has also secured funding from the Department of Family Medicine and Community Health at the University of Massachusetts Medical School, to hire a translator to conduct interviews with Spanish-speaking participants in the program.
The primary challenge so far has been frequent cancellation of appointments, often due to problems with transportation and child care responsibilities. Another difficulty has been a low rate of participation in follow up testing. Although these obstacles have slowed down the study, it is still in motion.
Editor's note: Both of the above abstracts were funded by the AMTA Foundation (amtafoundation.org) and presented at the 2002 AMTA National Convention; they appear in Massage Today with permission from the respective authors.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.