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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.
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.
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
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.
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.
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.
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.
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).
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.
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.
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.
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.
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).
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.
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%.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
May, 2003, Vol. 03, Issue 05
Three Key Principles of Sports Massage
By Michael McGillicuddy, LMT, NCTMB
What Is Sports Massage?
I am always amazed when I travel around the country and ask massage therapists who advertise "sports massage" to define it. While visiting a spa in the Orlando, Fla., area, I saw sports massage listed on the spa menu.I asked a therapist, "What do you do when someone asks for sports massage?" to which the therapist replied, "We do real deep work."
I have attended numerous workshops in which the presenters explained that sports massage is massage that helps athletes perform better. Even providers of sports massage workshops differ in their philosophies regarding application and technique. I was lucky to learn from great instructors such as Benny Vaughn, Jack Meagher and Aaron Mattes early in my education, although, even after taking their workshops, I was not always clear on how to apply the concepts I had learned. At some point, you realize that no matter how many great teachers you have learned from, and no matter how workshops you have taken, know one knows it all. So, how do you decide what is right for you? I've always tried to listen to each presenter's ideas, then set out to apply them in practice, to see if they worked for me. Some concepts worked; others didn't.
Defining "Sports Massage"
Sports massage is the specific application of massage techniques, hydrotherapy protocols, range of motion/flexibility protocol and strength-training principles utilized to achieve a specific goal when treating an athlete. Notice my use of the phrase, "specific application ... to achieve a specific goal." So, how do you decide what application and goal is appropriate for a particular treatment?
Three Key Principles of Sports Massage
Three specific principles are vital to understanding what type of sports massage to apply to an athlete at any given time. I call these principles the "when, what and why" of sports massage: Timing, Technique and Intent.
Timing refers to when the massage is given: pre-event or post-event; during recovery; during a maintenance period; or when an athlete suffers an injury that requires rehabilitation. Technique refers to what application you utilize, and can include a number of different techniques: effleurage; friction; pettrisage; vibration; shaking; compression; broadening strokes; direct pressure; cross-fiber friction; range of motion; and stretching. Intent refers to your reason(s) for treatment: as warm-up; to increase blood flow; stimulate neurological pathways; aid recovery from exertion; increase flexibility; improve strength; or improve posture.
Let's look at a few examples of how timing, technique and intent work. If you need to provide a pre-event massage, and the intent is to warm-up and increase blood flow, I would use techniques such as friction, compression, shaking and stretching. If you need to provide a post-event massage, and the intent is to aid recovery from exertion, I would use effleurage, pettrisage, compression, broadening strokes and range of motion. If you are working with an injured athlete, and your intent is to assist proper formation of scar tissue, I would use effleurage, compression and cross-fiber friction, followed by ice treatment and movement.
As you can probably tell, understanding sports massage is never as simple as learning one technique or type of modality ... or just "working deep." A sports massage therapist who understands the three key principles of sports massage should be able to apply the appropriate treatment at the appropriate time. Every sports massage therapist should ask himself or herself the following questions before beginning a session:
Mastering the application of sports massage takes years of education and experience, not to mention a love of athletics. No one modality, technique or approach works every time. It is the love of what you do, and the people you work with, that enable you to perfect your sports massage technique. I hope this information is helpful, and I hope you enjoy being a part of the massage therapy profession.
Click here for previous articles by Michael McGillicuddy, LMT, NCTMB.
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