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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.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
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.
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.
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.
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.
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.
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.
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?
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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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