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The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
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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