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Adding Microneedling to Your Clinic for Results and Profit
Microneedling has taken the beauty world by storm over the last 10 years. Under the names dermaroller, microneedling or skin needling you will see these treatments listed in the services of nearly every fashionable beauty salon and day spa in the country.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Can Acupuncture Treat Knee Pain?
Recently, an article in the Journal of the American Medical Association concluded that, "neither laser nor needle acupuncture conferred benefit over sham for pain or function" among older chronic knee pain patients.
The Roots of TCM in Depression Treatment
In traditional Chinese medicine, there is historical precedent for the treatment of so-called "Shen" (Heart-Mind) disorder, or disorder/dysregulation of the spirit, which is also considered as distinct but not separate from the cognitive function of the brain.
Melatonin: A Promising Natural Agent in the Prevention of ALS
A number of years ago, experimental studies suggested melatonin could block key steps in the development of Alzheimer's disease, primarily by acting as a brain antioxidant and inhibiting the build-up of beta-amyloid plaque in the brain.
Merger Creates New Model of Care
Two San Francisco powerhouses of holistic healing, the American College of Traditional Chinese Medicine (ACTCM) and California Institute of Integral Studies (CIIS), are merging. Together they are building a visionary approach to applied integral health.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
The Source-Luo Point Combination, Part 3
Dr. Nguyen Nghi (NVN) was born in Vietnam and is one of the most important scholars, writers, teachers and practitioners of modern time. Many of his theories and applications are the source of modern teachers from Europe and the United States.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
The Art of Creating a Healing Space
I always advise my graduates to examine their group practice or treatment rooms with fresh eyes after they leave my CE workshops. I tell them, "Ask yourselves - is your space qi filled, welcoming and healing? Or is it cold and clinical?"
Colon Health and TCM
I still remember many years ago, the loud "Yuck" from my wife at the time when we were together watching the Chinese movie "Last Emperor."
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Online Marketing Basics: Google Ranking, Part 1
We all know there is so much opportunity with online marketing. And, let's face it, if you don't have a presence online with a website and social media, you are probably not where you want to be.
The Integrative Medicine Puzzle: Putting the Pieces Together
The conversation is changing in the broader healthcare community with patients actually moving the discussion toward more integrative topics. Patients today want to know their options.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
Exploring and Learning from the Gift of Life
I'm grateful to have had the opportunity to teach cadaver dissection classes and workshops with Stephen Cina at the New England School of Acupuncture over the past seven years, first through the Sports Medicine Acupuncture Program and later as a NESA elective course.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Medicine as Metaphor
The practice of medicine is both an art and a science. We study and learn the system so that when the time comes to apply it, there is a greater possibility of successfully helping others.
June, 2003, Vol. 03, Issue 06
Directions in Massage Therapy
By Cliff Korn, BS, LMT, NCTMB
Our profession is changing daily. In the past 10 years, it has entered the light of day and joined the mainstream. Massage therapists are now high on the list of caregivers in many circles of the country: wealthy and poor; white and blue collar; young and old; male and female.The change to which I am referring, however, is not a change in acceptance, but a change in precision and refinement.
Specifically, I have seen a transformation from gross motor techniques to more subtle, specific techniques. This was made even more evident to me while attending the recent "Beyond the Dura" Research Conference (see front-page article). CranioSacral Therapy (CST) and other light-touch therapies are proving their efficacy in research studies and are being utilized by an increasing number of therapists. I find it interesting that more than half of the students taking CST are massage therapists. This statistic amazed me, in part because CST is one of a handful of techniques that have a purpose beyond the realm of "relaxation": it treats conditions.
Those familiar with CST know the premise of the technique: It only takes five grams of force (the weight of a nickel) to effect significant change. The research conference included presentations of clinical data collected in the treatment of widespread issues, ranging from pediatric feeding dysfunction, breastfeeding problems and pelvic floor rehabilitation, to preparing Egyptian conjoined twins for separation surgery. The fact that this technique-which developed out of osteopathy-is taught to massage therapists on equal footing with physicians, PTs, OTs and other allied health professionals says a lot about our capabilities. The large numbers of MTs utilizing techniques such as CST may be one reason I see an industry trend toward more gentle touch.
I used to believe gentle touch could not be anything more than "soothing": useful for comfort and to ease emotional discomfort, but of little value to alleviate chronic physical dysfunction and discomfort. My mind was opened to another perspective when I experienced effective sessions that integrated energy techniques and light touch.
I recently had the privilege of participating in a fresh-tissue CranioSacral Dissection workshop, in which I got to palpate the falx cerebri (cranial membrane) and monitor changes as the instructor applied light manual pressure to the sacrum. I also was honored to participate in a study that measured the manual force required to palpate change. Almost all of the study participants could palpate change in tension of the falx cerebri with measured forces between three and 35 grams. This is good enough for me to believe that light touch can certainly be effective.
Massage therapists also regularly integrate reiki, aspects of polarity therapy and other energetic techniques into their practices, lightening the overall average force used in sessions. In my own practice, I find integration is important because I need to get the attention of some of my clients before progress can begin. The comfort and security of certain deep-pressure techniques and confident touch moves my clients to a relaxed, trusting place where the more subtle techniques can be effective. The client who has learned to accept the more aggressive techniques in our toolboxes is, in my opinion, capable of experiencing a variety of light-touch procedures. My Rolfing friends inform me that they, too, are lightening the forces they use and are losing their reputation as providers of "therapeutic discomfort."
Now, please don't think I'm saying only light-touch techniques are indicated for professional massage therapists! I'm not saying that at all. I am a firm believer in the efficacy of techniques, such as trigger point, cross-fiber friction, assisted stretching, etc., though they are not always comfortable to the client. I also am an advocate of the more subtle directions I have discussed in this article.
Ten years ago, I saw (and experienced) a lot of poking, prodding and elbow use. I now see skilled palpation and use of forearms to obtain a more comfortable myofascial modification. I think it's a trend. I hope so!
Thanks for listening!
Massage Today encourages letters to the editor to discuss matters relating to the publication's content. Letters may be published in a future issue of Massage Today.
Please send all correspondence by e-mail to , or by regular mail to the address listed below:
Former editor of Massage Today, Cliff is owner of Windham Health Center Neuromuscular Therapy LLC. He is nationally certified in therapeutic massage & bodywork and is licensed as a massage therapist by the states of New Hampshire and Florida. Cliff is a member of the International Association of Healthcare Practitioners; a professional member and past president of the New Hampshire chapter of the American Massage Therapy Association; a certified member of the Associated Bodywork & Massage Professionals, Inc.; and a past chairman of the board of directors of the National Certification Board for Therapeutic Massage & Bodywork.
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