resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Treating GERD and Incontinence: Focus on Trigger Points
Gastroesophageal reflux disease (GERD) is defined as the regurgitation of stomach acid in the esophagus. Previously, it was thought that GERD was caused by a hiatal hernia, but recent trials suggest the cause is an inability of the hiatal sphincter to contract normally.
Keep Seniors Safe: Age-Proofing the Home
I want to give Dr. Claudia Anrig kudos for her Dec. 1, 2014 column, which highlighted safety issues youngsters might encounter in the home.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Managing Tibialis Posterior Tendon Injuries
The tibialis posterior is the deepest, strongest and most central muscle of the leg, with fibers originating from the tibia, fibula and interosseous membrane.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
Pain Is Only a Piece of the Puzzle
More often than not, when a patient presents to the office, it is for a pain complaint: headache, neck pain, low back pain, sciatica, carpal tunnel, etc.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
Joint Supplements for Athletes (Part 2)
A fairly recent discovery in nutrition supplemental medicine has proven to be a breakthrough in maintaining athletic joint health. Research suggests a combination of undenatured type-II collagen and tetrahydro-iso-alpha acids helps revitalize joint function and performance in athletes.
God and the Chiropractor
My wife went to church last Wednesday night and brought home a CD of the pastor's message. As she handed it to me, she said, "You should listen to this; you'll like it." Our family regularly goes to church and our faith plays a major role in our lives.
Viewpoints: Massage Reduces Nonspecific Shoulder Pain, Improves Function
While seemingly universal, pain and stiffness in the shoulders can be a significant cause of disability. Often a pain that does not go away on its own, shoulder complaints tend to linger, sometimes for 12 months or longer.
Older Patients, Stroke Risk and Manipulation
The first population-based study in the United States to evaluate stroke risk following spinal manipulation – and the first involving older adults – suggests that "[c]hiropractic cervical spine manipulation is unlikely to cause stroke in patients aged 66 to 99 years with neck pain.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
What Do You Know About Physician Compare?
Physician Compare is a website that allows consumers to search for and obtain information about physicians and other health care professionals who provide Medicare services.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
News in Brief
ACA Exec. Vice President Out, Acting EVP In; F4CP Executive Director Retires; New ED Named.
Striking a Blow to the Medical Monopoly
The U.S. Supreme Court has issued a landmark ruling in North Carolina State Board of Dental Examiners v Federal Trade Commission.
How We Can Help the Injured Brain
The majority of patients with mild traumatic brain injuries recover within seven to 10 days. If concussion signs and symptoms continue beyond seven days, the diagnosis changes from acute concussion to post-concussion syndrome.
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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