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Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
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.
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."
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
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.
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
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.
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!
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.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
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.
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.
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.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
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.
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
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.
July, 2003, Vol. 03, Issue 07
By Cliff Korn, BS, LMT, NCTMB
I recently spoke to a group of graduating massage therapy students as a guest lecturer at a career development course. The school recently started its massage certificate program, so the class was small - only seven students.I asked what brought them into the field, and what they thought they would be doing after being a year in practice. All planned on being successful - most planned on starting full-time, right out of the box! None had any offers of employment, even though they were graduating in four weeks.
Their dreams didn't surprise me; my surprise came at the responses of four of the seven who shared that they had never experienced a massage before starting school! It would have been five out of eight, but one student dropped the program when she realized she couldn't stand touching others, and liked being touched even less. What would possess someone to apply to school, write a large check for tuition and give up time to study, without determining if the experience holds personal efficacy?
Massage therapy brings me many surprises. Perhaps the one that strikes me most is how few massage therapists avail themselves of regular massage! Massage therapists expect self-care from their patients and clients, but hesitate to apply their own suggestions to themselves! Self-care has emerged as a hot topic for today's caregivers striving to balance the responsibilities of profession and family.
Unfortunately, self-care generally is not supported by our culture; some people equate self-care with abandoning responsibilities or self-centeredness. Therapists often receive rave reviews for taking better care of others than they do themselves. As a result, many are suffering near epidemic levels of physical, emotional and spiritual fatigue. Taking time for yourself allows you to be a better spouse, parent, friend and therapist. Self-care is empowering. You take charge of your life when you implement any healthy practice into your routine. You are the expert on your needs - if you don't acknowledge their importance, who will?
Our client base will not benefit if we don't take time for ourselves. When we are emotionally depleted, those in our care see our weariness and frustration. While we do our best to respond to their needs, we can make them feel guilty for needing us. We serve as role models for our clients. When we take care of ourselves, we exemplify positive self-esteem and healthy behaviors. Getting regular massage shows that we know how to care for ourselves!
Here's a sobering thought: One in eight women has a chance of getting breast cancer at some point in her life; each year, 40,000 women die from breast cancer. Between 80 percent and 85 percent of all massage therapists are women. The savvy female massage therapist will use the skilled palpation of her massage therapist to assist her in breast health. It makes sense that a massage therapist trained in the nuances of soft tissue will do a better job of regular examination than the physician you see once a year! Insist on the care you need!
Dr. Saralyn Mark, senior medical advisor on women's health with the Department of Health and Human Services and NASA, stresses the importance of knowing your family history. There is a difference between getting breast cancer before menopause and after menopause. You should be more concerned if you have family members who have been diagnosed with breast cancer before menopause, as there could be a genetic factor involved that will require additional caution:
When overbooked, overworked and faced with clients presenting with various needs and/or maladies, we go out of our way to provide the best possible care - a normal reaction by most caregivers. However, this also is a time when special attention should be paid to you, the caregiver. In fact, your health is the best guarantee you can give your clients: the guarantee that you will be able to provide them with good care.
Self-care may seem like a luxury, but it's not. One of the principles of self-care demands that you deliberately choose to care for yourself. We should do at least as much for ourselves as we do for our clients. Do you tell your clients to get regular massage? Do you tell them what the benefits are? I tell mine that massage relieves stress; maintains flexibility; keeps them physically and emotionally alert; helps them stay in touch with and listen to their bodies; provides an opportunity for professional evaluation and care of emerging strain patterns; and helps them maintain a healthier lifestyle. If that is true for my clients, it is certainly true for me!
I hope those students I spoke with find massage therapy meets their expectations. I hope they develop practices as robust as they can handle, and that they take good enough care of themselves so that can happen.
I try to find my way to a massage table at least once per week. I see and feel the benefits. I also feel no hypocrisy in suggesting that my clients come more often to feel better, because I'm asking no more of them than I am asking of myself.
Be the best massage therapist you can be. Use superb body mechanics; take regular vacations; eat well; exercise and stretch regularly; and learn new things ... but most importantly, go get a massage!
Massage Today encourages letters to the editor to discuss matters relating to the publication's content. Letters may be published in a future issue. 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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