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How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
After two treatments for back pain, a patient presents for a third
session complaining of rapid breathing and wheezing that is made worse
during cold weather.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
September, 2003, Vol. 03, Issue 09
The Art and Science of Post-Event Massage
By Michael McGillicuddy, LMT, NCTMB
The term "post-event massage" can be confusing, depending on the sports massage educator you listen to. I consider "event" massage to be sports massage applications administered onsite at an athletic event.Usually, a post-event massage is administered at the event site after the athlete has finished competing for the day; this type of massage requires a greater degree of skill and knowledge.
Here in Florida, athletic events are held outdoors year-round. Sometimes it's cold, but most of the time, it's really hot. Because of the changing weather conditions at these events, a sports massage therapist providing post-event massage should be trained to recognize conditions such as dehydration; hyperthermia; heat exhaustion; heat stroke; and hypothermia.
The state of Florida defines massage therapy as "the manipulation of soft tissue of the human body." Providing first aid is not within the scope of practice for massage therapy. When a sports massage therapist suspects an athlete has a medical problem, he or she should seek the help of a qualified medical staff member at an event. In fact, it is better for the therapist if the medical team screens the athletes before they receive massage therapy.
A post-event massage is designed to aid the athlete in recovering from the activity; reduce post-exercise soreness; and re-establish range of motion and blood flow to tight muscles. It also can give the athlete a big psychological lift. Before administering the massage, allow the athlete to cool down and rehydrate. Conduct a brief interview to ensure that he or she is coherent and rational. I like to ask if the athlete is really sore. I also ask the athlete to tell me if he or she experiences any discomfort during the massage, so I can adjust my technique; post-event massage should never be painful to the athlete.
A post-event massage is administered for approximately 10 to 15 minutes; it is not a full-body massage. A typical post-event leg routine might consist of compressive effleurage for calming the nervous system and pushing fluid; pettrisage for easing tension in the muscle; compression for spreading muscle fibers and restoring blood flow; broadening strokes to lengthen tight muscles; and compressive effleurage as a finishing stroke to soothe. Following the massage, therapeutic stretching can be administered to relieve muscle tension and restore range of motion.
During the massage, the therapist should watch for cuts; scrapes; bruises; blisters; and mild strains and sprains, and have them treated appropriately by the medical team. Often, an athlete will experience muscle cramps during the massage. If it is a single muscle, I like to use reciprocal inhibition technique to relieve the cramping; however, when an athlete experiences cramping in more than one muscle group, it might be a sign of dehydration. Medical attention should be sought to ensure it does not become a serious medical problem.
Watch carefully as the athlete gets up off the table following the massage. I like to look the athlete in the eyes to see if they look clear. An athlete may feel light-headed and dizzy; watch as the first few steps are taken away from the massage table. Sometimes, cramping may occur as the athlete's muscles are reactivating.
An effective post-event massage helps an athlete feel better immediately following a competition. Along with the great psychological boost, it allows the athlete to recover more quickly. Most athletes look forward to seeing massage therapists at an event because they know they will enjoy their well-deserved post-event massage treatment.
I hope this information has been helpful, and that you enjoy being a part of the massage therapy profession.
Michael McGillicuddy, LMT, NCTMB
Click here for previous articles by Michael McGillicuddy, LMT, NCTMB.
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