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Coding for the Subluxation: ICD-9 vs. ICD-10
When I attended chiropractic school, I was taught that chiropractors approach health care differently than the traditional medical establishment.
Vaccines and Chiropractic: Evidence-Based Medicine or Medical Dogma?
Right or wrong, the chiropractic profession has historically been against vaccinations. However, a growing trend within the profession is seeking to reverse this position.
By the Numbers: 3 Common Financial Mistakes With Major Consequences
Warren Buffett is on record for sharing the hidden art of becoming wealthy and making it simple enough for anyone to grasp.
The Acupuncture Success Express
Time is passing very quickly these days. We are atoms half the way through the year of the horse. You could call it "horse racing season" for this profession. Perhaps it is time for reinvention during this time.
Looking For Answers In Many Places
I am sure we have all heard the old adage: "When the only tool in your toolbox is a hammer, everything starts to look like a nail."
The Kidney Official
The Kidney is known as the Official Who Controls the Waterways. In Western medical terms, a major function of the Kidneys is to filter the blood. Every day, a person's kidneys process about 200 liters of blood to sift out about two liters of waste and excess water.
Physical Exam 101: The Hands
I am sure you are familiar with the old adage: "When the only tool in your toolbox is a hammer, everything starts to look like a nail."
Hazards in the Environment Making Your Patients Sick
Working both separately and together, Western and Chinese medicine have many successes in the treatment of the myriad diseases that afflict human beings in modern times.
Immunizations by Colorado DCs: Really?
You probably didn't hear about it, but back on Nov. 21, 2013, the Board of Directors of the Colorado Chiropractic Association (CCA) adopted "immunization authority" for Colorado DCs as its No. 2 legislative goal.
Remembering Clarence Gonstead and 50 Years of the Gonstead Clinic
Dr. Clarence Selmer Gonstead (1898-1978) took chiropractic practice from back-alley bone setting to an understandable biomechanical science. His life was dedicated to clinical competency.
The Science of Stretching
In 1986, Rob DeCastella set a course record by running the Boston Marathon in 2:07:51, just 39 seconds off the world record.
Knee Pain From the Kinetic Chain
As practitioners of manual medicine, chiropractors often treat patients suffering from knee pain.
Healing With Hope
Ella is a Gulf War veteran and a survivor of military sexual trauma. Like hundreds of veterans, Ella was on 11 different medications for depression, anxiety, insomnia, irritable bowel syndrome and chronic pain.
Why You Should Include the Single-Leg Stance Test in Every Patient Assessment
The single-leg stance (SLS) test, also known as the single-limb stance test, unipedal stance test or one-legged stance / balance test, is often used in the geriatric population to assess static postural and balance control.
Fibromyalgia: Put the Pain in Its Place
While some fibromyalgia patients respond favorably to regular chiropractic care, others experience minimal relief. Unfortunately, many of these patients must rely on pharmacological management to relieve their constant pain.
Inside Liver Failure, Cirrhosis and Cancer
The Liver belongs to Wood in Five Element Theory and is in charge of Dispersing and Expanding which means all the processing and detoxifying of harmful substances such as medications and chemicals require the efforts of the Liver.
Medical Qigong for the Heart: Part II
Chinese Medicine is rich in commentary regarding the emotions and how they affect our qi.
Best Practices for Website Success
If one asked 10 years ago whether a website was relevant I was the first to suggest no. Yet as the world moves increasingly towards electronic information there is a dire need to have a website for your practice. Your website is actually your electronic calling card.
Curbing Label Overwhelm
For the average consumer, reading a food package can be overwhelming: natural, organic, non-GMO, gluten free, free range ... you get the picture.
Are You a Bad Chiropractic Patient?
My father was a great DC. In fact, as you might expect, he was the doctor of chiropractic I measured all other doctors against. Sadly, he died at age 61 when I was in my early 30s.
Spotlight on Acupuncture Research at IRCIMH
Acupuncture and Traditional Chinese Medicine were well-represented at the International Research Congress on Integrative Medicine and Health (IRCIMH)- 2014 which took place in Miami from May 13–16.
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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