resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
News in Brief
ACA Exec. Vice President Out, Acting EVP In; F4CP Executive Director Retires; New ED Named.
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.
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!
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.
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.
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.
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.
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.
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."
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.
November, 2003, Vol. 03, Issue 11
Falling Behind the Recovery Curve
By Keith Eric Grant, PhD, NCTMB
In my article, "Training Effects"1 (www.massagetoday.com/archives/2003/06/08.html), I discussed sports scientist N.Yakovlev's model of training and adaptation. After a workout, there is a recovery period, followed by a period of super-compensation. The optimum time for the next workout is at the peak of super-compensation. Work out again too early, and the body is still recovering; wait too long, and the benefits of the last workout are lost. The length of recovery depends on the workout intensity and factors such as nutrition, hydration and sleep.4
Yakovlev's model is a guide to understanding adaptation and improvement with regular exercise, but it also contains one of the greatest banes of those who start exercise programs - overuse injuries. Overuse injuries account for 30 percent to 50 percent of all sports injuries, and are among the most common encountered by heath care practitioners. Even injuries with a sudden onset without a clear traumatizing event are often the result of falling behind the recovery curve.
Overuse injuries frequently occur when an athlete changes exercise patterns or rapidly increases the amount or intensity of exercise. Without sufficient time for recovery, repetitive micro-trauma leads to inflammation and local tissue damage in the form of cellular and extracellular degeneration .3 Such degeneration can lead to chronic pain or sudden injury. An increase in injury risk with lighter muscle fiber loading at higher repetitions (Fig. 1) is explicable in terms of decreased tensile strength of over used tissues. Overextension andoverly intense exercise also can be detrimental to immune system functioning.5 Allowing time, and setting conditions for the recovery period, are important to performing well; recovery is aided by good nutrition and adequate sleep. Best conditioning without breakdown is obtained by catching the Yakovlev curve at its super-compensation maximum. Massage can aid normal training by helping to reduce residual muscle hypertonicity, thus speeding recovery.1
If chronic or acute injury has occurred, allow healing while gently maintaining joint mobility. Functional rehabilitation must be done before training can return to pre-injury levels. At the heart of functional rehabilitation are Davis' Law and Wolf's Laws, which state that soft tissue and bone heal along the lines in which they are stressed. For optimal healing, tissue must be stressed gradually to accept a given force. Crossfiber massage can be used to help align healing soft tissue and stimulate healing. Rehabilitation also involves exercise movements to regain joint proprioception.6 Impaired joint "position sense" is overlooked in many rehabilitation programs and may be a major risk factor for recurrent injuries after the muscles and ligaments have been restored. Restoring proprioception after injury allows the body to maintain stability and orientation during static and dynamic activities.
A massage practitioner can assist clients in restoring joint sense and neuromuscular movement by encouraging them to perform movements against the practitioner's light resistance. Such work also helps identify areas of adhesion that can be normalized by deep tissue work.
Finally, one of the hardest exercises involved in recovery and rehabilitation comes not in exercising the body, but in exercising patience. In coming back from behind the recovery curve, an athlete could do far worse than cooling his or her heels on your massage table. With less than a full workout schedule, each has the time.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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