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Healing With TCM at San Quentin State Prison
For the prisoners at San Quentin State Prison, life-sentences are the reality of every day life. It is not often that prisoners get the opportunity to use alternative medicine to deal with common ailments they encounter behind bars such as, depression, anxiety and pain.
Dr. George Goodman and His Legacy to Logan University
Those who knew him called him a revered leader, a visionary and one of chiropractic's biggest advocates. George A. Goodman, DC, Logan University's sixth and longest-serving president, passed away on Sept. 9. He was 70 years old.
Sports Science: What's in That Drink?
Athletes frequently ask me what the best liquid is to drink during exercise – water or a sports drink? Water provides the necessary hydration, but unfortunately, it lacks the key nutrients to aid in performance and recovery.
The Tao of Gender
If you think gender is as simple as having a new client check off the "male" or "female" box on your intake form, we hope this article will expand your understanding and thus the reach of your health care.
Uncle Sam Needs You (Part 2)
Where chiropractic care has been used in the military health services, it has been deemed very successful.
CMT & Stroke Risk: Myth vs. Fact
By now, most of you have probably heard that the American Heart Association recently published a statement regarding the association between cervical dissection (CD) and cervical manipulative therapy (CMT).
The Case for Immunization
As long as I have been a chiropractor, I have seen many in this profession oppose vaccinations. Indeed, it has often been taken as a "given" that to be a principled chiropractor requires a curmudgeon's willingness to hold aloft that banner of opposition.
The Wonders of Light Therapy: An Interview with Wes Burwell
I first met Wes Burwell in 2011 when he was teaching a class on light. Since then, every time I hear him speak, his understanding of the benefits, function and capacity of light has evolved.
To The Finish Line With the Help of TCM
When acupuncturist Eddy De Smedt pursued a career in Traditional Chinese Medicine, he knew he wanted to make a difference.
Correcting Pelvic Rotation Around the Long Axis: Adjustment Protocol
The pelvis can be considered a ring that can misalign on the sacrum rotating around the long axis. The following is a description of an adjustment that helps to correct sacroiliac rotation around the long axis.
Simple Ways To Find True Happiness
Patients in our clinics are always seeking happiness. As their health advocate, we need to ensure we inform them that in order to find happiness, they have to make sure to identify what makes them happy in the first place.
Lime Jello on Morphine
Taste is in the eyes... actually the mouth... of the beholder. My food preferences have changed, lightening from the food of my youth. My parents loved heavy eastern European cuisine and I loved it as a child. Now I enjoy leaner, healthier whole foods.
Essential Orthopedic Testing: Tests That Involve Standing on One Leg
Since these tests have a common mechanism of performance (standing on one leg), there are differential diagnostic concerns during testing. The tests cannot be completely isolated from each other for performance.
Commingling Money: 12 Questions for the ACA About the CHAMP / NCLAF Merger
The American Chiropractic Association recently announced it was merging the National Chiropractic Legal Action Fund and the Chiropractic Health Advocacy and Mobilization Project into a single entity that will support both legal and legislative actions.
Communication 101: Please Explain Yourself!
Twice this past week, I overheard conversations about chiropractic. As you can imagine, it is a topic my ears naturally pick up. In both cases, a patient was talking to a friend about their experience with a chiropractor.
Jingei Diagnosis: An Effective and Powerful Diagnostic
I graduated from the Kotatama Institute under the direction of Drs. Masahilo and Katsuharu Nakazono in 1984. As a student, I was exposed to the practice of most of the various theories and modalites of Oriental Medicine.
Managing Patient Expectations About Acupuncture
Last year, I attended the Pacific Symposium in San Diego for the first time in six or seven years. It was the 25th anniversary of this event, and on one evening there was a panel discussion with the title; "What is Qi?."
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 2)
As mentioned in part 1, using a flexion-distraction table is a great way to unlock this particular fixation. You have found the stuck segment. You have determined whether it is unilateral, midline or bilateral.
AOMA Strengthens Leadership Team
AOMA Graduate School of Integrative Medicine, a leading college of acupuncture & herbal medicine, announced the appointment of Donna LaPoint Hurta, MBA as the new VP of Finance & Operations this Fall.
Pulse Diagnosis: What We Know
I am still finding pearls of wisdom from the books and papers that I inherited from my pulse diagnosis mentor Jim Ramholz.
Chiropractic Research in Review
Predicting Pain With Disability in Office Workers; Traction Approaches for Discogenic Cervical Radiculopathy; Intra-Articular Gas Bubbles Following Manipulation; Nonresponsive Chronic Ankle Sprains: Think Tendon Rupture.
Managing Today's Fertility Patient
I recently received an email from one of my fertility patients: "Got my lab results back. FSH is 11, AMH is 0.7. My doctor said these numbers aren't good. I guess I'm infertile. Just as a thought. Just set up an appointment to speak with an adoption agency."
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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