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The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. 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.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
February, 2004, Vol. 04, Issue 02
Massage Cupping Therapy for Health Care Professionals
By Anita J. Shannon, LMBT
The modern world of healing has embraced another wonderful ancient technique that has powerful results. Massage cupping is a modified version of "cupping therapy," which has been used extensively in Chinese medicine for several thousand years.By creating suction and negative pressure, massage cupping is used to drain excess fluids and toxins; stimulate the peripheral nervous system; bring blood flow to stagnant muscles and skin; and loosen adhesions, connective tissue and stubborn knots in soft tissue.
How Is Cupping Accomplished?
A cotton ball is clamped in hemostats and soaked with about five to 10 drops of alcohol. The cotton is lit, then inserted into the glass cup to create the vacuum. Move the cup over the area to be treated, remove the cotton ball and invert the cup onto the body. If using a manual vacuum set, place the cup on the body and activate the pump to remove the air.
There are two main cupping techniques: stationary and moving. Stationary cups are placed on the skin and left for a period of five to 15 minutes in one location, or four to six cups may be applied and removed cyclically in a technique called "flash cupping." These are the methods most commonly used in Chinese medicine. Moving (or "massage cupping") is the more commonly used form of cupping among massage therapists and other health care practitioners. Prior to applying the cup, oil is administered to the skin to facilitate smooth movement and palpably discover the areas of tension and congestion. Create the vacuum and place the cup on the affected area, then glide it over the surface. A cup may be "parked" for a short time on stubborn knots or over inflamed joints or tissue. Cupping can be used on the neck, shoulders, back, sacral area, hip, abdomen, thigh, upper arms and calves.
The sensation of cupping is often characterized as deep warmth and tingling, long after the treatment has ended. Cupping is not an irritant to the skin or body. It draws the inflammation out yet does not add to it, and is excellent when used as a contrast therapy with cold compresses or liniments. Massage cupping is often used on the broad areas of the back, which is a wonderful addition to any massage. The treatment is sedating, and people will often descend into a profound state of relaxation. (A deep snore is common!) Larger cups may be used on the back; the strong vacuum will mimic the rolling action of deep tissue massage without the discomfort. The movement may be long and draining, or circular and stimulating, for stubborn knots and areas of rigid tissue.
The skin will redden with strong massage cupping, indicating that circulation has been brought to the surface. Application of liniments, analgesics, plant hydrosols or essential oils immediately following a cupping treatment will aid absorption deep into the tissue. The increased local blood supply will nourish the muscles and skin and allow toxins to be carried away.
Massage cupping is also effective in treating cellulite. A light suction provides drainage, while heavier application can be used to stimulate circulation and loosen adhesions or "dimpling." The thigh and hip region should be treated prior to a wrapping procedure to enhance the absorption of product.
One of the most enjoyable aspects of this technique is the subtle nuance of the movements. Creativity provides a variety of methods, and alteration of pressure and speed produces different sensations. For example, the edge of the cup can be used to "scoop" in a cross-fiber movement, while vigorous circles feel marvelous on the hips, thighs and shoulders. Long strokes down the sides of the spine and along the ribs provide ease to rib cage expansion and breathing.
Stubborn neck tension is soothed using a slow, deep approach with small cups. This is not a technique with limitations - its applications are endless. Clients have often reported that the massage cupping experience stayed with them longer than other treatments and that results are cumulative with consistent sessions. Massage cupping therapy is also easier on the practitioner because it enables the therapist to go deeper without discomfort to the client or themselves.
Massage cupping can be integrated into almost any modality. The equipment is inexpensive (and easily cleaned and stored), practitioners can become proficient quickly with proper training, and it is really fun to do!
Author's note: Photos courtesy of Adam Larson and Davon Embler.
Anita Shannon is a Licensed Massage Therapist and a licensed Cosmetologist since the 1980's, specializing in skin care, body treatments, clinical aromatherapy and various modalities of massage therapy. She is a national educator since 1990, and the Director of Advanced Continuing Education (ACE), an NCBTMB CE provider established in 2001.
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