resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
April, 2004, Vol. 04, Issue 04
Discovering Mastery in the Art of Connective Tissue Massage, Part II
By John Latz
Editor's note: Part I of this article appeared in the March 2004 issue of Massage Today at www.massagetoday.com/archives/2004/03/02.html.
Principles of CTM Body Mechanics
Fascia is finicky about how it changes.Connective tissue needs a significant amount of energy to facilitate the biochemical process of fascial hydration. The optimal way to add this energy is to let your own relaxed body weight lean into your hands or forearm as you work; pushing or exerting effort with extrinsic musculature will not work. This slower, more deliberate and intentional power comes through you only when your core is connected to your movement. It is a sensation of openness and expansion - an effortless flow of energy from practitioner to client.
The practitioner's core energy evokes deep intrinsic openness from the core of the client, without using invasive intention. Fascia must be approached and touched at an oblique angle (less than 45 degrees). This angle minimizes downward compression. Pressing straight down into the connective tissue compresses and closes the core space of the receiver's body. It feels invasive and evokes a natural response to engage the sleeve and self-protect.
Connective tissue massage also uses balanced extrinsic/intrinsic movement while working on a client. Balanced movement is best achieved when the practitioner is maintaining a body alignment that naturally allows slow, intrinsic lengthening to happen, while at the same time minimizing use of the faster, grosser extrinsic muscles of the body. The slower rate of intrinsically powered movements matches the rate of change acceptable to the connective tissue, and it responds by softening, stretching and lengthening. This balanced core/sleeve body movement is the ideal method of working, according to Ida Rolf.
When working with this core, intrinsically powered intention and focus, one could argue that CTM practitioners become the "Fred Astaires" of bodywork. This evokes images of massage therapists working effortlessly and dancing around their tables. We see great form in professional athletes and performers; we admire their movements because they make it look easy. Why wouldn't form be just as important when performing bodywork? Often, we become achievement-oriented, rather than form-oriented, only to misguide our bodies away from balanced movement patterns.
Dr. Rolf spoke about this: "As a child or young person, if you want to learn a skill, you study form. You study with a teacher who insists you must use your fingers this way or hold your elbow this way, to learn the skill. You may not realize that the teacher is trying to instill into you a reverence for form. In any art, if you can once get to a high degree of form and work with it, being conscious while you're working at what you are trying to do, you've got it made. This then becomes the method of choice to you, because it's easy. It's easy because, in this position, the body can work with an expenditure of less energy. This is what form is about."4 As bodywork practitioners, we need to assess our forms while we work, if for no other reason than career longevity.
Using a Line Of Intention
When I work on clients, my body feels like a "line of intention." I can elongate by intention along that energetic line; I have a sense of my self as elastic. I grow bigger, three-dimensionally, and tap into a greater power that exists within my core whenever I need to transfer additional power into my client. Ida Rolf spoke of a vertical line, which is evoked during the 10 sessions of structural integration. The line is continuous, passing from the top of the head through the bottoms of the feet; it represents a relationship of physical structure with the gravity field of the earth.
My CTM students learn how to utilize this axis of intention so they can access more power. The movement that occurs is initiated intrinsically, giving us a sense of vertical lift as we simultaneously lean forward. This integrated movement realigns our structure while we are working, giving us a greater sense of well-being. In other words, we don't have to be tired, drained of energy, or worn out when we work. It's like practicing yoga while we are doing bodywork.
Yoga elongates the connective tissue and transforms human structure through precise balancing postures. These postures create intrinsic/extrinsic balance in the body and allow the practitioner's core-space to emerge. The result is physical and emotional growth, and spiritual evolution. From practicing yoga, I realized I could accomplish a similar lengthening while practicing CTM. I took elements of yoga and applied them to body mechanics.
We borrow a term from physics to further explain "line of intention." "Vector" is a term used to describe a line of force having direction and magnitude. CTM body mechanics rely on a concept of changing vectors to maximize our physical and energetic contact with the client's body. Our alignment is like a relational posture to our client. That posture becomes a vector that can be shifted readily to improve the power transfer. Herein lies the artistry of the CTM body mechanics. Mastery of the CTM system demands an inner awareness of one's own body and core.
Unlike yoga, which can take many years of practice to achieve a core connection, the CTM approach allows us to grow into that core connection at an accelerated rate. Every time I elongate along that line of intention, and every time I point my line, I get that tangible sensory feedback from the client's tissue of deep and significant fascial response.
By learning to point my line of intention, my old ideas have become restructured, and I now have a new line of intention for my life. That's an idea that Ida Rolf strove to convey to her students: "Some people will tell you a man is a something built around a stomach. Some people will tell you a man is a something built around a skeleton. Well, I'm here to tell you a man is a something built around a line."5
This is the paradigm I've now integrated into my life and work. That is the spiritual truth that will lead you to your core connection. Where are you pointing your line?
We Want to Live Here
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.