resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Is the EHR Ship Setting Sail Without Us?
The numbers are in: As of July 2014, 10,253 doctors of chiropractic have received $123,059,868 in EHR stimulus funds – and yet that represents less than 15 percent of our profession.
News in Brief
Major Organizations Announce Joint Conference; Fighting for Section 2706; New Vice President of Chiro. Program at Parker; Two Families, One Chiropractic Dynasty.
Overcoming Barriers to Exercise Compliance
One of the most common questions other practitioners ask me is, "How do I get patients to do their exercises?" I am not frustrated by my patient compliance, as many doctors are; in fact, I am actually happy with my patients' involvement and commitment.
We Get Letters & E-Mail
Not All Evidence Is Equal; An Abundance of Misinformation; A Well-Researched Decision; Far Too Dangerous.
Defending With Vitamin D: Helps Prevent Progression to Diabetes
A 2014 clinical trial published in the American Journal of Clinical Nutrition provides additional evidence that optimal vitamin D nutritional status may be important in preventing the progression of prediabetes to diabetes in prediabetic adults.
Love a Nurse – and They'll Love You Back
According to various sources, there are about 3 million registered nurses in the U.S., and according to the American Nurses Association, they are under serious pressure in today's health care reality.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
Billing for Same-Visit Extraspinal and Spinal Manipulation
Q: I have always been under the premise that when billing 98943, extraspinal chiropractic manipulation, on the same visit as spinal manipulation, 98940-98942, that the extraspinal manipulation requires modifier 51.
Women's Health: Herbal Formulas to Help Patients With Dysmenorrhea
Chiropractors have long treated women for menstrual pain (dysmenorrhea). Since roughly 60 percent of all chiropractic patients are women and 30-50 percent of women have a history of menstrual cramps, the vast majority of doctors of chiropractic will inevitably see patients with dysmenorrhea.
The Art of Day-to-Day Assessment and Treatment: Clinical Pearls
Let's focus on the day-to-day process of assessing and treating the patient. I am proposing a particular attitude; a way of looking at the patient. This often evolves over a few treatments and then changes as you figure out what is significant.
The Wisdom of the Second Office Location (SOL)
There are some things I never want to do again, like riding a motorcycle 100 mph. I call these things my "negative bucket list." Other things I have on that list include water skiing, riding a roller coaster and eating habanero peppers.
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
Image Is Everything: The Power of Branding
Successful businesses use color and design to attract people to their service. They understand how important image is and hire experts to create an attractive package. Starbucks works hard to create an atmosphere that is warm and inviting.
State by State: Comparing Chiropractic Scope of Practice
"The issue of 'scope of practice' has been a bugaboo ever since our early quests for legal recognition for chiropractic," according to Dr. Claire Johnson, editor in chief of JMPT and National's other two chiropractic journals.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
A Chinese Medicine Story: An Interview with Mazin Al-Khafaji
Mazin Al-Khafaji's work has interested me for years. In February 2014, we invited him for the second time to speak at the Southwest Symposium in Austin, Texas.
A Dream Come True for Chiropractic: Funding Prevention and Public Health
Back in 2005, Sen. Tom Harkin (D-Iowa) said: "Let's face it, in America today we don't have a health care system, we have a sick care system.
Are Your Work Orders in Order?
There are times when a patient's occupational duties will delay or prevent them from recovering. These circumstances create the need for the doctor to recommend modified duty or remove the patient from work.
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
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