resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
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 Heart Protector
On the physical level, the Pericardium is a double-layered sac of fibrous tissue that envelops the Heart. The space between the layers is filled with serous fluid that protects the Heart from external shock or trauma and lubricates to allow for normal Heart movement.
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.
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.
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?."
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.
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.
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.
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.
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.
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.
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.
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.
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.
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).
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."
Uncle Sam Needs You (Part 2)
Where chiropractic care has been used in the military health services, it has been deemed very successful.
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.
May, 2004, Vol. 04, Issue 05
The Art of Palpation
By Michael McGillicuddy, LMT, NCTMB
I remember learning 20 years ago in massage school that therapists could specialize in working with athletes. Since I lived in Florida and spent most of my high school years playing whatever sport was in season, becoming a sports massage therapist was a no-brainer for me.
Additionally, I learned that working with people who were active was a lot of fun.It is a lot easier to discover where the body is most likely to develop aches and pains when you work with active people; however, you soon learn that applying Swedish massage strokes in the order you learned in school is not usually satisfying to most athletes. The great thing about being a massage therapist is that you get immediate "feedback" from your hands as to what tissue feels like; based on this feedback, you move from one massage stroke to another to get the greatest effect.
Years ago, I took a sports massage workshop with Jack Meagher. He had written a book, Sports Massage, in which he described the common sports massage techniques and the texture of healthy and injured muscle tissue. I read the book before attending the workshop, but it did not make much sense to me. Being in the workshop and watching Jack work made all the difference in the world. He would actually take your hand and position it so you could feel the texture of the tissue he was describing. All of the sudden, the light turned on for me! Sometimes I think one of the things missing in our profession is a universal vocabulary that describes the texture of tissue. We should be able to describe what healthy and unhealthy tissue feels like.
I usually describe healthy tissue as feeling smooth and consistent. Jack described unhealthy muscle tissue as muscle that felt like it had a piano string running through it. Sometimes, just a few strands of muscle fiber will remain in spasm giving the muscle a "piano-string" feeling. At other times, the whole muscle will become hypertonic and feel thick or ropelike. Some muscle tissues become inflamed, which causes them to feel spongy. Each of these muscle problems would require the application of a different sports massage technique to resolve the problem. The ability to palpate the texture of tissue is a skill a sports massage therapist must develop in order to achieve excellent results.
So, how do you get to the point where you can "feel" the texture of tissue? Having a highly skilled massage therapist as a teacher sure helps. Developing a skill usually takes a lot of practice, and it usually requires working on numerous people for experience in comparative assessment. Working slowly with your eyes closed while applying a specific technique on a specific muscle, also helps a therapist focus on what the tissue feels like. And asking for feedback from the athlete can help the therapist zero in on the specific texture of tissue. After practicing techniques this way for a while, I believe a sports massage therapist begins to "see" with the fingers.
A sports massage therapist that has developed very sensitive palpation literacy is often asked, "How do your hands know exactly where to go?" Most athletes sense this skill very quickly in a therapist, and this tells them that the therapist knows exactly what he or she is doing. Surely palpation literacy is not the only skill required for a sport massage therapist to provide effective treatment, but it is one I think should be high on the priority list. I hope this information has been helpful, and that you enjoy being a part of the massage therapy profession.
Click here for previous articles by Michael McGillicuddy, LMT, NCTMB.
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.