resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
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.
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