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Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Optimism = Compassion = Trust
A randomized clinical trial recently published online in JAMA Oncology examined how patients viewed their doctor based upon how the practitioner presented bad news to the patient.
Applying the Thin Skull Principle
The "thin skull" principle, also known as the "you take your victim as you find them" principle, is a legal principle that can be summed up by the following statement.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Low Back Pain in Professional Golf: A Common Muscular Relationship
Every sport creates its own unique demands on the body. Some sports require such a myriad of body positions that assessing pathology is often difficult and unpredictable.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
A View From the ER
The University of Western States has inked an innovative agreement with local nonprofit health system Legacy Health whereby UWS sports-medicine fellows can experience observational clinical rotations in emergency-room settings within the Legacy system.
Term Limits: What's in a Word?
It was the French historian and philosopher Voltaire who once declared the Holy Roman Empire was neither holy nor Roman nor an empire.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Functional Hip Impingement (Part 1)
Every time I sit down to write an article, I realize how much more there is to know about musculoskeletal pain. I also learn something new every time. (I want to give special thanks to Lucy Whyte Ferguson for assisting with this article.)
Talking to Patients About Lumbar Facet Denervation (Medial Branch Neurotomy)
Lumbar facet denervation, more appropriately termed medial branch neurotomy (MBN), is a procedure that may be considered when patients suffer from recalcitrant non-radicular axial back and/or leg pain.
Sleep, Less Sleep or No Sleep?
I had a dream I wasn't getting enough sleep. It was a very realistic dream, even though I was probably slightly awake and not really deep dreaming. Most likely I had been dozing, caught in that twilight of sleep and wakefulness.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Turning a Blind Eye to History – and Reality
The American Medical Association is taking the Supreme Court's Feb. 25, 2015 decision exactly as it always does – by turning a blind eye to history, legal precedent and reality.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
A House Divided?
The American Chiropractic Association's House of Delegates voted on 30 resolutions at its annual business meeting in Washington D.C., but two in particular took immediate center stage due to their controversial nature.
August, 2004, Vol. 04, Issue 08
Stuck With Positioning in Seated Massage?
By Lee Chaffee
I feel a need to address the subject of client positioning during seated massage. I hurt for those clients I've seen in airports, malls, and wherever chair massage is administered, who are positioned with necks over-contracted, shoulders up to their ears, and severely arched low backs.No wonder there aren't lines of people waiting to jump aboard! Just as a client cannot be expected to climb onto a massage table, lie down, and have everything "comfy," a seated massage takes some adjusting. It takes being familiar with your chair and "sizing up" the client.
Get familiar with your massage chair. Open and close it several times, and position your friends and family in it, adjusting for different body builds, before you attempt to sit a paying client in it. As clients enter your room, notice their height, weight and proportion. Sizing up clients will become easier with practice. For the comfort of the client, the neck muscles need to be elongated, not contracted. This position also gives you the ability to get your hands in between the upper traps and base of the occipital ridge.
Observe the positional needs of the client throughout the massage, since it can change based on the amount of pressure applied. Usually, asking the client to put his or her chin a little closer to the chest will correct any loss of position. If the neck is contracted after a few moments of applying pressure to the back, the client will usually end up with a headache. Would you want to pay a minimum of one dollar a minute to obtain that result?
This is how I help direct clients sit comfortably in my massage chair: First, I tell them to sit, then kneel on the kneepads and place their hands on the armrests. Then, with me standing in front of the chair with all levers unlatched (no matter what brand of chair I'm using), I ask them to put their chin to the chest and aim their forehead for the top of the hole in the face cradle, applying a little weight until they feel comfortable. Then I lock the face cradle in place.
Next, I check the client's shoulders to make sure they are not too high or low. I also make sure that the traps are not too contracted or over-stretched, and will raise, lower, or angle the chair's arm rest accordingly. If the chest plate is adjustable at an angle (as well as for height), make sure it is not pushing in on the diaphragm. Doing so can cut off a client's breath and may cause them to faint. I prefer a 45-degree angle, if possible.
The position of the knee rest is up to the clients, as to whether they feel comfortable with their feet touching the floor or not. Usually, if they are not comfortable with their toes touching the floor, they can slide their knees forward. On some chairs, the knee rest comes off.
On some chairs, the seat adjusts but not always to my height. If possible, and if it does not disturb the client's comfort, I prefer the seat of the chair to be a bit higher than my knee. I have found that this height works for any modality. Experiment with this aspect of chair adjustment so that you and your clients are as comfortable as possible.
With a little adjusting, clients can also sit face-forward in a massage chair. I have used the chair this way when clients want work done on their face, head and shoulders. The client carefully sits backward on the seat and leans back against the chest rest, while the headrest is brought up as far forward as it will go. Most chairs have an added adjustment to bring them forward for larger clients. I hope these suggestions have helped. Happy seated massaging!
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