resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Finding Balance in the Clinic
This past December, I celebrated 11 years in practice. I seriously don't know where the time went. I feel beyond blessed and grateful to be practicing our profound and beautiful medicine and to be helping guide my patients restore a state of optimal health.
Cell Health (Part 2)
Dr. Barsten, your book is about restoring "cell vitality." Can you briefly define the term? Cell vitality is more than the mere absence of symptoms or pathology, but optimum structural, physiological and energetic health.
Mind-Body in Motion
A central goal of low back pain treatment involves the correction of dysfunctional movement patterns believed to be responsible for spinal overload.
Connecting the Dots
In 2002, I published a book on patient examination procedures that included information on the procedural coding of the recommended examinations. The book should have been published in 2000, but I had trouble finding a publisher. Why?
Reflections: The Art of Teaching Asian Medicine
Over the past three decades, my global workshops have been translated into German, Swiss German, French, Romansch, Spanish, Lithuanian and Xhosa. Time to offer you new teachers a few tips!
Are You Really a Healthy Eater?
I always giggle a little bit (to myself) when someone comes into my office and informs me that they are a healthy eater. What exactly does that mean? Does that mean they eat sugar in moderation? And what's that, exactly?
News in Brief
An Encouraging Sign at Palmer; NBCE Announces Retirement of Longtime Director of Testing.
Unlevel Pelvis in the High-School Athlete: Exploring Causes and Effects
The unlevel pelvis is all too common in the high-school athlete and if not detected, will likely cause a lifetime of musculoskeletal issues. Any provider who doesn't look for this common finding is missing critical information.
Help Your Parents Stay Engaged
As much as parents may wish it were so, children do not come with an instruction manual. There's no "how to" that can be followed and no two children are alike, so what works with one generally won't work with the next.
The Conscious Evolution of Healing, Part 2
The idea of transmission is very important in the Chinese medical classics. According to author Claude Larre, the ancient Chinese were highly interested in the connection between things. Nothing was looked at as an isolated entity.
It's Time to Create a Strong Acupuncture Footprint
Footprints in the sand. Footprints in the snow. Where do these footprints go? Some are big, some are small, but footprints are made by all.
Acupuncture and Homeopathy: Bioenergetic Brothers
Acupuncture and homeopathy share an important healing principle: bioenergetics. "Bio" means "life," so bioenergetics is literally "life energy."
It might have been a miserable start to the day in the heart of downtown San Diego. A heavy rain had soaked the large homeless population congregating near the intersection of Third Avenue and Ash Street as they waited for a free breakfast to be served at the First Lutheran Church on the corner.
Put the Social Back Into Social Media
Social media is more than a passing fad, it is definitely here to stay. Social media apps and channels of distribution may evolve, but the concept of social media is now big business and a part of all our lives.
Let's Speak With One Voice in 2015
For the longest time, the chiropractic profession has attempted to achieve some form of unity. On a political level, this was characterized by an ultimately unsuccessful two-year merger effort between ACA and ICA leadership from 1986-1988.
Case Histories from Bali: Treating Balinese Chidren with TCB and Shonishin
When I moved to the island of Bali in 2005, I offered my services in Bumi Sehat, which means Healthy Mother Earth, a free birthing center for poor and disadvantaged local women located in Ubud.
The Top Seven Website Mistakes Clinics Make
The majority of acupuncture clinics finally have a website for their business. Having a website is crucial for being found online through Google, Facebook and review sites like Yelp.
Neuroscience: Where Western Medicine and Chinese Medicine Can Come Together
The recent advances in neuroscience are truly incredible. With this expansion of scientific knowledge, I would like to see even more research into the neuroscientific basic of acupuncture and Chinese Medicine.
The CDC came out with a report in March 2013 that suggests 1 in 50 children will be diagnosed somewhere on the autism spectrum – significantly higher than the 1 in 86 figure that came out in 2007. What does this mean moving forward, particularly for children?
Old TCM Sayings: Treat the Front to Treat the Back
Chinese medicine college was, and always will be, a memorable time. It was a time of massive personal and professional growth.
September, 2004, Vol. 04, Issue 09
Metabolic Syndrome: A New Way of Thinking About Long-Term Risk
By Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President
The votes are in, and metabolic syndrome is the choice this month. This condition is not really a specific illness. Instead, it is a collection of features that, individually, are not great, but not particularly alarming.Together in various combinations, however, diabetes and cardiovascular disease are almost a certainty. Since cardiovascular disease and its corollaries (heart attack, stroke, heart failure, aneurysm, etc.) are responsible for nearly 40 percent of deaths in the United States, it behooves massage therapists and other bodyworkers to be familiar with this health-risk profile.
What makes metabolic syndrome especially interesting, in my opinion, is that it is a proactive approach to dealing with disease risks. Identifying when a person has some of the components of metabolic syndrome gives a person the chance to undo those processes before they progress to a more advanced and serious disease state. This idea of identifying and treating an illness before it creates significant problems is unusual in our allopathic medical community; however, this shift indicates good changes in the future.
Demographics: Statistics for the incidence of metabolic syndrome vary. Some researchers suggest it affects some 16 million Americans (about .06 percent), the majority of which are unaware of its existence. The Cleveland Clinic Department of Endocrinology, Diabetes and Metabolism indicates that the incidence is 22 percent, or about 47 million people. The National Cholesterol Education Program suggests that up to 44 percent of all people over 50-years-old meet the diagnostic criteria for metabolic syndrome. These inconsistencies may have to do with the age of the target group studied, differing diagnostic criteria, geographical region and other variables.
Metabolic Syndrome Features: Most of the features of metabolic syndrome are silent and go undetected without the appropriate blood work.
Metabolic syndrome is diagnosed when at least three of these five features are present. Therefore, while a person may have a large waist, if the other components are absent, the risk of cardiovascular disease is low. Other features sometimes seen with metabolic syndrome include a high risk of blood clotting, and polycystic ovary disease in women.
Treatment: The first, best option for a person with metabolic syndrome is to exercise and lose weight. Reducing body weight by 5 to 7 percent (this is only 10-14 pounds for a 200 pound person) significantly reduces the risk of complications due to insulin resistance; exercise improves insulin action and decreases blood glucose. Limiting alcohol use and quitting smoking are other important steps. If these lifestyle changes are insufficient to control this disorder, medications that improve insulin uptake and/or stimulate more insulin production may be prescribed, along with agents that work to lower blood pressure and/or cholesterol.
The role of the massage therapist who works with clients that are not perfectly healthy is to maximize the benefits of bodywork, while minimizing risks. This may mean changing tactics or adapting techniques to accommodate for the fragility of a client with a compromised circulatory system.
One way to make this determination is to get an idea of the client's activities of daily living (ADL). Does the client exercise regularly? Is it safe for the client to elevate his or her heart rate? Does the client huff and puff while climbing the stairs to the massage clinic? Has a doctor suggested avoiding aerobic exercise? This data informs the decisions about what kinds of bodywork are most appropriate. Techniques that focus on fluid movement may be less tolerated by a client whose circulatory system is challenged, but energetic or reflexive techniques that don't focus on fluid flow may be safe and welcome.
Metabolic syndrome patients who exercise rigorously and successfully control blood glucose, hypertension, and other features, are likely to be fine candidates for more vigorous circulatory-based techniques like Swedish or sports massage.
For next time: I have recently received a surprising number of letters requesting an article on contagious skin diseases like warts and herpes. Because I usually teach this material whenever I go on the road, I'd gotten it into my head that most therapists were pretty much at home with these topics. Clearly, I am mistaken! Unless I hear otherwise, I plan to focus my next column on herpes simplex. Do you have any stories you'd like to share? Let me know, so we can all benefit from your experience.
Until then, many thanks and many blessings.
Click here for previous articles by Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President.
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