resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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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