resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Let's Streamline Your Front Desk
Your front office can be your greatest source of efficiency or a constant bottleneck. Increasing the productivity of this area without sacrificing the quality of patient interaction can be a little tricky.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
Excited to Share the Science of Chiropractic: An Interview With Dr. Heidi Haavik
Dr. Heidi Haavik has become known in the circle of chiropractic researchers as not only a rising star, but also one willing to do research that can have a major impact in the scientific world and how chiropractic is perceived.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Identify & Adjust the Apex Posterior Sacrum
Low back pain involving an apex posterior sacrum (+θX-axis misalignment) typically presents with signs of lumbosacral joint impingement or facet syndrome.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
Misconceptions & Opportunities With Medicare
As I speak around the country on how to properly document Medicare patient encounters, I get questions regarding opting out of Medicare. There are many misconceptions about opting out of Medicare, including just what it means to opt out.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
F4CP Launches New Social Media Campaign
The Foundation for Chiropractic Progress has launched a new service to help member doctors: a social media campaign called "Accelerator."
Designing a Fitness Plan (Part 4): Blending Pain Relief With Healthy Aging
Pain relief is still the No. 1 reason patients come to my office. However, most of my patients have other goals as well, such as: "I want to lose 10 to 20 pounds"; "I feel old and want to slow down the aging process"; "My doctor says I am becoming a diabetic and need to exercise"; or "I'm tired and want more energy."
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
Specialized Pro-Resolving Mediators: 21st Century Inflammation Fighters
Specialized pro-resolving mediators, or SPMs, are a portion of the omega-3 fatty-acid spectrum that have been shown to have a powerful effect on reducing inflammation.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
News in Brief
Northwestern Student Honored for Addressing Concussions Head-On; Northwestern Announces New CFO; Life U. to Provide Unique Opportunity.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
An Alarming Lack of Accountability
Accountability seems to be a lost quality today. The simple act of taking responsibility and doing the right thing just doesn't happen as often as it should. Maybe it is the litigious nature of our society.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Day in the Life of an Advanced-Practice DC
Can you tell us a little about your background in the profession? Why did you want to become a DC? I studied at Boston University from 1968-1972 as a pre-med student majoring in biology.
How Many of Your Patients Have Sarcopenia?
Figure 1 demonstrates the typical appearance of sarcopenia in the paravertebral muscles. Have you considered evaluating your patients for this problem? Sarcopenia is the progressive loss of skeletal muscle mass and function that affects the older population.
October, 2004, Vol. 04, Issue 10
By Keith Eric Grant, PhD, NCTMB
At the 1968 Summer Olympics in Mexico City, John Stephen Akhwari of Tanzania was the last man to finish the marathon. Akhwari could run, and then some. He was Africa's marathon champion and had been expected to do well in Mexico; however, his training at sea level had not sufficiently prepared him for the altitude of Mexico City, and he fell during an attack of cramps.His legs bloodied and bandaged, Akhwari continued to run as best he could, limping into the Olympic stadium, with darkness falling, more than an hour after others had finished.
Sports cinematographer Bud Greenspan had been packing up his camera when a reporter alerted him to Akhwari's arrival. Pulling out his equipment, Greenspan captured Akhwari's final lap and later asked him why he didn't just stop along the way. Greenspan's film and Akhwari's reply became a classic example of Olympic spirit: "You don't understand," he said. "My country did not send me 7,000 miles away to start the race. They sent me 7,000 miles to finish it."2
Years later, at the Sydney Olympics, the Australian attach‚ for the Tanzanian athletes, brought John Stephen Akhwari to Sydney to receive an award at the closing ceremony as a living symbol of the Olympic ideal. Following the Sydney games, a foundation was created to foster the potential of Tanzanian athletes.5
Although the effect took years to incubate, Akhwari's determination to keep a commitment and face his barriers brought results beyond what even a winning run might have produced.
There are many different kinds of barriers faced in successfully entering the practice of massage, from learning to execute techniques smoothly, to marketing our services, to using good business practices, to jumping the regulatory hurdles imposed by various localities and states - sometimes with little objective basis behind them. While the process may not be pleasant, with commitment and determination to "reach the finish," we can do far more than we might have believed.
One of the opportunities we gain for ourselves by entering the practice of massage is that of helping our clients deal with another kind of barrier: injury or overuse-initiated barriers that limit normal range of motion (ROM). There are several different movement barriers that are used in discussing range of motion: anatomical, elastic, physiological, and pathological or restrictive. Greenman provides an entire chapter on barrier concepts within the larger framework of the diagnostic triad of Asymmetry, Range of motion, and tissue Texture abnormality (ART).3
The outermost limit is the anatomical barrier. When the anatomical barrier is exceeded, the integrity of the joint is compromised by fracture, dislocation or tearing of ligaments. In the interest of having return clients, I strongly advocate staying within the anatomical limits, whatever the facilitation used. Just short of the anatomical barrier, lies the elastic barrier, where the joint tissues offer considerable resistance but still have some slight ability to lengthen. This limit is generally reached using passive assistance. The range of normal active movement ends at the physiological barrier. The barrier resulting from loss of ROM due to dysfunction is the pathological or restrictive barrier. The positional relationships between these different barriers are shown schematically in
Associated with a loss of range is also a shift in the neutral or mid-point of the movement away from the limitation. Our therapeutic goal is to normalize hypertonicity and free adhesive restrictions so that we move the client's pathological barrier outward toward the appropriate physiological barrier.4
This also returns their neutral point to the correct midrange location. Our methods might include direct work to free adhesions between layers of tissue and neurological reflex-based techniques to reduce muscle hypertonicity, the latter including techniques of post-isometric relaxation6 and positional release (strain-counterstrain).1
Whatever the barrier, in facing it for ourselves and for our clients, we may achieve far more than we anticipate. At times, the road may seem long but, for each of us, there are those along the way who have believed in our abilities and helped us along our paths, not so that we could start our race but so that we could finish it.
Editor's note: Due to the transient nature of the Internet, some links may not be operational.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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