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The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
January, 2005, Vol. 05, Issue 01
Deep Tissue Healing: The Art of Stone Massage
By Bruce Baltz
Stone massage as we know it today has gone through many changes as its popularity has grown from spa sessions to injury treatments. Today, massage therapists have many choices in stone work education, and there are almost as many stone work classes as there are modalities in massage, ranging from home study classes to several day workshops, from Reiki with stones to deep tissue.
With therapists and businesses trying to keep up with the public's demands for stone massage, the industry has run into unacceptable legal setbacks.In my opinion, the blame cannot be put on any one party. Therapists must be held responsible for their actions as well as the businesses that offer any type of service. This means the providing parties need to seek proper knowledge so all necessary steps are taken to provide the best treatment possible. The two elements most stone workshops have in common are the use of heat and application of stones to the body through a drape or directly to the skin.
For this work to be done within a safe range for the therapist and client, specific steps must be taken into consideration, including the ability of the therapist to handle a hot stone and a client's tolerance to heat.
When taking a stone out of hot water, make sure the temperature of that stone is within your tolerance. If it is too hot, your ability to apply that stone with confidence, whether through a drape or directly on the skin, will be greatly hindered, and your client will feel your lack of confidence.
Once you have a stone that you are confident you can handle, you must consider your client's tolerance for heat. Take all necessary precautions to assure your client will have the best treatment you can provide. If a hot stone is being placed on the body through a drape, it should be done through a towel, not a sheet - the sheet will often be too thin. It is essential that you check with your clients to see how the temperature feels to them.
Some techniques require clients to lie on the stones. A client's chances of suffering a burn during this treatment are greater, but the technique can still be administered with proper training. I tell my clients that they are in control of the session, which includes determining temperature - hot or cold - and pressure. If you do not give your clients this permission, they might think to themselves: "You are the professional and I guess this is the way it should feel." We cannot afford to have this thought cross their minds.
If your intention is to apply a stone directly to the skin, you need to make sure the heat stays within the client's tolerance. If the maximum level is 10 and we do not want to be there, we are looking for the seven to eight ranges for deep-tissue work. You will also have to acknowledge that the seven to eight range could be different on each of your clients, with hot, cold, and pressure; this must be respected. The chances for injury to the client are greatly reduced when a properly trained therapist takes these steps.
Day Spas, Resorts and Medical Offices
To add stone massage as a modality to assist in the healing process you need to be aware of the learning curve to apply this technique safely. When therapists come to me for training in the use of hot and cold stones, I ask them to take a stone in their hands and work with it as though it is a part of their hand. It does not matter how long one has been a therapist, the stone will be an equalizer in class because student therapists have to massage with that stone as though it is an extension of their hand.
This process will take time before the stone can be one with the therapist's hand. Therapists will need time to adapt the stone into the flow of their work. When this time is not taken, therapists will not develop the technique properly. Thus, the therapist will not feel comfortable, and the client will pick up on this feeling and not want the treatment again. This will reflect on all stone massage therapists, which will perpetuate a negative feeling for stone massage.
I do not recommend that one therapist attend any workshop, and return to their place of business and train the rest of the staff in what they have learned. This could be a formula for disaster for the client, therapist and owner, and could result in an injury to the client, as well as legal action. Thank you to the businesses that support continuing education for their massage therapists, but allow your therapists the time to perfect their modality whatever it may be. The end result will benefit all involved.
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