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.
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.
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.
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.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
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.
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.
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.
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.
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.
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).
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.
July, 2005, Vol. 05, Issue 07
PMS: Please Make It Stop
By Elaine Stillerman, LMT
The first time I menstruated my mother slapped me across the face.
"Whadya do that for?!" I demanded, rubbing my sore cheek.
"So the blood should never leave your face."
This and numerous other old wives' tales have plagued women throughout our unique reproductive lives.PMS, premenstrual syndrome, is another set of symptoms that had to struggle to gain respect and acceptance in the medical community. First described as a set of symptoms in 1931 by an American neurologist, women who exhibited irritability, headaches, bloating, tension etc., a week or two before their periods were considered mad or hysterical. At the very least, the syndrome was "all in our heads."
Then in 1953, Dr. Katharina Dalton, a very brave English doctor, and her colleague Dr. Raymond Greene coined the term PMS in a paper they published. She recognized that during her own (four) pregnancies her premenstrual-related headaches disappeared. She knew that high levels of progesterone during pregnancy contributed to her calmness and freedom from these crippling migraines. In her practice she had great success in treating women who displayed migraines, asthma, irritability and epilepsy with progesterone. She (rightfully) concluded that hormonal imbalances - and not madness - prior to menstruation were responsible for the wide variety of symptoms so many women suffered.
PMS is a disorder brought on by hormonal shifting that triggers mild to severe disruptive symptoms in almost 40 million (40 percent to 80 percent of menstruating) women. Almost 5 million require medication for intense mood and behavioral changes. Over 150 symptoms have been ascribed to PMS, with the most common being headaches and fatigue. The symptoms are often physical as well as emotional. Physical symptoms might include headache, migraine, fluid retention, fatigue, constipation, joint pain, backache, abdominal cramping, breast swelling and soreness, food cravings, heart palpitations and weight gain. Emotional changes may include uncontrollable crying spells, depression, anxiety, panic attacks, tension, clumsiness, failure to concentrate and diminished libido.
Hormonal influences have not been examined until recently. Right after menstruation, estrogen levels start to rise and peak around mid-cycle, or ovulation. If a woman does not become pregnant, levels rapidly drop off only to slowly rise again just before her period. Estrogen holds fluid and with an increased level of estrogen, women tend to bloat. (I had one client who needed two sizes of clothes - one set for after her period and one set just before because she gained as much as 15 pounds of fluid.) Estrogen has a central neurological effect and can cause increased brain activity, including seizures. This hormone can also create a cycle of salt retention and drop in blood sugar. PMS and migraine sufferers benefit from a diet that restricts salt and sugar, and includes a mild diuretic to reduce the excess swelling.
As if PMS wasn't bad enough on its own, a more severe, disabling form of PMS is PMDD - premenstrual dysphoric disorder. Here, the emotional symptoms are depression, anxiety, tension, persistent anger and rage, and irritability. With PMDD, these symptoms often lead to intense problems with relationships and social functioning. Physically, PMDD is accompanied by headaches, joint and muscle pain, bloating and breast sensitivity. According to the American Psychiatric Association, PMDD is diagnosed if at least five of the usual symptoms are present two weeks before menstruation and are extinguished after the period starts. Antidepressants are used to treat PMDD.
What else can we do for our clients to minimize PMS? A general massage will alleviate joint and muscle pain, treat headaches and migraines, reduce swelling (using lymphatic drainage), and elevate her spirits. Other suggestions include
PMS goes away with the onset of menopause. Oh great, something to look forward to...
Editor's note: Elaine Stillerman recently signed on with Mosby Publishing to write Prenatal Massage: A Textbook of Pregnancy, Labor and Postpartum Bodywork. Elaine is also the developer of MotherMassage®: Massage During Pregnancy, a professional certification workshop, and author of MotherMassage: A Handbook For Relieving the Discomforts of Pregnancy and The Encylopedia of Bodywork. Congratulations, Elaine!
Click here for previous articles by Elaine Stillerman, LMT.
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