resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Science of Stretching
In 1986, Rob DeCastella set a course record by running the Boston Marathon in 2:07:51, just 39 seconds off the world record.
By the Numbers: 3 Common Financial Mistakes With Major Consequences
Warren Buffett is on record for sharing the hidden art of becoming wealthy and making it simple enough for anyone to grasp.
Hazards in the Environment Making Your Patients Sick
Working both separately and together, Western and Chinese medicine have many successes in the treatment of the myriad diseases that afflict human beings in modern times.
Immunizations by Colorado DCs: Really?
You probably didn't hear about it, but back on Nov. 21, 2013, the Board of Directors of the Colorado Chiropractic Association (CCA) adopted "immunization authority" for Colorado DCs as its No. 2 legislative goal.
Looking For Answers In Many Places
I am sure we have all heard the old adage: "When the only tool in your toolbox is a hammer, everything starts to look like a nail."
Deciphering The New CMS 1500 Claim Form
Q: I am confused on using the new 1500 form, particularly Block 14 and Block 15. What is required and how do I properly fill these out? And do I actually have to use this new form or may I continue using the old version?
Healing With Hope
Ella is a Gulf War veteran and a survivor of military sexual trauma. Like hundreds of veterans, Ella was on 11 different medications for depression, anxiety, insomnia, irritable bowel syndrome and chronic pain.
Best Practices for Website Success
If one asked 10 years ago whether a website was relevant I was the first to suggest no. Yet as the world moves increasingly towards electronic information there is a dire need to have a website for your practice. Your website is actually your electronic calling card.
Why You Should Include the Single-Leg Stance Test in Every Patient Assessment
The single-leg stance (SLS) test, also known as the single-limb stance test, unipedal stance test or one-legged stance / balance test, is often used in the geriatric population to assess static postural and balance control.
The Kidney Official
The Kidney is known as the Official Who Controls the Waterways. In Western medical terms, a major function of the Kidneys is to filter the blood. Every day, a person's kidneys process about 200 liters of blood to sift out about two liters of waste and excess water.
Are You a Bad Chiropractic Patient?
My father was a great DC. In fact, as you might expect, he was the doctor of chiropractic I measured all other doctors against. Sadly, he died at age 61 when I was in my early 30s.
Remembering Clarence Gonstead and 50 Years of the Gonstead Clinic
Dr. Clarence Selmer Gonstead (1898-1978) took chiropractic practice from back-alley bone setting to an understandable biomechanical science. His life was dedicated to clinical competency.
Knee Pain From the Kinetic Chain
As practitioners of manual medicine, chiropractors often treat patients suffering from knee pain.
The Acupuncture Success Express
Time is passing very quickly these days. We are atoms half the way through the year of the horse. You could call it "horse racing season" for this profession. Perhaps it is time for reinvention during this time.
Physical Exam 101: The Hands
I am sure you are familiar with the old adage: "When the only tool in your toolbox is a hammer, everything starts to look like a nail."
Medical Qigong for the Heart: Part II
Chinese Medicine is rich in commentary regarding the emotions and how they affect our qi.
Coding for the Subluxation: ICD-9 vs. ICD-10
When I attended chiropractic school, I was taught that chiropractors approach health care differently than the traditional medical establishment.
Curbing Label Overwhelm
For the average consumer, reading a food package can be overwhelming: natural, organic, non-GMO, gluten free, free range ... you get the picture.
Inside Liver Failure, Cirrhosis and Cancer
The Liver belongs to Wood in Five Element Theory and is in charge of Dispersing and Expanding which means all the processing and detoxifying of harmful substances such as medications and chemicals require the efforts of the Liver.
Fibromyalgia: Put the Pain in Its Place
While some fibromyalgia patients respond favorably to regular chiropractic care, others experience minimal relief. Unfortunately, many of these patients must rely on pharmacological management to relieve their constant pain.
Spotlight on Acupuncture Research at IRCIMH
Acupuncture and Traditional Chinese Medicine were well-represented at the International Research Congress on Integrative Medicine and Health (IRCIMH)- 2014 which took place in Miami from May 13–16.
September, 2005, Vol. 05, Issue 09
The Effects of Therapeutic Massage on HIV and AIDS Patients
By Jacob Gnanakkan
With the wide prevalence of individuals living with the human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS), it is essential for massage therapists to understand the etiology, pathogenesis and treatment trends of the disease.It is likely that a person living with HIV/AIDS is, or at some point will be, under a massage therapist's care. The importance of understanding HIV/AIDS in massage therapy practice is reiterated by its inclusion in the curriculum for continuing education and maintenance of a license.
Epidemiology: The first AIDS case was reported in the United States 24 years ago. Since then, the Centers for Disease Control (CDC) reports HIV infection leading to AIDS is the fifth leading cause of death in people between the ages of 35-44, and AIDS is the leading cause of death among African-Americans ages 35-44.1 Moreover, data recently presented at the 2005 National HIV Prevention Conference in Atlanta, Ga., reports that more than 1 million Americans currently are infected with HIV.2 Each year, 40,000 new cases are diagnosed in the U.S. alone.3 A person infected with HIV does not always transition to the AIDS phase.
Pathogenesis: The etiological agent of acquired immunodeficiency virus (AIDS) is the human immunodeficiency retrovirus (HIV). The virus primarily targets the CD4+ T-lymphocyte, because of the affinity of the virus to the CD4+ T CELL surface marker. The clinical categories of HIV infection are: Category A, which includes asymptomatic or acute HIV infection; Category B, symptomatic conditions not included in Category C; and Category C, clinical conditions associated with AIDS.4 (For more information on clinical categories, visit www.cdc.gov.)
Current treatments: Since there is no cure for HIV, the current medical treatment is to inhibit replication of the virus and thus prevent it from causing AIDS. The virus is transmitted through direct blood contact with an infected person; the most common method of transmission is through sexual contact. Other modes of transmission include needle sharing, blood transfusions and the birth of a child to an infected mother.
Antiretroviral medications (ART) are used to inhibit the spread of HIV at various sites of activity. The ART medications are used alone or in a combination known as a "cocktail," a highly active retroviral therapy (HAART). General classification of drug therapies includes:
Massage Therapy Research
Some research on the efficacy of massage on HIV/AIDS patients includes the following:
Massage Therapy on HIV/AIDS Patients
Massage therapists play a role in the lives of those infected with HIV and AIDS by complementing the patient's medical team. Massage therapy plays a vital role in helping patients cope with the various symptoms of HIV/AIDS and indirectly boosts the immune system at the same time. The factors that seemed to contribute to immune enhancement were pressure strokes, dosage and period of massage therapy. A single massage dose on a healthy person indicated substantial increases in the NKCA. The effect on the immune system was even more intense when pressure was applied with multiple-dose massages lasting for a longer duration of time. Deep strokes, pressure points and trigger-point massage improved immune function in those living with HIV/AIDS.8 For the treatment to prove beneficial, it is recommended that the therapist use a full-body stress management approach. The technique should include pressure strokes, such as acupressure, trigger-point therapy and deep strokes, which should last approximately one hour and be performed at least once or twice weekly over an extended period of months for immune-enhancing results.
Massage Therapy and Gloves
Using gloves to massage an HIV/AIDS patient is the preference of the caregiver and patient. There is no evidence showing a positive correlation between the transmission of HIV/AIDS and touching or therapeutic massage. In conversations with individuals living with HIV/AIDS, it was unanimously expressed that the use of gloves by a therapist was negative. HIV and AIDS patients routinely are victims of discrimination. Despite years of health education, the disease continues to be misunderstood. Is it paranoia?
Massage therapy is a health profession. As such, therapists will be exposed to various diseases. The motive for wearing gloves should be weighed. Protection is important, but not at the cost of harming the patient, harboring professional paranoia or discriminating against people living with HIV/AIDS. There might be times in which the use of gloves is warranted, but there is no reason for them to be worn customarily in providing therapy to the patient. Remember, there is greater danger that the patient might contract a pathogen from the therapist because of his or her compromised immune system. According to the CDC, "People living with AIDS can get very sick from common germs and infections. Hugging, holding hands, giving massages, and many other types of touching are safe for you, and needed by the person with AIDS. But you have to be careful not to spread germs that can hurt the person you are caring for."9 If you feel you must use gloves because of the presence of blood, it is recommended you inform the patient and get his or her consent prior to therapy. The safest gloves are latex and vinyl.
Below are some general guidelines massage therapists can follow when working with HIV/AIDS patients:
The CDC also recommends: "To take gloves off, peel them down by turning them inside out. This will keep the wet side on the inside, away from your skin and other people. When you take the gloves off, wash your hands with soap and water right away."9
And finally, "If you get blood, semen, vaginal fluid, breast milk or other body fluid that might have blood in it in your eyes, nose or mouth, immediately pour as much water as possible over where you got splashed, then call the doctor, explain what happened, and ask what else you should do."9
Although most massage therapy research regarding HIV/AIDS is preliminary, the results in the studies that have been conducted are encouraging. As future studies reveal the benefits of the NK cells and their role in protecting patients with low CD4+ T-lymphocyte count, massage will become an integral part of the treatment of HIV/AIDS patients. As part of the medical team, massage therapists can greatly enhance the lives of people living with HIV/AIDS in the physical and psychological realms, by providing the personal touch other therapies do not generally provide.
Jacob Gnanakkan is a licensed massage therapist, information technology specialist, health & safety instructor, and piano instructor. He is the founder of Hunger Strike! Inc. (in the U.S.) and Genesis Health Foundation (in Sri Lanka and India), both of which serve the needy. Jacob conducts seminars worldwide on health, nutrition and natural remedies. He has an educational background in religious philosophies, medicine, medical science, health science and sports medicine, and currently is working on his doctorate in health sciences.
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