resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
Elevated Shoulder? Check the QL
As you know, posture reveals a great deal about the body. Posture is a unique mental and physical landscape revealing compensations and adaptations to life. It's a classic mind-and-body story.
The Amazing Clinical Versatility of Milk Thistle (Part 1)
Most of us know that the standardized extract from the seeds of milk thistle (Silybum marianum) is probably the best-proven herb for protecting the liver from chemical and inflammatory damage.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Top 10 Fitness Trends for 2016
The American College of Sports Medicine (ACSM) published its annual fitness trend forecast in the November / December 2015 issue of ACSM's Health & Fitness Journal.
Osteoporosis Isn't Always the Case
What is your diagnosis? The patient is a 58-year-old female with back pain. I am sure all of you see the compression fracture at L2; however, there are some findings that suggest this is not a compression fracture due to osteoporosis.
The Future of Functional Neurology
Functional is the hot buzzword in health care these days; witness the rising popularity of functional medicine, functional testing and yes, functional neurology.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
The MRI: When and Why to Order One
As I lecture around the country to both chiropractors and medical specialists, it's clear one of the main disconnects between the two professions is that of an accurate diagnosis.
Spine Surgery: A Tale of Greed and Corruption
All too often, where there's substantial money to be made, greed and corruption inevitably follow.
News in Brief
A Winner in and Out of the Office; Ready for the "Have-A-Heart" Campaign? New Integrative Medicine Journal.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Preventing ACL Injuries in Female Athletes
For female athletes, the key to optimal athletic health lies in preventing ACL injuries. In medical terms, the anterior cruciate ligament (ACL) is the primary restraint to the anterior displacement of the tibia on the femur at all angles of the knee flexor.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
Do You Teach Patients How to Breathe Properly?
Spinal manipulation often produces quick results in terms of pain alleviation and improved range of motion. Unfortunately, once the patient is no longer in pain, they may discontinue therapy, only to be plagued by the same complaint at a future date.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
Sell Out: Using Research for the Wrong Reasons
The above chorus is from the ska band Reel Big Fish's 1997 hit song, "Sell Out," from their album, "Turn the Radio Off." In the song, the singer sarcastically relates the plight of a musician who is tired of "flipping burgers" and is willing to get "lots of money" by playing "what they want you to hear" in order to get a recording contract.
We Get Letters & Email
In the Dec. 1, 2015 issue, we have Donald Petersen reporting on "the adapting chiropractic practice," which includes multidisciplinary practice as an option; a ChiroPoll indicating 59 percent of DCs are seeing at least 21 patients per day and 27 percent are seeing more than 40.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
November, 2005, Vol. 05, Issue 11
By Elaine Stillerman, LMT
Approximately $5.2 to $5.5 BILLION is spent on adult diapers per year in this country and almost 12 million adults, mostly women over the age of 50, suffer from urinary (or fecal) incontinence.Don't laugh. You might wet yourself, or worse.
Postpartum women also might suffer this embarrassing condition after childbirth as a result of a traumatic birth, multiple births, directed pushing during the second stage of labor, perineal swelling, episiotomies or the use of forceps during delivery.
For the majority of women over 50, menopause causes the skin in the vagina or urethra to lose tone, thin and dry out, creating weakened pelvic floor muscles. Constipation and build-up of stool in the intestines, certain medicines, urinary tract infections, diabetes or high calcium levels and immobility are other possible causes. For men, add an enlarged prostate, tumor or prostate surgery to the mix.
Normal urination involves two phases: the filling and storage phase and the emptying phase. During the filling and storage phase, waste from the kidneys fills the bladder that stretches to accommodate the rising amounts of urine. When the bladder is filled with about 200 ml of urine, the first sensations to urinate occur. The average person can hold 350-550 ml of urine. The ability to fill and store urine properly necessitates a functional sphincter and detrusor muscle (bladder wall muscle).
Emptying the bladder requires the contraction of the detrusor muscle to force the urine out of the bladder and simultaneous relaxation of the sphincter muscle to let the urine pass. Incontinence is the inability to control urine, resulting in either occasional leakage or complete lack of bladder control. Medical literature describes four types of incontinence:
There are certain medicines, such as oxybutynin (Ditropan) that can relieve urge incontinence and too-frequent urination. Estrogen creams inserted in the vagina are used to treat mild stress incontinence. Surgery is another option to treat incontinence. This procedure attempts to return the bladder and urethra to its normal position in the pelvis. It is performed transabdominally or transvaginally requiring either general anesthesia or a local or regional (spinal) anesthesia.
While surgery can be helpful for some people with stress continence, one of the most effective methods of treating incontinence, and avoiding invasive surgery, is strengthening the muscles of the pelvic floor by using Kegel exercises. These exercises were developed in 1948 by Dr. Arnold Kegel to treat postpartum incontinence by restoring functional integrity to the pelvic floor and improving urethral and rectal sphincter function.
Over a third of women begin Kegels by tightening the wrong muscles and have to be taught to identify the correct muscles. The abdominal, back, buttock and thigh muscles have to remain relaxed and only the pelvic floor muscles should be involved in this process. One way to identify the correct muscles is to have the woman stop urinating while on the toilet. Let the muscles relax and tighten again until she can identify the muscles she has to use. Another way is for the woman to place her finger in her vagina and try to tighten around it.
Biofeedback can help a woman (or a man) identify the pelvic floor muscles or electrical stimulation involving a low-voltage electric current can stimulate the correct group of muscles. Physical therapy also might be very useful.
The exercises should be performed three or four times a day, with 10 to 20 repetitions each time.
It might take several weeks before most people notice a difference, but it's well worth the effort. When done correctly, Kegel exercises are 50% to 80% effective in improving urinary incontinence. That sure beats the alternatives.
Click here for previous articles by Elaine Stillerman, LMT.
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