resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
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.
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.
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."
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.
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.
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.
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.
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.
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.
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?
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.
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.
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.
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.
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.
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."
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.
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.
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.
December, 2005, Vol. 05, Issue 12
Chair Massage Redux
By Cliff Korn, BS, LMT, NCTMB
I recently received a letter concerning an article I wrote about an international chair massage conference in Toronto (www.massagetoday.com/archives/2005/09/01.html).The author was Russ Borner, a well known senior instructor of David Palmer's TouchPro Institute.
Russ expressed confusion over several parts of my article that were perhaps overstated, so I undertook a bit more research. His concerns were that I reported the Toronto event as the 1st International Chair Massage conference. His email to me said, "[I] was part of David Palmer's TouchPro Institute's 'First International Chair Massage Conference' held in San Francisco on June 22-25, 1998, where over a hundred chair massage practitioners gathered for what seems to be the same purpose advertised by Eric. As I remember, there were practitioners from all over the U.S., Canada, UK, the Netherlands, among others." He further said, "In addition, this comment [in your article] was particularly confusing "Eric Brown of BodyworkBiz described for the first time the physiological mechanisms involved in the unique fainting phenomenon that sometimes occurs with chair massage, and gave participants guidelines in preventing this from happening."
David Palmer's TouchPro Seminar, since the summer of 1986, has been highlighting and covering the fainting phenomenon in course materials and instructor presentation in a very complete and understandable manner. Some 11,000 massage practitioners have been trained in this matter, including Eric Brown."
My additional research indicates that I was incorrect in my statement about the Toronto venue being the 1st, but so were the event sponsors and Russ. The event Russ mentioned was not open to the trade, but was designed for graduates of the TouchPro program only. The actual "1st International Chair Massage Conference" was a conference held in France in 2002, sponsored by Tony Neuman of Touchline, based in Switzerland.
To me, the issue of which was "1st" is much less important than the issue of the fainting episodes in chair massage. Here we find some real differences of opinion on an issue that can be crucial to any of us who owns a massage chair! When I questioned Eric he said, "as a sponsor of TouchPro workshops and a participant, I can honestly say that the issue of fainting has never been fully addressed by TouchPro or others. The techniques taught by Russ and the TouchPro instructors are very traditional Japanese acupressure techniques. There has been some attempt to correlate the fainting episodes to acupressure points in the arm. Since 1998, we have tracked dozens of fainting reports looking for co-relating factors. I can honestly say that there is no correlation between the part of the body being massaged and the fainting episodes. The only plausible explanation for the rapid fainting episodes is the elicitation of the carotid sinus reflex. I developed the hypothesis in 1999, and it has held true over the years. I outlined the physiological mechanisms in detail at the conference, and to the best of my knowledge, that is the first time anyone has publicly given a scientifically sound rationale for the physiology behind the phenomenon. If anyone has other tenable theories, I would certainly be interested in hearing them."
David Palmer wrote an article entitled "Fainting and Chair Massage" first published in the June/July 2000 issue of Massage and Bodywork magazine (for ABMP members only: www.abmp.com/members/login.html?article_id=310). David's response to Eric's information was that Chronic Sinus Hypersensitivity (CSH) is what Eric names as the cause of the fainting. In an email he said, [Eric] "believes that this rare condition is the cause of all syncope and pre-syncope episodes in the chair. That seems highly unlikely. As noted in my article, there are a vast range of possible causes of syncope and pre-syncope events and it seems a great leap to presume that one condition that primarily appears in older men is the cause of all of them.
"As you also will note in reviewing my article, I never highlighted work on any particular part of the body as the primary cause of these occurrences." Since Eric has the article, I am uncertain as to why he would make this claim. To the contrary, the two most common correlations that we have discovered are low blood sugar (caused by skipping a meal) and a history of fainting (which would include CSH conditions), both of which we screen for before each massage. In addition, I pointed out that the most common reason in the medical literature given for Syncope episodes is a triggering of the vasovagal nerve reflex. I have no idea why Eric would suggest that CSH is the only credible hypothesis. The full protocol outlined in the article has reduced the number of syncope events in the massage chair to zero, and sharply reduced the number of pre-syncope events. We also train practitioners to be aware of the possibility of carotid impingement with the ends of the face cradle when we discuss positioning of the client in the massage chair."
Eric responded back that David was confused between Carotid Sinus Hypersensitivity and the Carotid Sinus Reflex, and that the two are not correlated.
Eric in short order provided me with several pages of as yet unpublished information concerning this fainting phenomenon, much too much to include in this editorial. From the chair of this massage therapist, both the hypotheses of David Palmer and Eric Brown make sense. But there certainly is a division of thought here - and this is an issue that can be absolutely crucial to any of us who use a massage chair in our practice. I am looking forward to Eric publishing his information so that the two divergent theories can be compared side-by-side, so that we all are practicing more safely.
So, where does all this leave you and me? I guess I have been most fortunate that I have never had anyone faint during or after chair massage. I would guess that someone who did might not be inclined to return to my practice for additional types of massage! There are few massage therapists who don't agree that chair massage is not only a tremendous intervention in it's own right, but also a marvelous, non-intimidating tool for introducing new people to all forms of massage and bodywork. We need answers!
I hope this editorial is not taken as a point/counterpoint discussion, in a negative sense, between two individuals. Both David Palmer and Eric Brown are true pioneers in the development of the chair massage industry and they certainly deserve a huge thank you from all of us! May we all learn and grow from this, and may the discussion continue.
Thanks for listening!
Massage Today encourages letters to the editor to discuss matters related to the publication's content. Letters may be published in a future issue or online. Please send all correspondence by e-mail to , or by regular mail to:
Former editor of Massage Today, Cliff is owner of Windham Health Center Neuromuscular Therapy LLC. He is nationally certified in therapeutic massage & bodywork and is licensed as a massage therapist by the states of New Hampshire and Florida. Cliff is a member of the International Association of Healthcare Practitioners; a professional member and past president of the New Hampshire chapter of the American Massage Therapy Association; a certified member of the Associated Bodywork & Massage Professionals, Inc.; and a past chairman of the board of directors of the National Certification Board for Therapeutic Massage & Bodywork.
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