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Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
December, 2005, Vol. 05, Issue 12
Stay in Touch With ... Swe-thai: A magical massage for both client and therapist
By Margie Meshew
"Stay in Touch With" is a periodic column designed to provide an overview of a particular technique or modality. If you would like to contribute to this column, please email .
Hands on therapies are the wave of the future.Business is booming and Massage Therapists are busier than ever. Trying to keep up with the demand is a wonderful problem to have, but it's becoming increasingly apparent that massage therapists are in need of a massage as much or more than their clients.
Massage Therapist injuries are on the rise. Some might even say it's becoming an epidemic. Unfortunately, most practitioners will look for ways to alleviate pain and exhaustion after the fact instead of finding ways to prevent it from the beginning. We teach our clients this known fact and yet we as professionals don't necessarily adhere to it ourselves. In essence, we are athletes and just as preparation, form and style are crucial to an athlete's performance and longevity, the same applies to any hands-on practitioner. For that reason, it would only make sense for us to examine our performance the same way any professional athlete would. We need to do all we can to reduce the strain on our bodies enabling us to work longer and more effectively without sacrificing the client's treatment. Let's start by examining the same three principles and how they pertain to Massage Therapists: Preparation (Stretching, Center Ourselves, Breathe Control); Form (Posture, Alignment); and Style (Combining Forces, Using Slower Movements).
Although these crucial points might seem basic to most practitioners, what we know and what we do often are two entirely different things. Western practitioners can benefit tremendously by incorporating eastern philosophies into their daily routine. This is what inspired the creation of Swe-Thai Massage.
Swe-Thai is a unique style of massage that magically blends the ancient Eastern knowledge of a highly revered form of medical massage with specific, advanced soft tissue therapies. Swe-Thai is not just performing Thai massage on the table, but blending many of its techniques and theories with proven and highly effective Western treatments. The Swe-Thai routine was designed specifically to treat general neck and back conditions. When utilized properly, the biomechanically correct techniques allow the therapist to perform much more concentrated work without sacrificing their palpatory integrity. While other types of massage therapy might use similar techniques, the magic found in Swe-Thai massage is not just in the techniques but more so in the unique marriage of eastern and western hands-on therapies.
The ancient healing art of Traditional Thai Massage dates back over 2,500 years and was considered a spiritual practice connected directly to the teachings of Buddha. Its earliest roots lie not in Thailand, but in India. Thai Massage was traditionally performed with a mat on the floor in many of the temples of Thailand. The client would remain fully clothed except for the feet. Clothing needed to be loose enough to allow for flexible movement. Typically, no lubrication is used in this 2 to 2 1/2 hour routine. The techniques commonly used in Traditional Thai Massage consist of pressure being applied to energy lines, the treatment of acupressure points and passive yoga style stretching. The energy lines in Traditional Thai Massage are referred to as sen lines. It's within those lines that the acupressure points are found and treated. In theory, over 72,000 of these lines exist in a person's body, although only the 10 main lines typically are treated. Because Thai Massage works with the energy body, the sen lines are the basis for this form of medical massage.
Traditional Thai Massage often is referred to as Yoga Massage. There is a distinct connection between Hatha Yoga and Traditional Thai Massage. Many of the postures found in Thai Massage have an undeniable similarity to Hatha Yoga. This beneficial style of stretching is a large part of Thai Massage.
The giving of a Thai Massage is understood to be the physical application of loving kindness known as "Metta." It should be performed in a meditative state of mind, which eventually will enable the Thai Massage Practitioner to develop an innate intuition to better treat the specific needs of each individual person. The master teachers of Thailand continually reinforce this method of working slowly and in a meditative state of mind. Also, extremely important is the use of proper body mechanics which consist of working always with a straight spine, straight arms and using the weight of your body to press down.
Practitioners at work in Thailand make it quite apparent that size and strength have little to do with their ability to apply the correct pressure. At first glance, it might even appear as if they are performing an effortless meditative dance rather than a highly effective therapeutic massage.
With this in mind, let's look at how the marriage of Western and Eastern philosophies applies to the three principals mentioned earlier and how they are incorporated into the Swe-Thai Massage routine.
Preparation: At ITM (Institute of Thai Massage) in Chiang Mai, Thailand, it's customary for the Thai Practitioner to warm up for the day with an hour Yoga/ Tai Chi routine. Stretching and meditation is beneficial not just to warm up and prepare the body, but also the mind. Even as little as 15 minutes of stretching will help prepare you for your days work and minimize the chance of injury or strain to your body. Some Swe-Thai Massage techniques require a moderate amount of flexibility, so some type of warm up is essential.
To center and ground one's self, proper breathing is essential. It's believed that a deep controlled breath in through the nose and out through the nose is considered not only cleansing, but also creates power, endurance and relaxation for the practitioner. In order to perform the Swe-Thai Massage effectively and induce a meditative state of mind, the therapist needs to work slowly and methodically.
Form: By incorporating these new postural habits into your hands-on therapy, your body will experience an amazing supply of energy and resilience. 1. Always try to position your body over your working hand. 2. Maintain a stable and comfortable base for yourself by trying to keep your pelvis aligned with your shoulders and your spine straight. 3. Bracing your body against the table aids in the protection of your lower back.
Style: Combining two forces allows for optimal movement and strength. For example, taking a client into a stretch in and of itself could be strenuous on your body, depending on the client's flexibility and size. By applying a popular Thai Massage technique known as a forearm roll with that stretch, the client receives two techniques in one, flowing movement and the strain to your body has been diminished. This technique is just one example of many that make Swe-Thai Massage so unique. Slower movements require the therapist to focus on the area being treated and the client. This simple process is the core of Swe-Thai Massage.
In conclusion, regardless of what path you've chosen to walk as a Therapist, remember your body is your primary tool. If you treat it well and use it correctly, you will have a long and prosperous career.
Margie Meshew has been a licensed massage therapist since 1989, and has been teaching massage for more than 12 years. She is a Traditional Thai Massage instructor and received her teacher certification from the Institute of Thai Massage in Chiang Mai, Thailand. In 2001, she developed Swe-Thai Massage, which became the subject of her first top-rated video. In addition to massage, she is a certified Hatha Yoga instructor and is Reiki I & II certified. Her latest work, Table Thai, A Comprehensive Massage Routine now is available on video.
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