resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
December, 2005, Vol. 05, Issue 12
The Inside-Out Paradigm: Survival vs. Quality of Life Part 2
By Dale G. Alexander, LMT, MA, PhD
Editor's Note: Part 1 of Survival vs. Quality of Life appeared in the November 2005 issue of Massage Today.
Biology's directive to Build Fat and Preserve Fluids is a major contributor to our culture's current epidemic of obesity and fluid retention ailments, culminating in our high rate of diabetes, high blood pressure, congestive heart failure and kidney dialysis.Yet, we wouldn't have gotten here without them, as starvation and fluid loss were common causes of death for prehistoric humanity.
Nature's end game, Living Long Enough to Reproduce, is facilitated by hormones to ensure the perpetuation of the species. Hormones are the pesky accelerators of our physical and reproductive growth. Two key factors need to be remembered. Hormones tend to be "dumped into the system" rather than added in measured doses and their production decreases in a similar fashion during mid-life, thus the tendency for unpredictable, variable and unsettling effects.
During adolescence, the intensity and quantity of hormonal cascades produces accelerated growth such that the bones often grow faster than the soft tissues can match for a smooth transition. This sets the stage for many and varied physiological and musculoskeletal problems later in life. Also, hormonal production decreases dramatically as we reach our middle years of 35 to 60. These are the very demographics of the people most likely to become new massage clients. It's no accident that people are turning toward our profession.
Nature's endowment of Sympathetic Dominance relates to the tendency of human physiology to "get stuck" in the overdrive mode. This selection has obvious survival enhancing qualities, especially to fight, escape or avoid detection from a predator or a perceived lethal enemy. However, activity and rest need to be balanced in order for our internal functioning and our energetic reserves to be maintained and renewed. It's a simple notion historically codified and prescribed by most cultures and religions.
At a more precise level, sympathetic overdrive shunts blood (and thereby oxygen and nutrients) to the musculoskeletal system and starves the visceral organs of their fair share. This involves timing, quantity and quality. The shunting of blood sets the stage for the eventual development of pathology. Degeneration and disease emerge from the deprivation of oxygen and nutrients usually resulting from states of fluid congestion and stasis. Reflect on how often your clients exclaim, "I hurt, I am no longer able to, I have little or no energy." Physiology operates very much like a credit card: one can continue to keep spending, yet the interest quickly builds the debt, and eventually, the debt must be paid. Pain, injury, illness and reduced quality of life are the common forms of paying the debt.
Depending on one's mental strategy for survival, certain parts of our musculoskeletal system get more blood than others. But the real questions are why and what function does this serve? Let's again relate this to nature's endowments. Fight, flight and freeze are our reflexive responses to intense or perceived to be threatening stimuli. Our mental strategies generally reflect a tilt toward one of these three orientations, rather than a balanced blend among them. Thus, our bodies and our physiologies shape themselves to reflect this tilt. In sum, some muscles get more than their fair share while the others become ischemic. All chronic syndromes or conditions reflect this skewed allocation of resources.
In my earlier articles, I have outlined what I have clinically experienced to be the path of discharging the tension which builds within us as human beings in response to stress and trauma. It happens from the inside-out, beginning with the sacs and tubes and suspensory ligaments of the viscera, and eventually spilling over into the intrinsic musculature. Next, as the body endeavors to distribute the strain over as wide an area as possible, one or more dysfunctions of motion is created in the kinetic chain of the joints. Then the extrinsic musculature is stimulated to contract or spasm to maintain the integrity of the involved joint(s). Now to the most important question, where does it all begin? The "meaning we assign" to events is the source of our stress. Change the assigned meaning appropriately and one experiences less stress. Let's consider a continuum between threat and pleasure with a feeling of neutrality somewhere in the middle. What usually grabs our attention? That's right, threat and worry.
The mind commandeers blood flow to support its basic survival strategies. It responds to symbolic stimuli in the same fashion and with the same intensity as it would as if that stimulus truly was life-threatening. Remember, the mind creates models for its survival. This results in the application of its survival strategies to questions of right and wrong. We all have experienced how this orientation to being right and the avoidance of being wrong perpetuates conflict. Repeated countless times, this depletes our energetic reserves and diminishes our quality of life. The mind also tilts our selection of life circumstances subconsciously and, thus, we tend to symbolically re-create the need for the defenses which are central to our individual survival strategies. This especially relates to the types of partners we choose and the repetitive conflicts which emerge in our private, social and work lives.
Many of the healing arts attempt to harness the mechanism of the mind to expand beyond this slavish dedication to survival. All help to some degree, yet the mind cannot expand beyond its own fundamental programming alone. It's unable to solve the conundrum: what's life all about? Accessing one's spirit, heart, instinct and the broader expanse of the psyche through expanded awareness is where actual shifts occur. Touch accesses the central circuitry where the mind's meaning assignments are anchored. Touch enhances healing across the spectrum of one's perceptual matrix, assisting reflexive reactions to become conscious choices again.
Our current world circumstances reflect both the best and worst of nature's survival orientation and its endowments. However, biological survival alone tends to be exclusive and ethnocentric. Presently, there is an obvious need to enhance our ability to make more inclusive choices. Because of our sheer numbers on the planet, our collective survival might now depend on this. Curiosity, cooperation and the exploration of options for the common good are what are needed now.
The massage therapy profession actually has an honored place and crucial role in this evolution of consciousness because we touch people and take time with them. We nourish and assist them to update their models through the experience of touch and the quality of our presence. Let us dedicate ourselves to join with others to develop healing models which might light the way for our clients to improve the quality of their lives through this expansion of human awareness.
Click here for more information about Dale G. Alexander, LMT, MA, PhD.
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