Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
I just got finished with a ...
resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Nuts Reduce Risk of Heart Disease, Cancer and Other Health Problems
Several recent studies suggest regular consumption of nuts may provide a significant degree of protection against certain types of cancer, heart disease, possibly type 2 diabetes and some neurodegenerative diseases.
An Acupuncturist's View of Medicinal Marijuana
The use of cannabis for medical purposes is very controversial. Use as a panacea by physicians uninitiated to the proper application of herbal medicine, as well as an excuse for recreational use have greatly confused the issue.
Patient-Centered Care vs. Payer Restrictions: Your Ethical Obligation
Do you have an ethical obligation to evaluate your patients, make a diagnosis and provide evidence-based, patient-centered health care, irrelevant to the payer restrictions?
Oriental Medicine on the World Stage
"Let me win. But if I cannot win, let me be brave in the attempt." This simple, yet powerful statement was lived out time and time again by so many of the athletes from around the world during the Special Olympics World Games in Los Angeles.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 1
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
Improving Communication Between AOM and Biomedical Providers
How comfortable do you feel talking to Western medical providers? If you are like me, you may not feel as comfortable as you would like. Some of my interactions with MD's haven't been the fruitful steps toward integrative medicine for which I had hoped.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 2
In the last issue of Acupuncture Today, the first part of this article introduced the topic of trauma and resilience, and their relationship to the autonomic nervous system response and the concept of the spirit being grounded in the body, and suggested the importance of mindfulness as a tool for healing.
Harvard Health References Flawed AHA Position Paper
In its special health report, "Stroke: Diagnosing, Treating, and Recovering From a 'Brain Attack,'" Harvard Health Publications includes information from the American Heart Association's 2014 position statement on cervical manipulation and cervical dissection – a statement the American Chiropractic Association emphasized in a letter to Harvard Health mixes "scientific facts with half-truths."
Help: A Need at Every Level
One of the great gifts of training in acupuncture is the ability to take good care of oneself. I recently had a bout of frozen shoulder — an inflammatory syndrome which can be debilitatingly painful and take years to resolve.
Change Lives by Supporting Chiropractic Research: Are You In?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fund-raising campaign to support chiropractic research.
The Short Leg Dilemma
When evaluating a new patient, it is common to note a relative shortening of one leg to the other. Some patients will even tell you they have one, and then pull out the store-bought heel lift they read about online.
A Chiropractor's Guide to Yoga
"Doctor, can I continue to do yoga while undergoing your care?" "Is it OK for me to go back to yoga while I'm getting my back treated?" "It is safe to start my yoga classes again after my neck pain improves?"
Fish Oil: A Key Component of Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
The Food Conversation: Nutrition and Your Practice
It's morning and your first patient rolls in with a triple espresso steaming in one hand and a frazzled, desperate look in her eye. "You gotta help me, doc, I am constipated unless I drink one of these, and I am exhausted and anxious all the time."
Do Some Good and Grow Your Business with Cause Marketing
Cause marketing is truly one of the best ways that you can promote your services as a acupuncture professional. Cause marketing refers to a type of marketing where a business partners with a non-profit organization to help bring awareness to a charitable cause.
What's Chiropractic Research Worth to You?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fundraising campaign to support chiropractic research.
Modernization of Chinese Medicine
Language – written, spoken, signed, or otherwise is learned as a means to express our individualized perceptions about the world around us. Language is designed to communicate our personal experiences.
Practice Policy (Gone Bad): The Sign
Every once in a while, you see something and think to yourself, That's a really bad idea. Case in point: I went to see my medical doctor the other day. Just after being "roomed," as they say, the nurse checked my vital signs. Then she left.
Surprising Reasons for Orthotic Efficacy
Clinical outcome studies show orthotics are effective in the management of a wide range of injuries, including plantar fasciitis, Achilles tendinitis and patellofemoral pain syndrome.
News in Brief
Call for Abstracts Announced - Parker Las Vegas 2016; Logan Adds Doctorate Degree; New Role for Dr. James Edwards.
Getting a YES: An Effective Strategy for Overcoming Patient Objections
Patients make more excuses for declining care from an acupuncturist than perhaps any other type of doctor. Various reasons hold them back from making a commitment to care.
Fertility and Poly-Unsaturated Fatty Acids
Starting or expanding one's family is a major milestone. It's something that more and more people seek out health care advice and support for.
Dorsiflexion Dysfunction: Evaluation & Manipulation Techniques
Almost every condition from the foot to the hip can be attributed to the inability to dorsiflex the ankle mortice and other joints that participate in dorsiflexion. Let's start by understanding normal versus abnormal dorsiflexion.
Practicing with Authenticity
To extrapolate from the above quote, patients love healthcare providers they can trust. One way to earn the trust of your patients is by practicing with authenticity. What does that mean, exactly?
More Chiropractors Required
An intriguing study published in the Journal of the American Board of Family Medicine examines how "chiropractic care affects use of primary care physician (PCP) services."
The Zen Art of "One Point"
We were always told in our Zen Shiatsu training (by Japanese and Japanese American instructors) that our ultimate aim was to to find that "One Point." To be so focused we could touch just one point to transform Qi throughout a client's body.
January, 2006, Vol. 06, Issue 01
Prenatal Massage During the First Trimester
By Elaine Stillerman, LMT
Among some of the myths and old wives' tales surrounding prenatal massage is the misguided belief that massage should be avoided during the first trimester. It's fair to say that under the skilled hands of a certified prenatal practitioner, massage during the first trimester is not only safe, but can be especially supportive during the transitional first months.
One of the reasons many practitioners and spas refuse to massage first-trimester clients is the fear of causing a miscarriage.Miscarriage is defined as a spontaneous loss of a pregnancy before the fetus is viable, which generally means before 20 weeks gestation. (An early spontaneous abortion occurs within the first 12 weeks; a late spontaneous abortion happens within weeks 12-20.) Almost 90 percent of miscarriages occur within the first eight weeks, so the reasoning concludes that if you avoid the massage, you will avoid the miscarriage. Unfortunately, this logic is not based on science, but rather on litigious concerns.
Miscarriages occur very frequently, perhaps in as often as half of confirmed pregnancies, and most miscarriages can't be avoided. They rarely are caused by anything expectant women do or don't do. In nearly half of all known losses, the embryo was chromosomally abnormal and not viable or able to sustain life. Other possible risk factors include genital and reproductive structural abnormalities (retroversion of the uterus, bicornuate uterus, fibroid tumors, etc.), infections (chlamydia, rubella, listeria, ureaplasma, mycoplasma), maternal disease (diabetes, renal disease, thyroid conditions, nutritional deficiencies), ectopic pregnancies, hormonal imbalances, immunological rejection, maternal age (the older the gravida, the greater the risk of miscarriage), and environmental factors such as first- or second-hand smoke, excessive alcohol consumption, exposure to organic solvents, and excessive radiation. Massage is not a contributing factor in any of these physical or environmental circumstances, and is not causative in a miscarriage.
In early pregnancy, symptoms of a miscarriage include bleeding, abdominal pain or cramping, and lower back, thigh or pelvic pain. In late pregnancy, a miscarriage is accompanied by heavy bleeding, including the passage of blood clots and intense uterine contractions. If a client presents any of these symptoms, massage obviously is contraindicated.
The other explanation practitioners use to avoid first-trimester massage is the issue of morning sickness. Nearly 85 percent to 90 percent of pregnant women experience morning sickness and nausea in early pregnancy; for 10 percent of them, the problem persists beyond the first trimester. While it's clearly accepted that massage for anyone nauseous or vomiting is contraindicated, you can make appointments to massage your pregnant clients when they are not experiencing symptoms. These treatments effectively can reduce the severity of symptoms.
There are other suggestions you can make to your pregnant clients to reduce morning sickness. They should eat small but frequent meals throughout the day. Eating a protein-rich meal or snack before bed will reduce morning nausea. Protein takes a long time to digest, and they won't wake up with an empty, gnawing feeling in their stomachs. Cut up a fresh lemon into wedges and put the wedges in a plastic bag. They can inhale the lemon as needed. One drop of peppermint oil in honey water every hour helps some women. Other women find ginger tea, ginger ale and ginger candies very soothing. Drinking red raspberry-leaf tea or sucking on the pit of an umeboshi plum (found in health food stores or Oriental groceries) can settle the stomach. Stimulation of acupuncture point Pericardium 6 by wearing motion sickness "sea bands" or with digital stimulation is extremely effective in eradicating or minimizing nausea. This point is located on each forearm, 1 1/2 inches below the wrist, in the middle of the inner forearm.
Press for a count of 6-10 and repeat a total of 6-10 times.
Another concern regarding first-trimester massage includes avoidance of abdominal massage due to the fear of dislodging the placenta. This is another unfounded fear. It's strongly advised to ask the client's permission before massaging her abdomen at any stage of the pregnancy, and the abdominal massage always should be done with an open palm, light pressure and gentle effleurage following a clockwise direction, but the placenta is attached firmly to the uterus and appropriate massage will not damage or dislodge this strong attachment.
Properly trained prenatal massage practitioners can safely and effectively address first-trimester concerns. For those of you who work in establishments where first-trimester massage is avoided, liability is a major contributing factor to this decision. Since this business policy has been set by the management, you have to adhere to what management decrees. In private practice, however, you can base your decision on science and appropriate training, not fear or misconceptions.
Click here for previous articles by Elaine Stillerman, LMT.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.