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The Acupuncture Now Foundation: What Our Profession Needs
Although acupuncture is growing in popularity it continues to be underutilized due to misunderstandings about its true potential. Only a fraction of those who could be helped by acupuncture know enough to seek it out.
Meat in the Middle
Have you ever wondered what's the truth about meat? Is it really as bad as many people think?
The Power of Mu Xiang to Treat Irritable Bowel Disease
Bloating and gas pain is something that everyone has had to deal with at one point or another; however, that's usually reserved for holiday dinners and other large gatherings.
Chinese Medicine: The Natural Way to Children's Wellness
As a child, I did not like going to the doctor. For the most part, when I had to go I wasn't feeling good to begin with, and I was heading into a sterile environment to be awkwardly probed by a man in a white coat for a very short, impersonal period of time.
News in Brief
Foundation for Chiropractic Progress Enrolls Second Group Member; Focus on Chiropractic Education at WFC-ACC Conference in Miami; Are You Ready for Another "Have-a-Heart" Campaign?
The Bottom Line ... From a Surgeon Who Knows
Regardless of individual relationships between providers, there continues to be a type of Hatfield-McCoy feud between the philosophies of medicine and chiropractic, particularly when it comes to musculoskeletal ailments.
It Pays to be a Foodie
If there is an inner foodie in you, just waiting to burst out—this article is for you! Do you want to know how I know? I'm that girl. My middle name might as well be "Foodie." I love food! And if my patients are any indication, many of them do as well.
Chronic heightened emotional states create a perfect breeding ground for illness. Through my practice I noted the increasingly obvious relationship between one's mental focus on negative thinking, emotions, resistance to experiencing feelings and disease.
Treating Chronic Depression with Acupressure
In Traditional Chinese Medicine there already exists a comprehensive theory linking the body and mind.
Drug War Rages in Wisconsin
Based on its actions over the past 15 years (review the sidebar in the app version of this article), controversy and the Wisconsin Chiropractic Association seem to go hand in hand.
The McGill Approach to the Lower Back (Part 1)
Stuart McGill, PhD, brings a unique combination of tools to the table. He is a scientist who also functions as a clinician. He describes himself as a medical consultant who is referred challenging patients. He is both evidence based and practical.
Peer Points: Promoting TCM Knowledge
When Elaine Wolf Komarow, LAc, received her first acupuncture treatment in 1989, she said it changed her life. "I felt more aware, calmer, and happier. I was so fascinated by the changes that I began to learn everything I could about the underlying philosophy of Chinese medicine," said Komarow.
Following the Thinking of the Classics
I have heard about the "best time of day" to carry out certain examinations or therapies. For example, I remember making a note years ago that early morning is the best time to take someone's pulses.
Giving Chiropractic Some Much-Needed PR
Public relations has not always been the chiropractic profession's strong suit, a shortcoming that has subjected the profession to countless attacks on its legitimacy and seemingly perpetual confusion among the public and the health care world as to the skills and services doctors of chiropractic provide.
Implications of Section 2706: The Non-Discrimination Provision Survey
In late April 2014, NCCAOM diplomates received an email survey with the subject line: "End discrimination against acupuncturists" polling CAM practitioners for a Request for Information from the Department of Health and Human Services, released in mid-March.
"Turn, Turn, Turn"
Many people are credited with saying, "If you remember the '60s, you really weren't there." Given the fact I didn't become a teenager until 1970, I actually do remember the '60s (or at least part of it). And as a child of the '60s, I was, of course, influenced by the music.
Micro-Needle Dermal Roller Use in the Treatment Room
Recently micro-needle dermal rollers have been getting a lot of media attention. As a practitioner who specializes in acupuncture facial rejuvenation, I know that skin needling with a dermal roller (also known as collagen induction therapy), promotes the natural reproduction of collagen and elastin, making the skin feel smoother and tighter.
Treating Menopausal Women in Your Practice
I love what I do for a living. It's a great way to trade health for bread. And no topic of health, with the right bedside manner, is taboo.
Alcohol Consumption Strongly Linked to Risk of Colorectal Cancer
Alcohol intake is one of the primary risk factors for many human cancers, and is strongly associated with cancers of the oral cavity, pharynx, larynx, esophagus, liver, breast, and notably, the colon and rectum.
Capturing the Essence of Tai Chi
Over the last 12 years, I have been working on one of the few documentaries about Tai Chi. It's called The Professor: Tai Chi's Journey West and it's about Cheng Man-Ching who moved to New York in the 1960s.
Inspire Your Patients to Make Healthy Choices
Have you tried to get your patients to change their eating habits or their diet and couldn't get them to succeed? Were they confused and unsure of what the right thing was to eat? You are not alone!
Five Element Acupuncture Can Enhance Your Practice
For eight years I have been teaching and supervising TCM students at an acupuncture college in Colorado, in Five Element acupuncture.
Correcting Dysfunctional Movement Patterns – Is Local Treatment Enough?
It is widely believed that mechanical, non-traumatic back pain is largely related to dysfunctional or compensatory movement patterns the body has adopted over time.
Introduce Your Patients to Collagen Induction Therapy
Cutaneous (skin) aging generally occurs from either intrinsic or extrinsic processes. Intrinsic aging results from natural skin tissue damage and degeneration.
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
May, 2006, Vol. 06, Issue 05
A Study on Massage and Symptom Relief
By Tracy Walton, LMT, MS
This column is devoted largely to the rewards and challenges of working with people who have been diagnosed with cancer. To that end, I will discuss clinical practice, research and education, all of which are important to this work.In particular, because people have a keen interest in the research on massage and cancer, I've compiled research on the topic and made it available in a bibliography at http://tracywalton.com/id8.html.
The number of studies on this topic is growing, but the quality of research varies, as it does in any discipline. Some studies show good, solid research methods, and others suffer flaws that compromise the integrity of the investigators' findings. In this column, I'd like to share one of my favorites. The work by Janice Post-White and her colleagues, based at the University of Minnesota in Minneapolis and the United Hospital in Saint Paul, is wonderfully designed.1
The investigators studied 230 people in chemotherapy. They looked at immediate symptom relief just after a session, and at overall effects from a course of four weekly treatments. They compared massage therapy to three other types of care: Healing Touch (HT), a specific type of energy therapy derived from therapeutic touch, including both off- and on-body components;2 Caring Presence (P), in which a provider was present in the treatment room with the patient, but with no touch involved; and a control condition of Usual Care (UC), consisting of standard medical care provided to patients, but with no special intervention.
To best describe the design of the project, I ask you to imagine you were a patient recruited for it. After consenting to the study, you were randomized to one of three groups - MT, HT, or P - receiving a 45-minute session of the intervention each week over four weeks. Although you had free choice to join up with the study, and were free at any time to leave it, you did not get to choose your group assignment - it was chosen for you randomly. Your vital signs were taken before and after each session, and you were asked questions about your symptoms at those time points to determine the immediate effects of the intervention. At the beginning of the first session and the beginning of the fourth session in the series, researchers asked you additional questions about pain, nausea and mood, and questions about your use of other complementary therapies. You were asked to keep a log of your medication use, and it was collected from you at each weekly session.
One interesting feature of this study is that investigators used a "crossover design," meaning each research subject served as his or her own control. You went through two, four-week periods in this study - one week getting an intervention such as MT, HT or P, and one week as a "control subject," in which you completed the same kinds of measurements but received no intervention, just your usual medical care (UC). The order in which you spent time in the control and treatment conditions was random: some of you had the four weeks of treatment first; some of you had the control period first. A several-day "washout period" took place in between, to be sure the first period didn't influence the second one.
One thing I admire about this study is how researchers timed the sessions. Because the patients were in chemotherapy, they were subject to the ups and downs of strong medical treatment, which can follow a cyclical pattern after the drug is delivered. Symptoms such as nausea, anxiety, profound fatigue and pain can ebb and flow during chemotherapy, depending on how the patient responds to it. How someone feels depends a lot on when you ask. Unfortunately, this variability can significantly "confound" or muddy the outcomes of a research study. What if fatigue is measured at a particularly bad point in one chemotherapy cycle, but at a better point in another? It would make it hard to assess the true effects of massage on fatigue.
The authors anticipated this and made sure that the two sets of measurements, one over a four-week control period and one over a four-week treatment period, occurred at the same time point in identical chemotherapy cycles. Their care with this timing is one key to the solid design of this study.
After all this, what were their findings? Some highlights: They found that MT and HT reduced pain, improved mood and increased relaxation more than presence or the usual care control. These modalities also lowered respiration rate, heart rate and blood pressure. These were immediate effects of the sessions, but they were consistent across all four sessions. Only massage significantly lowered anxiety, and only HT significantly reduced fatigue. No intervention lowered nausea, but investigators found that the timing of the weekly sessions was such that the patients' nausea scores were already low, and it's difficult to significantly reduce a symptom that is low in the first place. This is called a "floor effect," and since nausea typically is worse in the few days following chemotherapy and then resolves, higher nausea scores didn't get picked up in the weekly sessions (the first massage right before the first infusion; the second a whole week later). Finally, over a four-week course of massage therapy, patients used less pain medication than those in the other groups, and less than they did during their control group experience.
Does this study "prove" that massage helps? In general, it's good to steer clear of that term until we have enough additional well-designed studies to provide convincing numbers. The field needs a large body of evidence for such a strong statement. Certainly, the findings suggest benefit and the authors cite other studies that corroborate their findings. The most consistent finding among studies on massage and cancer is its effect on anxiety, which is supported by this paper. In my own promotion of massage, whether speaking or teaching, I'm finally starting to feel the support of those numbers. And, if you're an individual in chemotherapy, finding symptom relief with massage, you feel supported no matter what the numbers show. You're not likely to stop what you're doing to wait for the data to catch up with your experience.
This is a wonderful study, worth reading closely. In the growing body of research on massage therapy, this is one of the largest, strongest works to date. I'm planning a research update, including this study, at the Atlanta AMTA convention this fall. I appreciate the dialogue that flows from this work.
Click here for more information about Tracy Walton, LMT, MS.
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