resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The winter season is upon us and offers unique challenges for the clinician and patient alike. To effectively navigate through the winter season there are two main TCM medicinals, Huang Qi and Gan Jiang, to consider, as well as two important formulas which feature these two TCM treasures.
Shoulder Rehab: Start With the Scapula
The scapula is an incredible display of elegance and movement within the biomechanics of human motion. It's evolved for mobility and stability in the scapulo-thoracic region, giving us the ability to do things that are uniquely human, such as throwing with accuracy.
Scar Reduction With Acupuncture & Microneedling (Part 2)
Protocols and treatment Timing: A course of treatments should be performed over a period of 12 weeks if possible. Microneedling should be performed once every two weeks.
Low Back Pain in Running Athletes
After 7 million years of adapting to upright postures, the lumbar spine and pelvis have become remarkably adept at managing ground-reactive forces associated with running.
Another Step Forward for Chiropractic
Chiropractic is now available to 86,000-plus Latter-Day Saints missionaries and you are invited to become a provider. LDS membership in not required; our only concern is that our missionaries get the best quality care available.
Prepare for the End, From the Beginning: Wealth Building and Retirement with the Tao
Yin and yang flow into and out from one another continually. Beginnings become endings and endings become beginnings again. Wholeness and cycles are the nature of Tao.
Flirting With Alternative Therapies
There are about as many adjunct therapies being marketed to acupuncturists as there are acupuncturists. While some may remain purist in their application of traditional Chinese medicine, others choose to explore new horizons of treatment.
The Case Report: A Valuable Tool
Case reports are a valuable form of descriptive research. The most basic form of practice-based research, a case report is a detailed account of the history, presenting symptoms, assessment, observations, treatment and follow-up of an individual patient, discussed in the context of prior and potential future research.
Crow Like the Rooster
As we welcome in the Year of the Rooster, we look at some of its major characteristics: confidence and communication, which suits the image we have of the Rooster...strutting in the farmyard, crowing to the others that it's time to wake up.
News in Brief
Updated Neck Pain & Whiplash Guideline; Attention, IHS DCs; New VP of Institutional Advancement At Palmer; N.J. DC Interns At U.S. Olympic Training Center; Chiropractic Society Of R.I. On The Front Lines.
True Practice Mobility for the Chiropractic Profession
When natural disasters occur, chiropractors can literally travel to the other side of the world to offer humanitarian relief in less than a day. The chiropractor's license to legally practice, however, can't make it past the state line.
Anti-Aging With Dr. Ping Zhang
Jennifer Waters, TCM practitioner and writer of the Acupuncture Today column, "Talking With the Masters" sat down with Dr. Ping Zhang to discuss aniti-aging with acupuncture.
The Acupuncture Channel System (Part 1)
The earliest Chinese reference to channels is in the Mawangdui Medical Manuscripts,1 which are dated to the Warring States period of the Zhou Dynasty (475 BC-221 AD). The text presents 11 channels. There are no acupuncture points listed in those channels.
Five Branches University Has First Hospital TCM Residency
Established in 1984, Five Branches University (FBU) has campuses in Santa Cruz and San Jose, Calif., which serve the communities of Santa Cruz, the Monterey Bay, and Silicon Valley.
Let's Clear Up the Collection Confusion
This is an often-misunderstood practice swirling with misinformation. First, a few basics: Insurance is a contract between the patient and the insurance company. The insurance company is simply making a payment for services or care on behalf of the patient.
We Get Letters & Email
Our Country Needs Us Between Elections, Too; Continuing Care: We Aren't There Yet; Our Associations Need to Do More.
Acupuncture Points: Broadening Our Scope and Diagnostic Work
As every practitioner knows, the correct diagnosis is everything. Most healing disciplines rely on the use of symptomatology for their treatment implementation. Beyond symptomatology, we have clinical tests to provide more objective findings.
Nutrition for Menopause: Front-Line Therapy for All Phases
Of all the changes women experience during their reproductive life, there is no doubt the most dreaded are the three phases of menopause. This is not surprising since all of the symptoms associated with menopause are replete with unpleasantness.
An Education in Gluten Sensitivity
A relatively new syndrome officially documented as non-celiac gluten sensitivity (NCGS) or gluten sensitivity (GS) was officially recognized and published in the new list of gluten-related disorders in 2012.
An Opportunity & a Responsibility
Nearly 80 Americans die from an opioid-related overdose every day, and spine-related pain is one of the principle drivers of opioid use. This unfortunate situation creates both an opportunity and a responsibility.
A Conversation With Dr. Betty Edmond
This month's column is an exclusive interview with Betty Edmond MD, newly elected CEO/President of the AOMA Graduate School of Integrative Medicine in Austin, Texas.
Qigong for Substance Abuse
It is commonly believed that substance abuse, in addition to harming one’s physiological state, hurts the spirit. There is also a belief that one’s spirit does not weaken due to substance abuse, but rather, the person finds solace in addiction due to an already weak spirit.
May, 2006, Vol. 06, Issue 05
Celiac Disease, Part 2: What Is Going on Here?
By Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President
In the March issue (see www.massagetoday.com/archives/2006/03/16.html), I introduced the basic concepts behind celiac disease (also known as celiac sprue), a disorder involving an inflammatory reaction to gluten.When people with celiac disease eat gluten-containing products (which is hard to avoid in processed foods), the body launches an immune response that damages or even destroys the intestinal villi. This makes it impossible to absorb nutrients, not just from gluten-rich foods, but from everything else as well.
One point that came up in reader responses to part 1 of the article was a need to clarify the difference between wheat allergy and gluten sensitivity. A wheat allergy is an immune response to anything with wheat in it; this is typically rare, and is detected in infants and young children who experience inflammatory reactions when they include wheat products in their diet. Gluten sensitivity, by contrast, is a reaction to incompletely broken-down gluten in the GI tract. The symptoms are not immediate, and they are not limited to wheat products, because gluten is found in many other grains as well.
Symptoms and Complications of Celiac Disease
Celiac disease can be mild or severe, depending on the severity of the inflammation and the extent of damage to the villi. Very severe cases are diagnosed in young children as "failure to thrive," since the affected child can derive little value from food. More often, it occurs as a subtler problem that is easily misdiagnosed as irritable bowel syndrome, fibromyalgia, chronic fatigue syndrome, hypothyroidism, lactose intolerance, candida, depression, or other chronic, multi-system conditions. Some people don't develop symptoms until adulthood, often after a stressful trigger such as an infection, surgery or childbirth.
Signs and symptoms of celiac sprue usually are arranged around malabsorption and malnutrition. Pain, gas, bloating and diarrhea are common. Stools tend to be high in volume, oily and very foul smelling. Anemia, irritability, depression, osteoporosis and muscle cramps are other frequent signs or complications of celiac disease; any one of these can be traced to poor absorption of nutrients, including iron, B12 and vitamin D. Poor absorption of folic acid can lead to neural tube defects (i.e., spina bifida) in infants of pregnant women with celiac disease.
Other dangerous complications of celiac disease are associated with chronic inflammation in the GI tract: Adenocarcinoma or lymphadenoma are cancers of the small intestine linked to celiac disease. Non-Hodgkins lymphoma is another type of cancer with a statistical connection to this disease.
Research is underway that would create a drug to limit intestinal T-cell hyperactivity in the presence of incompletely broken-down gluten. This might eventually open the door to a less limited diet for celiac disease patients. In the meantime, the best treatment option is to avoid gluten in any form, which is a considerable challenge. Flour made from corn, potatoes, beans or soy can be used as a wheat flour substitute. Fruits, vegetables, fish, and meats (that are neither marinated nor breaded) also are gluten-free. It's possible to have a varied and well-balanced, gluten-free diet, but eating processed foods or at restaurants might be problematic.
The good news is that the majority of celiac disease patients who can avoid all sources of gluten for months or years heal completely, and achieve the complete rebuilding of their intestinal villi. However, a person with celiac disease must commit to a lifelong dietary adjustment to accomplish this.
Massage has some specific cautions in the context of gastrointestinal tract problems. Because many symptoms of GI problems (gas, bloating, indigestion, constipation) can be related to stress, many people find that massage, even if not administered directly to the belly, has a positive effect. Most of the time, this is wonderful, but not always. GI symptoms are notoriously vague. The complaints of a person with irritable bowel syndrome (a functional problem that, although painful and inconvenient, is not life-threatening) can be similar to the symptoms of a potentially dangerous problem, such as ulcerative colitis or diverticulitis. Therefore, if a person finds that massage relieves symptoms, even temporarily, an accurate diagnosis might be delayed. Massage therapists should encourage clients who report new or persistent GI problems to seek medical advice, regardless of whether massage temporarily relieves symptoms.
In relation to celiac disease specifically, massage has no direct impact on the health of intestinal villi. Consequently, massage can neither improve nor exacerbate celiac disease. However, its ameliorating effects can make the transition to a gluten-free diet easier to take - if you can't have chocolate cake anymore, at least you can have a wonderful massage!
For Next Time
I've been receiving inquiries lately about MRSA: methicillin-resistant staphylococcus aureus, the causative agent behind some difficult and stubborn skin injuries. Massage therapists exposed to this pathogen are at particular risk for spreading it to others. If you have experience with this condition, write to me and let me know: What's on your table? Until then, many thanks and many blessings.
Click here for previous articles by Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President.
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