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F4CP Making a High-Impact Impression
The Foundation for Chiropractic Progress has released details of its 2016 strategy, certain elements of which are already in play. The strategy includes ads, posters and other resources available to all F4CP members.
The Concussion-Subluxation Complex
In the Aug. 1, 2014 issue of Dynamic Chiropractic, I reviewed some of the literature demonstrating the role of the chiropractic adjustment in post-concussive care.
Syncretism: Acupuncture and Public Health in Cuba
"Syncretism" is defined as a union of diverse tenets or practices. On a recent trip to Cuba designed to demonstrate the integration of Traditional Medicine and biomedicine, our group witnessed this union firsthand.
Pro-Con: Swaddling for Newborns
The practice of swaddling has been used for thousands of years and was popular until the 1700s, when it was slowly abandoned by many cultures that considered it old-fashioned or barbaric.
Diagnose Sprain Injuries in MVA Cases With Dynamic X-Rays (Pt. 1)
Am I the only person to notice hospitals are doing a seemingly insufficient job lately in their initial radiological workup of motor vehicle accident (MVA) victims?
Dietary Fat and Prostate Cancer: An Important Update
K.M. Di Sebastiano and M. Mourtzakis published a review paper examining the role of dietary fat on prostate cancer development and progression late last year that does a stellar job of summarizing the available data on fat and prostate cancer.
Mechanism: Experimental Approaches to Understanding Acupuncture, Part 1
The clinical benefits of acupuncture are difficult to ignore, but also can be difficult to explain to a Western audience. For nearly 50 years, relentlessly inquisitive scientists and physicians have been working toward a conceptual model to explain acupuncture.
One Size Does Not Fit All: Exercise and Nutrition According to Your Yin/Yang Body Type
There are countless new exercise and nutrition plans out there, emphasizing the latest ground-breaking research and claiming to revolutionize the way we view health.
Tailor-Made Knee Pain: The Sartorius Muscle
A patient was referred to my office after receiving treatment from various providers with no results. The patient was training for the Olympics as a marathon runner and was unable to run or walk without severe medial knee pain.
Which Way is the Energy Going? Are You Burning Yourself Out?
One of the simple methods that I use to define Yin/Yang theory to patients is to ask the question, "Which way is your energy going?"
The Modern Application of Ancient Mei Rong
Chinese Medical Cosmetology (Mei Rong) has a well-documented and venerated history dating back to the Qin (221-206 BC) Dynasty.
Your Billing Questions Answered
I hear a lot of the following questions: I am afraid I may doing something illegal. I have heard I cannot have different fees for the same service.
Designing a Fitness Plan (Part 1)
It doesn't matter if you come to my practice for pain relief, weight loss, healthy aging or something else. The formula I talk about for each patient's fitness strategy is pretty much the same.
Footsteps of the Sages: An Apprenticeship with Dr. Kezhan Zhang
When I met Dr. Kezhen Zhang in May 2013, I was his translator and the integrity, creativity, and passion he demonstrated as a practitioner and advocate of the medicine convinced me to travel to Beijing to study with him.
Omega-3 Fish Oil: An Underappreciated Element of Men's Health
As a clinician with many male patients -- and as a man myself -- I am all too aware of the fact that we like to convince ourselves that we are doing great, when that may be the farthest thing from the truth.
Acupuncture and Oriental Medicine in the West
We know acupuncture and Oriental medicine as the indigenous medicine of East Asia; in particular China, Korea and Japan are the countries of origin of this wonderful healing system.
It's Time to Review
It is amazing to see the changes that are occurring in the acupuncture profession. Let's look at some of the news and events that have contributed to this growth and awareness.
North Carolina Acupuncture Board Files Dry Needling Lawsuit
In early September, the NCALB filed a complaint against the North Carolina Board of Physical Therapy Examiners over the issue of dry needling, a form of acupuncture that uses solid needles to puncture the skin and muscle tissue to relieve pain.
Targeting the Bad Apples in the Bunch
While everyone was focused on the conversion to ICD-10, the Office of Inspector General for Health and Human Services released a new report on chiropractic titled "CMS Should Use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services."
Chinese Herbs and Pulmonary Fibrosis: A Case Study
"Mary M."* recently celebrated her 90th birthday. Even the former sheriff dropped by to kiss the hand of this diminutive retired teacher, to honor the years she interpreted for him during interviews with Latinas and Latinos.
Making Sense of an Increasingly Obvious Conclusion
Where's U.S. health care heading? Like it or not, the list of telltale signs is growing to a point that stands out to even the most myopic observer. Consider this list of facts as you look into the future of health care in the United States:
Born to Energize the Human Spirit: Recollections of Sig Miller
Sig Miller, longtime executive director of the Association of New Jersey Chiropractors (ANJC), passed away on Sept. 17 after a long battle with cancer.
Too Many to Remember: Tips to Revive Your Ortho / Neuro Test Skills
When I was at Palmer in the mid-1980s, we were given a set of notes in one of our diagnostic courses. The notes covered approximately 70 orthopedic and neurological tests for various regions of the body.
June, 2006, Vol. 06, Issue 06
Massage and Embodiment
By Keith Eric Grant, PhD, NCTMB
Finding myself in the full spring of the second half of the first decade of the 21st century seems cause enough for a bit of reflection on touch and training.Part of this comes from having had weeks of rain and drab grey light in central California, now suddenly giving way to blue skies, scattered wisps of clouds, warm sunlight, bird song and gentle breezes laden with hints of flowers, grasses and herbs. A spirit could choose far worse times and places to be embodied.
One of the modern paradigms of massage is to induce relaxation. The techniques required for relaxation massage are simple and easily taught, the results often depending as much on intent and connection with the client as with the technique. It's ironic that those wishing to focus only on providing relaxation massage to their clients have been subjected both to the scorn of other practitioners and to legislation requiring far more hours of training than needed simply to provide positive touch. The irony lies in missing the value of the gift of human time and relaxation in our 24/7 world. It's estimated that stress costs business $300 billion per year, contributes significantly to loss of health, increased domestic and workplace violence and loss of community connection.8 Honor those who serve the human needs of others. Enough said.
A second paradigm of massage has been to focus on massage as health care. While certifications and state regulation has been touted to address this paradigm, what has been provided is a relatively empty facade. The vagueness of massage education requirements is a major reason that two "medical massage" organizations have arisen, as well as the basis of the incapacity noted by Ralph Stephens in his March 2006 Massage Today column, "Education - Where Does Advanced Begin?" (www.massagetoday.com/archives/2006/03/02.html). Current "standards without outcome specifics" also are the reason I've both tackled the Massage Medical Applications Project 7 and am working as part of a small group, under the auspices of the Massage Therapy Foundation, to define best practices for massage as health care. Such projects exist because guidelines, based on research and objective evidence, don't currently exist.
Ralph Stephens points out problems with corporate influence on massage training in his May 2006 column, "Put Your Hands on Your Monitor - Part 1" (www.massagetoday.com/archives/2006/05/10.html). I differ from Ralph slightly in believing that massage schools are part of the profession, rather than just the business infrastructure, to the extent that those running programs are immersed within massage. I agree with him where massage is simply another add-on area of training. In California, dedicated massage schools continue to resist a larger vocational school organization's desire for legislative policies that would undercut their economic niche and viability.
My third paradigm, the impact of massage on the quality of body-sense or embodiment of the client, has been largely ignored by those looking at massage as tissue-specific health care. Such work, traditionally taught by holistically-oriented massage schools, is not likely to be picked up by corporate career schools. It might appeal to a massage degree program, but these are still few.
The truly amazing aspect of our embodiment is that we inherently have a cohesive sense of our own bodies. The leap from input signals from a myriad of sensors to an integrated body sense is indicative of the unconscious processing capabilities of our brains. Our abilities in spatial integration have profound consequences to our health. From research on phantom limb pain, Ronald Melzack concludes that we have a neuromatrix analog of our physical bodies, dependent both on input and on current state for its sensory output. Recent haptic research by Martin Grunwald suggests that distortions in tactile integration may contribute to anorexia and may be treatable by sensory stimulation. For some, sensory processing is challenging - the feelings of overload restricting the choices of clothing to those which minimize disruptive input4. For many others, the tactile nature of clothing and fabrics, described by terms such as hand, weight, drape, and texture, is part of the joy of embodiment.
Practicing massage as sensory reframing has no lack for material to draw from. Maurice Merleau-Ponty set out a philosophical framework more than a half century ago.6
Deane Juhan describes the sensory benefits of bodywork as "a cumulative process of [clients] getting to know their own bodies and their own sensations from a fresh perspective, a process that continues to help them discover who and what they are and to learn to exercise some measure of self-control over many of the vagaries of their physical and emotional symptoms."5 Donald Bakal lays the same stress on developing body awareness as a path to healing in Minding the Body.1 The lack we face is not in material to teach, but in the value being given to it by the profession of massage. It is material ill-suited to the concept of massage as the application of anatomical knowledge and tissue-specific techniques to a passive client. It does not fall within the circle of value, and thus the "career" teaching, set by a standardized test. We either begin to accord more value to this material and those who teach it, or we might soon count it as part of the unintended collateral damage of the rush to massage as a standardized profession. Whether it's the future consideration of massage teachers or of massage historians is our individually made collective choice in the policies we set and the values we promote.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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