resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
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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