resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Keep Seniors Safe: Age-Proofing the Home
I want to give Dr. Claudia Anrig kudos for her Dec. 1, 2014 column, which highlighted safety issues youngsters might encounter in the home.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Viewpoints: Massage Reduces Nonspecific Shoulder Pain, Improves Function
While seemingly universal, pain and stiffness in the shoulders can be a significant cause of disability. Often a pain that does not go away on its own, shoulder complaints tend to linger, sometimes for 12 months or longer.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
Striking a Blow to the Medical Monopoly
The U.S. Supreme Court has issued a landmark ruling in North Carolina State Board of Dental Examiners v Federal Trade Commission.
Joint Supplements for Athletes (Part 2)
A fairly recent discovery in nutrition supplemental medicine has proven to be a breakthrough in maintaining athletic joint health. Research suggests a combination of undenatured type-II collagen and tetrahydro-iso-alpha acids helps revitalize joint function and performance in athletes.
How We Can Help the Injured Brain
The majority of patients with mild traumatic brain injuries recover within seven to 10 days. If concussion signs and symptoms continue beyond seven days, the diagnosis changes from acute concussion to post-concussion syndrome.
Older Patients, Stroke Risk and Manipulation
The first population-based study in the United States to evaluate stroke risk following spinal manipulation – and the first involving older adults – suggests that "[c]hiropractic cervical spine manipulation is unlikely to cause stroke in patients aged 66 to 99 years with neck pain.
God and the Chiropractor
My wife went to church last Wednesday night and brought home a CD of the pastor's message. As she handed it to me, she said, "You should listen to this; you'll like it." Our family regularly goes to church and our faith plays a major role in our lives.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
Pain Is Only a Piece of the Puzzle
More often than not, when a patient presents to the office, it is for a pain complaint: headache, neck pain, low back pain, sciatica, carpal tunnel, etc.
News in Brief
ACA Exec. Vice President Out, Acting EVP In; F4CP Executive Director Retires; New ED Named.
Managing Tibialis Posterior Tendon Injuries
The tibialis posterior is the deepest, strongest and most central muscle of the leg, with fibers originating from the tibia, fibula and interosseous membrane.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
What Do You Know About Physician Compare?
Physician Compare is a website that allows consumers to search for and obtain information about physicians and other health care professionals who provide Medicare services.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Treating GERD and Incontinence: Focus on Trigger Points
Gastroesophageal reflux disease (GERD) is defined as the regurgitation of stomach acid in the esophagus. Previously, it was thought that GERD was caused by a hiatal hernia, but recent trials suggest the cause is an inability of the hiatal sphincter to contract normally.
June, 2006, Vol. 06, Issue 06
By Whitney Lowe, LMT
A strain, sometimes referred to as a pulled muscle, is a muscle injury produced by excessive tensile stress that causes fibers to tear within the tissue. A muscle strain does not usually result from excess stretch alone, but from a combination of tension and contraction.Muscle strains can develop when excess tension is placed on a muscle while it's also in contraction. Due to muscle mechanics, strains are more likely while the muscle is in eccentric contraction than concentric or isometric.1,2
There are three grades of muscle strain: first degree or mild, second degree or moderate, and third degree or severe. In a first-degree strain, few muscle fibers are torn. While there might be some post-injury soreness, the individual usually returns to normal levels of activity quickly. With second-degree strains, more fibers are involved in the injury. There is a greater level of pain with this injury and a clear region of maximum tenderness in the muscle tissue.
A complete rupture of the muscle-tendon unit occurs with a grade-three strain. Some strains are classified as third degree even though the muscle still has some fibers intact because the damage is extensive. There is likely significant pain at the time of the injury. Pain can be minimal afterwards, because the ends of the muscle are separated and limb movement does not cause additional tensile stress.
Third-degree strains generally require surgical repair. In some instances, surgery is not performed because the muscle does not play a crucial role and the potential dangers of surgery outweigh the benefits. Ruptures to the rectus femoris are an example because the other three quadriceps muscles make up for the strength deficit caused by the strain.
The muscles most susceptible to strain injuries are multi-articulate muscles, which are those that cross more than one joint. The more joints crossed by a muscle, the greater is their vulnerability for strain injury. All involved joints cannot achieve full range of motion at the same time due to limited extensibility of the muscle tendon unit. If the muscle is stretched across multiple joints at the same time, it's more susceptible to tearing from excess tensile stress.
Strains can develop in any part of the muscle, but usually occur at the musculotendinous junction.3 The junction of muscle and tendon places one tissue with higher pliability (muscle) directly adjacent to another with limited pliability and more tensile strength (tendon). As a consequence, the point of interface between the two tissues becomes a site of mechanical weakness where the strain occurs.
Muscle strains generally arise from acute injuries. However, there might be repetitive tensile forces on the muscle that cause small degrees of fiber tearing, producing a chronic strain. In most cases, the client can recall a specific movement or accident that produced the strain. Swelling might occur in the area immediately after the injury, but is likely to subside after the initial inflammatory phase (an estimated 72 hours).
Strains, both acute and chronic, are increasingly common where they have previously occurred. Scar tissue that repaired the original strain is a weak point in the muscle's continuity, and therefore a location vulnerable to re-injury. It's important to find out whether the client has suffered a previous injury to the area.
Following a strain, resting from offending activities for several weeks provides the body time to heal damaged tissue. Another primary goal of treatment is tension reduction in the affected muscle. Tension is reduced with massage techniques such as effleurage, stripping, broad cross-fiber sweeping, etc. In addition, it's important to help develop a functional scar at the site of tearing and prevent scar tissue from adversely binding adjacent fibers. Deep transverse friction massage is used to develop a healthy, functional scar. Muscle strains are a common soft-tissue injury and massage is an excellent treatment option to help in the management of these conditions.
Click here for more information about Whitney Lowe, LMT.
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