resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
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.
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.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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%.
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).
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).
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
July, 2006, Vol. 06, Issue 07
Are You Feeling Hot, Hot, HOT?
By Elaine Stillerman, LMT
Humorously referred to as a "power surge" or "my own private Florida," hot flashes are no laughing matter. They probably are the number one symptom of menopause in Western societies. It's interesting that these sweats are not as common in some Asian countries or Mexico where only about 10 percent of menopausal women suffer from hot flashes.1 One theory postulates the reason Japanese women have such low rates of hot flashes is due to their high fiber, low fat and high consumption of soy diet.
It's estimated that anywhere from 50 to 90 percent of American women of a certain age experience hot flashes; referred to medically as vasomotor flushes.2 Nobody really is sure what causes them, but there are a number of speculations.The most common explanation is that lower estrogen levels and declining ovarian function are causative. (This also can explain the profuse sweating a postpartum woman experiences when her estrogen levels dramatically drop after the baby is born.) But this theory cannot apply to women with low levels of estrogen who do not have hot flashes or women with estrogen excess who get them. The fact that almost 30 percent of women treated with placebos have an improvement in hot flashes also might indicate there is more involved than estrogen.
Other factors that might trigger hot flashes can be explained by the complex neuroendocrine reactions to thoughts and emotions. Spicy food, hot drinks, alcohol, sugar, caffeine, stress, heated environments and tobacco also might be triggers.
Another theory suggests they are brought on by a dramatic, sudden downward normalization of the body's internal core temperature. Since estrogen and progesterone are significant in regulating temperature, a decrease in their levels might contribute to a shift in the body's ability to control temperature. Studies with both natural progesterone creams and prescription estrogen show a significant reduction in hot flashes.3
As our clients reach peri-menopause, menopause and post-menopause, these flushes or hot flashes can be very uncomfortable, not to mention embarrassing. They seem to occur at the most inopportune times and can be very disruptive of restful sleep. They start as mild to intense heat that spreads through the upper body and face. Red blotchy skin might appear on the face, arms and back or the face might appear flushed. Cardiac rate increases and often copious amounts of perspiration appear, followed by a chill as the hot flash subsides.4
They can be short, lasting only a few seconds or as long as 30 minutes, although most diminish after 5 minutes. They can occur every hour or occasionally. They can disturb sleep at night or creep up at any time during the day. And they can drag on for years, well into menopause.
Lifestyle changes are an integral part of any natural approach to treating hot flashes and the massage therapist's first line of defense in treating hot flashes is a soothing massage that increases endorphins and allays stress. Pressing Spleen 3, found at the medial aspect of the feet, posterior and inferior to the head of the first metatarsal, can help balance hormones. Your client should discuss all these suggestions with her doctor before deciding which suits her best.
Some medicinal plants have been used for centuries as female tonics. (Author's note: It's essential that your client discusses any herbal remedies with a naturopathic physician or some medical authority with a knowledge of herbs who can determine which herbs are beneficial and at what doses. Herbs are medicines and it's outside the scope of our practice to diagnose and prescribe medicines.) Herbs that have palliative, soothing effects on the female reproductive system and endocrine glands are black cohosh, motherwort, chaste berry tree, blue cohosh (can potentially raise blood pressure to dangerously high levels when too much is taken; must be avoided by any woman with high blood pressure); red clover, ginseng, dong quai (rich in estrogen), licorice, sarsaparilla and false unicorn.5
The effects of black cohosh in treating menopausal symptoms has not received extensive research in the U.S., although the herb has
Soy and red clover have plant-derived, estrogen-like compounds called isoflavones that mimic a weak form of the body's estrogen. This might explain why women who consume soy-rich diets have fewer hot flashes. Clinical trials in the U.S. have yielded inconclusive results. There also is a concern that isoflavones could cause cancer and those women with breast cancer, or who have had breast cancer, should discuss the efficacy of taking isoflavones with their doctor.
Simple lifestyle changes include wearing layers of loose clothing made of natural fibers; exercising daily; sipping a cool drink at the onset of a hot flash; avoiding excess alcohol; avoiding spicy food and caffeine; employing stress reduction techniques such as yoga, meditation or a massage; quitting smoking; taking vitamin E; increasing soy intake; taking evening primrose oil capsules; sleep in a cool room; drinking plenty of water throughout the day.
There are many women who choose hormonal therapy when natural approaches are unsuccessful or symptoms are extremely severe. Estrogen or progesterone therapy can relieve symptoms, but personal risks and benefits have to be considered. Taking certain antidepressants might decrease hot flashes, especially when they are from a class known as selective serotonin reuptake inhibitors (SSRI). Brand names might include Paxil, Prozac, Celexa, etc.7
An off-label use of the medication Gabapentin (Neurotonin) that is FDA-approved to treat epileptic seizures and the pain
Women can't avoid menopause. Whether it was chemically or surgically induced, or just a matter of normal aging, these power surges are an annoying part of it. But women can be more in control of their bodies by adopting simple lifestyles changes and understanding that this, too, shall pass. Now, open a window. Is it hot in here, or is it me?
Click here for previous articles by Elaine Stillerman, LMT.
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