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Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
After two treatments for back pain, a patient presents for a third
session complaining of rapid breathing and wheezing that is made worse
during cold weather.
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
August, 2006, Vol. 06, Issue 08
Developments in Oncology Massage
By Tracy Walton, LMT, MS
For decades, the world of Swedish-based massage therapy followed a flat, absolute massage therapy contraindication for people with cancer, and this contraindication took root in other bodywork modalities as well.To the relief of professionals, teachers and clients, this practice has fallen out of favor. Helped by two books, Massage Therapy and Cancer, by Debra Curties, and Medicine Hands: Massage Therapy for People with Cancer, by Gayle MacDonald, the profession has challenged an old myth - that massage promotes the spread of cancer by increasing circulation. This myth was based on a primitive understanding of how cancer spreads and on uneven research on the impact of massage.
Fortunately, a much more thoughtful view has come into being, a perspective that makes room for massage with cancer patients, people at the end of life and cancer survivors. More sophisticated thinking about cancer itself and the impact of massage on the body have restored massage therapy to its rightful place in the care and support of people with cancer. Indeed, contraindications still exist, but more careful analysis of those contraindications has replaced the old, single contraindication. There is a sharper focus on which elements of massage are contraindicated for which clinical presentations of cancer. After years of practice, research and teaching in this special discipline, I've noticed developments along the way. I will share developments in two major areas: one in the area of research and professional conferences, and the other in education on cancer and massage.
Research and Conferences
In my last column, I wrote briefly about research on massage and cancer, and highlighted one of the strongest controlled studies available, involving patients in chemotherapy (www.massagetoday.com/archives/2006/05/13.html). People with cancer are a focus of research, as a search of massage research databases will show. Research papers are great, but it's especially exciting to learn directly from the researchers themselves. This is why I like attending conferences, or, if I missed a conference, reading the abstracts and proceedings afterward.
In fact, the first U.S. conference devoted entirely and exclusively to cancer and massage will be held in Toledo, Ohio, May 11-12, 2007. Titled "The Oncology Massage Healing Summit," it features Gayle MacDonald as the keynote presenter and diverse sessions on massage research, lymphedema, oncology massage program development and pediatric massage. Eastern approaches for symptom management, medical ethics, scar work and case studies also will be presented. Oncology massage therapists are eager for this meeting of the minds, hearts and hands. For more information, contact Mercy College Continuing Professional Education department at (419)251-1799 or .
Other national gatherings foster dialogue among researchers and clinicians. The Society for Integrative Oncology holds its third annual conference in Boston, Nov. 10-12, 2007. There will be a special Satellite Symposium on Massage Therapy on Nov. 9. Visit www.integrativeonc.org for more information. At this fall's AMTA National Convention in Atlanta, I will offer one session on massage and chemotherapy, and another on recent massage and cancer research. The conference details are at http://amtamassage.org/education/NationalConvention2006.html. Recently, the May 2006 North American Research Conference on Complementary and Integrative Medicine was held in Edmonton, Alberta. An impressive array of presentations included a large handful of presentations on massage research, and several of those included or focused on cancer. Abstracts from the conference are viewable at www.imconsortiumconference2006.com. Last year, the Massage Therapy Foundation presented "Highlighting Massage Therapy in CAM Research" in Albuquerque, N.M. A large number of people presented on massage therapy and cancer. The proceedings from this conference can be ordered on CD-ROM from the foundation at www.massagetherapyfoundation.org.
Several years ago, there were just a few educators and training programs in existence; now, the list has more than doubled. Moreover, I notice training is getting longer. Now that we've refuted the old contraindication and put a finer point on things, there is a lot to say about cancer and massage. Changes in length, focus, setting and implementation are evident in the following trainings, which is just a partial list of those available. Contact information for each is at the end of this article.
First, Cheryl Chapman has added a course in mastectomy massage to her offerings, believing that the specific aspects of breast care after surgery and reconstruction deserve special focus.1 Debra Curties offers training in breast massage, including breast pathologies following cancer surgery.2 This focus is needed in a profession that counts many breast cancer survivors among its many consumers.
At Beaumont Hospitals in Michigan, Charlotte Versagi offers a five-day course at the School of Oncology Massage.3 In general, hospitals are offering more training. MD Anderson Cancer Center offers a course in Houston, as well as a review of complementary therapies on its Web site.4 And Houston Community College offers a course, including practical work, at nearby Baylor Breast Care Clinic.5 Two extensive certificate training programs exist. A 300-hour program is at the Scherer Institute of Natural Healing in Santa Fe, N.M.6 A 274-hour program is at the Colorado School of Healing Arts in Lakewood, Colo.7
These offerings suggest therapists welcome more instruction and hands-on time. Indeed, many of us who offer shorter courses have lengthened them or added additional levels of training. After years of offering "Medical Massage for the Cancer Patient," Memorial Sloan-Kettering added Level II training to its offerings.8 Led by Wendy Miner, this course is offered in New York. Likewise, I have added advanced training to my own course for additional work on case studies, research, hospital work and marketing.9 Moreover, the AMTA has responded to the need for information on the topic by offering an online course, "Cancer and Massage: Essential Contraindications," which I put together with them in two parts.10
As I said before, this is by no means a complete list of educational offerings, and the list is getting longer. These expansions in the field come as no surprise to me. Massage therapists have wanted and needed to work with people with cancer for a long time, and they have faced various barriers to this important work, including the old contraindication. The surge of growth in oncology massage is satisfying an old need, a backlog and a sacred calling in the massage profession.
It seems that each time I touch a client in my private practice, I learn something new from their experience. It might be about cancer itself, new treatments or the things my client learns along their path and chooses to teach me as I walk with them. Whatever it is, it's always compelling and I am eager to share it with other therapists. Conferences, research and education offer chances for us to share our stories and hear what is going on in massage treatment rooms around the country. It's an exciting time to be in the work.
Click here for more information about Tracy Walton, LMT, MS.
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