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News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
Preaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
Online Marketing Basics: Website Creation
The various online marketing options make it a challenge, especially when all you want to do is help your patients feel better. With such a broad topic, I'm going to share some basics you should know about website creation.
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Patient Retention Techniques
When talking about techniques to grow your business, we tend to focus on the "large" aspect of the patient base, that is, on strategies to attract new patients. However, it is important to remember that "loyal" is equally, if not more, important.
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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