resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
F4CP Launches New Social Media Campaign
The Foundation for Chiropractic Progress has launched a new service to help member doctors: a social media campaign called "Accelerator."
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Designing a Fitness Plan (Part 4): Blending Pain Relief With Healthy Aging
Pain relief is still the No. 1 reason patients come to my office. However, most of my patients have other goals as well, such as: "I want to lose 10 to 20 pounds"; "I feel old and want to slow down the aging process"; "My doctor says I am becoming a diabetic and need to exercise"; or "I'm tired and want more energy."
Let's Streamline Your Front Desk
Your front office can be your greatest source of efficiency or a constant bottleneck. Increasing the productivity of this area without sacrificing the quality of patient interaction can be a little tricky.
How Many of Your Patients Have Sarcopenia?
Figure 1 demonstrates the typical appearance of sarcopenia in the paravertebral muscles. Have you considered evaluating your patients for this problem? Sarcopenia is the progressive loss of skeletal muscle mass and function that affects the older population.
Day in the Life of an Advanced-Practice DC
Can you tell us a little about your background in the profession? Why did you want to become a DC? I studied at Boston University from 1968-1972 as a pre-med student majoring in biology.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
An Alarming Lack of Accountability
Accountability seems to be a lost quality today. The simple act of taking responsibility and doing the right thing just doesn't happen as often as it should. Maybe it is the litigious nature of our society.
Excited to Share the Science of Chiropractic: An Interview With Dr. Heidi Haavik
Dr. Heidi Haavik has become known in the circle of chiropractic researchers as not only a rising star, but also one willing to do research that can have a major impact in the scientific world and how chiropractic is perceived.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
Misconceptions & Opportunities With Medicare
As I speak around the country on how to properly document Medicare patient encounters, I get questions regarding opting out of Medicare. There are many misconceptions about opting out of Medicare, including just what it means to opt out.
Identify & Adjust the Apex Posterior Sacrum
Low back pain involving an apex posterior sacrum (+θX-axis misalignment) typically presents with signs of lumbosacral joint impingement or facet syndrome.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
News in Brief
Northwestern Student Honored for Addressing Concussions Head-On; Northwestern Announces New CFO; Life U. to Provide Unique Opportunity.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
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.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.