resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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).
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.
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.
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.
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.
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).
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.
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.
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.
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.
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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.
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.
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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