resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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 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?
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
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.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
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.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
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.
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.
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.
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.
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.
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.
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.
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.
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
September, 2006, Vol. 06, Issue 09
Understanding the “E” Word in Bodywork
By John Upledger, DO, OMM
Even in nontraditional healthcare circles, it's interesting to note how uncomfortable some therapists get around the "E" word - energy. They might be intrigued by your philosophy and impressed by your protocols, but mention energy and you can almost feel half of them check out of the conversation.(Ironic, isn't it?)
That's why it's helpful to be reminded of the physics of energy to better grasp why it plays such a central role in bodywork. I have a good friend who is a talented CranioSacral Therapy practitioner and instructor. He also happens to have a doctorate in theoretical physics. Indeed, before Tim Hutton, PhD, LMP, CST-D, became a massage practitioner in 1994, he worked in experimental physics at the Massachusetts Institute of Technology.
Tim spoke at length on the subject of energy at Beyond the Dura 2005, an international health care conference held every two or three years in south Florida. As he pointed out, energy means different things to different people. So, it's worth looking carefully at the term to help therapists find common ground in understanding the concept of energy in manual medicine.
Following is a highly abbreviated version of what Tim shared with more than 300 therapists at the 2005 conference. It serves well to highlight the science behind a concept that might, at first glance, appear unconventional in a therapeutic framework. As you'll see, it is anything but.
As therapists, we define energy as a physical sensation, like the vibration or heat we experience when we work. While we may not all feel the same thing, we can generally agree on when energy is being put into something and when it's being taken out. Energy in bodywork is sense-oriented.
In physics, energy has a precise definition: The ability to do work or to make something change. Energy is conserved - it can never be created or destroyed, just transformed or moved around. This concept of "conservation of energy" unifies every experience in life, from throwing a baseball to boiling water, and it allows you to see the connection.
Along with another concept ("conservation of momentum"), the conservation of energy forms the foundation of modern science and technology. So, to physicists, energy is neither elusive nor sense-oriented, but the fundamental principle from which all of science arises. Everything around us is a result of this dance of energy being transformed. Energy is encountered in several forms: kinetic, potential and heat. Kinetic energy is the energy of motion, like that of a baseball when you throw it. Potential energy is stored energy that has the potential to be used. Heat is the kinetic energy associated with the motion of all the atoms inside an object.
Imagine a roller coaster going over two hills. If the car starts at the top of the first hill and rolls down, it gradually picks up speed until it reaches the bottom. It takes the potential energy it has by being a certain distance from the earth (gravity) and converts it to kinetic energy to accelerate to the bottom of the hill. Then it slows down and continues up the next hill, converting kinetic energy back into potential energy. Because the car started at a higher point on the first hill, it still has enough energy to go over the second one. But energy was not lost or gained in the process, just transformed. So, what if the car starts halfway down the first hill? It accelerates but doesn't have enough energy to get over the second hill, and ends up oscillating back and forth between the two. To get the car over the second hill, energy would have to be added from outside the system to help push it over.
Energy is stored, moved or manipulated by one of three forces: nuclear, electromagnetic or gravitational. Nuclear force holds the nucleus together inside an atom. Electromagnetic forces provide the interaction between atoms. Gravitational force is the mutual attraction between masses. Since humans don't have much direct connection with nuclear force, what we experience in daily life are electromagnetic interactions in the field of gravity.
Physics dictates that anything conducting electricity has an electromagnetic field, including the human body. When you bring your electromagnetic field close to another person, the two fields interact. With training, you can learn to perceive your own field, and through this interaction, the field of another. This forms the basis of energy work.
To better understand this, let's add the concept of entropy - the degree of disorder or chaos in a system. Imagine a game of pool. You take the balls, place them into a triangular rack and set them neatly on the table. Then you strike the rack with the cue ball, scattering the balls across the table. The entropy of the table has increased - there is more disorder.
Globally, the universe tends toward increased entropy, toward chaos. Locally, however, a system that's strongly interacting with its surroundings tends toward equilibrium.
Thus, by putting energy into a system, it is possible to decrease entropy. Consider the pool table. How did you get an ordered state to begin with? By placing the balls exactly where you wanted them. You put energy into the system to increase order on the table.
The human body tends toward order, toward healing. If we cut ourselves, the body tries to knit itself back together. Life is a system for decreasing entropy. So what is energy in bodywork? It's one person adding energy to another through the interaction of electromagnetic fields, helping to decrease entropy in the body and return it to a more ordered state.
Consider that roller coaster with the car stuck at the bottom. You'd have to put energy into the car to move it past the barrier of the hill. In the same way, you connect to help your clients move past barriers toward better health. It's a concept supported by science.
- Tim Hutton, PhD, LMP, CST-D
Click here for previous articles by John Upledger, DO, OMM.
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