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ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
February, 2007, Vol. 07, Issue 02
Incorporating Whole-Body Health Into Your Massage Practice
By Moriah Petrini, LMT
As massage therapists, most of us have encountered a similar challenge when dealing with chronic injuries such as shoulder, neck or spinal pain: You push, pull and even dig into your client, and yet they never truly experience that "whole body" release.If you are like me and really care about your clients, unsatisfactory results are not an option. In fact, after years of giving deep-tissue massage, I started having arthritic symptoms myself. I constantly was stiff and in low-lying pain, which then created a snowball of ailments, including irritability, stress and fatigue. Finally, I decided to investigate a solution. The results might surprise you: Nutrition plays a much bigger roll in our practice than you can imagine.
After investigating tons of pain-relief agents - both pharmaceutical and alternative - I found that most relieved the system temporarily, but never got to the root of the problem. And, as most of you know, many of the pharmaceutical drugs have harmful side effects.
One day a client of mine recommended that I read a popular health book by Jon Barron called Lessons From the Miracle Doctors. It became painfully obvious that the root of the problem is that you can't look for a magic bullet when it comes to pain, but an entire host of health issues, including detoxing, pure water, good fats, exercise, nutrients and much more. The book does mention one critical factor that could drastically help my massage practice: Help clients reduce systemic inflammation.
Systemic inflammation is largely caused by the fact that we cook our food and destroy the food's natural enzymes, which are needed to digest food and allow the nutrients to be absorbed in the body. When this happens, the body has to work overtime to replace these digestive enzymes and the pancreas diverts its focus from making other enzymes for the body, such as ones needed to purify our blood. These are called proteolytic enzymes.
The topic of enzymes should not be taken lightly. Your digestive system, immune system, bloodstream, liver, kidneys, spleen and pancreas, as well as your ability to see, think, feel, and breathe, all depend on enzymes. All of the minerals and vitamins you eat and all of the hormones your body produces need enzymes in order to work properly. In fact, enzymes govern every single metabolic function in your body: your stamina, energy level, ability to utilize vitamins and minerals, immune system, and more.
I found that applying all this to my massage practice was essential. First, you need proteolytic enzymes to increase the flow of "good" nutrients into the muscles, reduce scar tissue and help remove lactic acid out of the muscles. Second, inflammation is a natural response of the body to injury; however, most people suffer from excessive inflammation that actually retards the healing process, making our jobs as therapists almost impossible.
How Proteolytic Enzymes Work
To understand how important proteolytic enzymes are to the massage, let me explain how they work. According to research, proteolytic enzymes reduce inflammation by neutralizing the biochemicals of inflammation (bradykinins and pro-inflammatory eicosanoids) to levels at which the synthesis, repair and regeneration of injured tissues can take place.1 Reducing inflammation can have immediate impact on improved heart health, circulation, and to help speed up recovery from sprains, strains, fractures, bruises, contusions, surgery - even arthritis. Trials have shown that supplemental proteolytic enzymes can help reduce inflammation, speed healing of bruises and other tissue injuries, and reduce overall recovery time when compared to athletes taking a placebo.2,3
After several weeks of using proteolytic enzymes, I first noticed that my own back pain and arthritis began to subside. I was more capable of truly focusing on my clients and actually enjoyed the experience of giving massage again. More interesting was the response from my clients! Overall, I found that the ones that used proteolytic enzymes had incredible results. Shoulders were getting a larger range of motion, sensitive backs and swollen knees were subsiding and the natural structural alignment of their bodies moved with ease. Some mentioned later that they were sleeping better and that my massage efforts were lasting over a longer period of time.
What was even more remarkable was that it helped me to massage the sensitive lymph areas since proteolytic enzymes digest organic debris from the circulatory and lymph systems. With great surprise, some of my clients who had only set out to reverse and/or eliminate painful chronic issues found great healing among other systems of the body, including reducing allergies, sinusitis and asthma.
The Massage Therapist-Client Relationship
Although this all sounds good, it's important to note that it's very difficult to recommend nutrition to clients when many clients simply just want a massage. We also have to be careful to not pretend to "diagnose or cure" any client of any disease. I found there is a gray area where, just as we encourage clients to "drink plenty of water" after a deep therapy massage, we can mention proper nutrition. Information is power and if we simply give clients options to their health, I find they usually appreciate it and recommend me to others. Quite simply, we stand out as true healers and not as someone that is just manipulating muscle to some peaceful tunes.
I also found that most clients were actually starving for real information about natural health remedies. Due to the confusion in the market, they all had the same question: "With so many products and differing opinions, who can you trust?" I simply remind them to talk to their doctor before taking any supplement, but that, just as I had found incredible resources, there is a ton of unbiased information available online.
In the end, the more we help our clients, the more they help us. To provide true healing for our clients, we need to look at the body as a whole system and approach the massage, as only one aspect of a client's true healing process. Simply put, our body needs nutrition to accept the benefits of a good massage and the benefits of nutrition are enhanced when the body is not stressed and relaxed from a good massage. The bottom line: Nutrition and massage are perfect complements to each other.
Moriah Petrini has been a massage therapist for more than five years and is located in Fremont, Calif. She holds certifications in a variety of massage specialties, including deep-tissue massage, reflexology, structural massage and stone massage.
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