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Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
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.
The Ethics of Herbal Prescribing
While teaching ethics classes, I often encounter licensed acupuncturists who are surprised that our use of herbs and supplements has a specific section in the material. It is often an aspect within ethics that clinicians don't think of in practice.
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.
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.
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.
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.
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.
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 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?
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.
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.
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.
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.
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.
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.
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.
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.
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.
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?
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.
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.
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.
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.
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!
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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