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5 Ways to Occupy Occupational Health
Despite the progress that has been made to better protect workers, occupational health and safety remains a priority area for many national governmental organizations due to the widespread problem of occupationally related morbidity and mortality.
Managing Today's Fertility Patient
I recently received an email from one of my fertility patients: "Got my lab results back. FSH is 11, AMH is 0.7. My doctor said these numbers aren't good. I guess I'm infertile. Just as a thought. Just set up an appointment to speak with an adoption agency."
Jingei Diagnosis: An Effective and Powerful Diagnostic
I graduated from the Kotatama Institute under the direction of Drs. Masahilo and Katsuharu Nakazono in 1984. As a student, I was exposed to the practice of most of the various theories and modalites of Oriental Medicine.
AOMA Strengthens Leadership Team
AOMA Graduate School of Integrative Medicine, a leading college of acupuncture & herbal medicine, announced the appointment of Donna LaPoint Hurta, MBA as the new VP of Finance & Operations this Fall.
Healing With TCM at San Quentin State Prison
For the prisoners at San Quentin State Prison, life-sentences are the reality of every day life. It is not often that prisoners get the opportunity to use alternative medicine to deal with common ailments they encounter behind bars such as, depression, anxiety and pain.
The Wonders of Light Therapy: An Interview with Wes Burwell
I first met Wes Burwell in 2011 when he was teaching a class on light. Since then, every time I hear him speak, his understanding of the benefits, function and capacity of light has evolved.
Blaming the Gluteus Medius, Overlooking the Deltoid
The gluteus medius (Gmed) is commonly written about, strengthened and blamed for many conditions, and rightfully so. After all, the Gmed plays a role in pelvic stability, hip motor control and lower-quarter dynamic movements.
The Tao of Gender
If you think gender is as simple as having a new client check off the "male" or "female" box on your intake form, we hope this article will expand your understanding and thus the reach of your health care.
Web Marketing: Content Is King
Google's sweeping updates to its search algorithms over the past few years have brought a paradigm shift in how you can optimize your chiropractic website to gain maximum marketing leverage.
Lime Jello on Morphine
Taste is in the eyes... actually the mouth... of the beholder. My food preferences have changed, lightening from the food of my youth. My parents loved heavy eastern European cuisine and I loved it as a child. Now I enjoy leaner, healthier whole foods.
Managing Patient Expectations About Acupuncture
Last year, I attended the Pacific Symposium in San Diego for the first time in six or seven years. It was the 25th anniversary of this event, and on one evening there was a panel discussion with the title; "What is Qi?."
Understanding and Identifying Pediatric Growth-Plate Fractures
In general, fractures in children heal well with little intervention as long as the alignment is good. Fractures involving the growth plate, however, are a different issue. In fact, growth-plate injuries are the primary reason for the subspecialty of pediatric orthopedics.
Saying No to Medicine
An interesting article recently appeared in Men's Journal titled "When to Say No to Your Doctor." The article begins with the summary statement above and effectively arms readers with information that will help them "take more responsibility for your own health care, because you can't be sure anyone else is.
The Heart Protector
On the physical level, the Pericardium is a double-layered sac of fibrous tissue that envelops the Heart. The space between the layers is filled with serous fluid that protects the Heart from external shock or trauma and lubricates to allow for normal Heart movement.
Calcium Helps Prevent Colorectal Cancer
Over the past 25 to 30 years, studies have suggested calcium may confer protection against colorectal cancer.
The X Factor in Clinical Research: The Patient
It was the great baseball legend, former New York Yankees catcher Yogi Berra – he of countless aphorisms, each with a mind-bending twist – who once declared, "You can observe a lot by watching."
Simple Ways To Find True Happiness
Patients in our clinics are always seeking happiness. As their health advocate, we need to ensure we inform them that in order to find happiness, they have to make sure to identify what makes them happy in the first place.
Help Patients Achieve Optimal Vitamin D Levels
Much research has been done on vitamin D levels and their impact on health; optimal levels have been correlated with a reduced risk of developing numerous conditions.
To The Finish Line With the Help of TCM
When acupuncturist Eddy De Smedt pursued a career in Traditional Chinese Medicine, he knew he wanted to make a difference.
Transparency and Accountability: Q&A With the CCE
Every profession needs an organization dedicated to upholding the quality and integrity of its degree programs and educational institutions.
Talking to Patients About Healthy Aging
I've noticed that a particular category of patients seems to make up more and more of my practice – they work out, but still experience lots of degenerative joint disease (DJD) issues.
January, 2007, Vol. 07, Issue 01
Non-Contagious Skin Rashes, Part 1: Contact Dermatitis
By Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President
I frequently am surprised by what people request or respond to after they read my Massage Today columns. The things I often think will generate a lot of interest or discussion land with a thud (for instance, avian flu and whooping cough), and the topics I think must be old-hat and overdone for massage therapists generate an enormous amount of interest.Such has been the case for my articles on herpes simplex, warts, psoriasis and superficial cysts. So, to keep to the skin diseases trend, I offer the first of a two-part article on dermatitis and eczema: common, confusing, and frequently overlapping conditions that many massage therapists see and deal with on a daily basis.
The terminology around dermatitis and eczema is extremely confusing, largely because there is no universal consensus on what each term really means. If interested readers pursue this topic to get more information, they might be frustrated to find that some resources seem to use the word eczema to be synonymous with atopic dermatitis, while others (including this one) differentiate atopic dermatitis as a subset of eczema. Welcome to the world of pathology research!
In all the reading I have done on these topics, this is how I have ultimately organized the dermatitis/eczema hierarchy. (This is not the only way to organize these concepts, but can be a useful tool to see how these conditions relate to each other.)
For this discussion, we'll pick the simplest of these skin conditions: contact dermatitis. This is, as the name implies, inflammation of the skin where it has been touched by an allergen or irritating substance. This is different from skin rashes related to reactions that are not from direct skin contact: hives related to stress, or psoriasis, which involves skin cells that reproduce too rapidly.
Contact dermatitis comes in two forms: as a result of irritating or damaging exposures, or from a localized allergic reaction.
Once in a while, we can afford to damage our skin in this way. It heals fast, after all, and all is well again within a few days. However, if a person submerges their hands in caustic, irritating chemicals, or even just water, over and over again, the skin may sustain longer-term damage: contact irritant dermatitis. It's distinct from contact allergic dermatitis because everyone who scrubs their tub without gloves damages their skin, while not everyone has an allergic reaction to latex or nickel.
One group of allergic contact dermatitis outbreaks is probably familiar to most people: reactions to poison oak, poison sumac and poison ivy. The allergen in these plants is an invisible oil called urushiol, and about 75 percent of the population has a reaction to it. Urushiol is significant because not only can it remain potent even after months on tools or other surfaces, but it also can disperse in the air when plants are burned, leading to allergic reactions on the skin and possibly even in the respiratory passages of people nearby.
Massage for Contact Dermatitis?
If a client has contact dermatitis, it's important to identify what the triggers are and to avoid them in a massage setting. In other words, if this client is allergic to almond oil, it's important to have alternate lubricants available. (Many lotions contain almond oil, so read labels carefully.) But if a client has a red scaly mark where the button on their jeans hits, or around their wrist where their watch lies, this is not a significant issue for massage - we certainly won't catch the condition and we won't spread it (unless we use the watch as a massage tool!).
If a client has contact irritant dermatitis because of exposure to harsh chemicals or other substances, massage with lubricant might speed the healing process. Be aware, however, that massage brings blood to the area, and we want to avoid making itchy spots itchier. Also, we want to be careful about any scratching or blisters that might compromise the shield of the skin to invite infection: these make any kind of contact dermatitis a local contraindication.
For Next Time
In my next column, we will continue this discussion of non-contagious skin rashes with an exploration of eczema. In the meantime, if any pathology issues come up for you and your clients, feel free to let me know: What's on your table?
Many thanks and blessings!
Click here for previous articles by Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President.
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