resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
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.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
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.
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.
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.
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.
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.
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.
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.
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.
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.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
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.
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.
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.
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.
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.
April, 2007, Vol. 07, Issue 04
Feeling Is Believing
By David Kent, LMT, NCTMB
At the conclusion of my last article, I challenged readers to identify a specific muscle, based on several clues from one of my dissection cases. Were you able to figure it out?
The answer is the costocoracoideus.To see a picture of it, visit www.kenthealth.com under the "What's New" section, and click on "Mystery Muscle." If you got it, congratulations!
Feeling Is Believing
Now, let's consider another unique set of circumstances.
I recently took an online survey and was interested to discover that of the five senses, 76 percent of men and 72 percent of women feel that vision is the most important. But while "seeing is believing" to many, Edgar Moon, a blind certified massage therapist from Philadelphia, believes that "touching is seeing and understanding." Edgar, who primarily is a kinesthetic learner, "sees" with his hands.
Edgar became a massage therapist after he lost his sight serving our country in Vietnam. A couple of years ago, he joined me in the dissection lab for a week of training. Following the experience, Edgar expressed both appreciation and excitement for his newfound knowledge, "Now I understand exactly what I am treating on my clients. This experience has been so enlightening and a dream come true."
The level of enthusiasm in the dissection lab truly is amazing. I've seen faces light up with excitement in anticipation of embarking on this incredible exploration of the human body. Yet, at the same time, each person is extremely respectful of the process. All of the participants honor these "silent teachers," since it is through their foresight and planning that we have been given this ultimate gift and learning experience. Additionally, we in the anatomy lab recognize that performing an outstanding dissection and then using that knowledge to benefit our clients is the most respectful way we can honor these exquisite souls.
While Edgar did not use a scalpel to perform the dissection, he did use his hands to palpate every layer, separate the fascial planes, and feel the fascia, muscles, nerves and organs. Additionally, Edgar and his dissection team continually palpated the same structures on 11 different cadavers to compare the shapes and sizes of each. Edgar maneuvered around the dissection lab with confidence. As he approached each cadaver, a team member would place his hands on a bony landmark so that he could identify his starting point. Working with Edgar in the lab reminded each of us how fortunate we are to have the gift of sight. We were all proud that we had the opportunity to "loan our eyes" to a fellow massage therapist so he could follow his passion.
In my last column, I discussed how most of us learn and experience life through the five senses: visual (sight), auditory (speech), kinesthetic (touch), olfactory (smell) and gustatory (taste). While most of us are fortunate enough to have the full use of our senses, each person typically is more reliant on one or two of the senses; these are referred to as the dominant senses. Since the senses affect how we interpret and interact with the world on a daily basis, it is easy to understand how the dominant senses could guide us into a specific profession.
For example, someone whose dominant sense is taste probably would enjoy being a chef, a food taster or a wine connoisseur; a speech-dominant person might gravitate toward a profession in acting, music or politics; and a sight-dominant person might prefer a career as a graphic designer, architect or painter. So, it makes perfect sense that a touch-dominant person would lean toward a career in massage therapy. In fact, when massage therapists are in the process of learning a new technique or structure of the body, it often is necessary for them to see (visual) it, hear (auditory) about it, and, of course, use touch (kinesthetic) to feel or perform it.
It was beautiful to witness Edgar as he began making all of these connections in the lab. Occasionally, while palpating, he would say, "I see." I remember thinking how much more sensitive Edgar's hands are since they play such a dominant role in his life.
As you know, the largest organ in the body is the skin. It provides:
Additionally, it's common knowledge that one square-inch of skin contains about 65 hairs, 100 sebaceous glands, 650 sweat glands, 78 heat sensors, 13 cold sensors, 1,300 nerve endings that can record pain, 9,500 cells, 19 yards of nerves, 19,500 sensory cells and 165 pressure apparatuses for stimuli (touch). The fingertips are very sensitive, making them powerful tools for any massage therapist, particularly someone with an enhanced sense of touch, like Edgar.
But, how does the dissection experience help heighten one's sense of touch and subsequently make one a better massage therapist? Well, with or without the use of one's vision, palpating during dissection provides the therapist with a more thorough understanding of each individual structure, as well as how these structures interconnect to form the whole. A therapist who has received the gift of knowledge thanks to these special "silent" teachers can't help but function in the treatment room with a heightened appreciation and understanding of the human body. And developing these skills takes little more than a heartfelt desire to learn and a willingness to see with your hands what your eyes cannot. Just ask Edgar.
Click here for more information about David Kent, LMT, NCTMB.
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