resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Case Report: A Valuable Tool
Case reports are a valuable form of descriptive research. The most basic form of practice-based research, a case report is a detailed account of the history, presenting symptoms, assessment, observations, treatment and follow-up of an individual patient, discussed in the context of prior and potential future research.
An Opportunity & a Responsibility
Nearly 80 Americans die from an opioid-related overdose every day, and spine-related pain is one of the principle drivers of opioid use. This unfortunate situation creates both an opportunity and a responsibility.
Let's Clear Up the Collection Confusion
This is an often-misunderstood practice swirling with misinformation. First, a few basics: Insurance is a contract between the patient and the insurance company. The insurance company is simply making a payment for services or care on behalf of the patient.
The Acupuncture Channel System (Part 1)
The earliest Chinese reference to channels is in the Mawangdui Medical Manuscripts,1 which are dated to the Warring States period of the Zhou Dynasty (475 BC-221 AD). The text presents 11 channels. There are no acupuncture points listed in those channels.
An Education in Gluten Sensitivity
A relatively new syndrome officially documented as non-celiac gluten sensitivity (NCGS) or gluten sensitivity (GS) was officially recognized and published in the new list of gluten-related disorders in 2012.
Qigong for Substance Abuse
It is commonly believed that substance abuse, in addition to harming one’s physiological state, hurts the spirit. There is also a belief that one’s spirit does not weaken due to substance abuse, but rather, the person finds solace in addiction due to an already weak spirit.
Shoulder Rehab: Start With the Scapula
The scapula is an incredible display of elegance and movement within the biomechanics of human motion. It's evolved for mobility and stability in the scapulo-thoracic region, giving us the ability to do things that are uniquely human, such as throwing with accuracy.
Prepare for the End, From the Beginning: Wealth Building and Retirement with the Tao
Yin and yang flow into and out from one another continually. Beginnings become endings and endings become beginnings again. Wholeness and cycles are the nature of Tao.
Flirting With Alternative Therapies
There are about as many adjunct therapies being marketed to acupuncturists as there are acupuncturists. While some may remain purist in their application of traditional Chinese medicine, others choose to explore new horizons of treatment.
Crow Like the Rooster
As we welcome in the Year of the Rooster, we look at some of its major characteristics: confidence and communication, which suits the image we have of the Rooster...strutting in the farmyard, crowing to the others that it's time to wake up.
Five Branches University Has First Hospital TCM Residency
Established in 1984, Five Branches University (FBU) has campuses in Santa Cruz and San Jose, Calif., which serve the communities of Santa Cruz, the Monterey Bay, and Silicon Valley.
Low Back Pain in Running Athletes
After 7 million years of adapting to upright postures, the lumbar spine and pelvis have become remarkably adept at managing ground-reactive forces associated with running.
Anti-Aging With Dr. Ping Zhang
Jennifer Waters, TCM practitioner and writer of the Acupuncture Today column, "Talking With the Masters" sat down with Dr. Ping Zhang to discuss aniti-aging with acupuncture.
Nutrition for Menopause: Front-Line Therapy for All Phases
Of all the changes women experience during their reproductive life, there is no doubt the most dreaded are the three phases of menopause. This is not surprising since all of the symptoms associated with menopause are replete with unpleasantness.
The winter season is upon us and offers unique challenges for the clinician and patient alike. To effectively navigate through the winter season there are two main TCM medicinals, Huang Qi and Gan Jiang, to consider, as well as two important formulas which feature these two TCM treasures.
True Practice Mobility for the Chiropractic Profession
When natural disasters occur, chiropractors can literally travel to the other side of the world to offer humanitarian relief in less than a day. The chiropractor's license to legally practice, however, can't make it past the state line.
Acupuncture Points: Broadening Our Scope and Diagnostic Work
As every practitioner knows, the correct diagnosis is everything. Most healing disciplines rely on the use of symptomatology for their treatment implementation. Beyond symptomatology, we have clinical tests to provide more objective findings.
We Get Letters & Email
Our Country Needs Us Between Elections, Too; Continuing Care: We Aren't There Yet; Our Associations Need to Do More.
A Conversation With Dr. Betty Edmond
This month's column is an exclusive interview with Betty Edmond MD, newly elected CEO/President of the AOMA Graduate School of Integrative Medicine in Austin, Texas.
Scar Reduction With Acupuncture & Microneedling (Part 2)
Protocols & treatment Timing
Another Step Forward for Chiropractic
Chiropractic is now available to 86,000-plus Latter-Day Saints missionaries and you are invited to become a provider. LDS membership in not required; our only concern is that our missionaries get the best quality care available.
News in Brief
Updated Neck Pain & Whiplash Guideline; Attention, IHS DCs; New VP of Institutional Advancement At Palmer; N.J. DC Interns At U.S. Olympic Training Center; Chiropractic Society Of R.I. On The Front Lines.
June, 2007, Vol. 07, Issue 06
Some Good News About Breast Cancer
By Elaine Stillerman, LMT
A friend of mine dropped the bomb at lunch a few months ago - a mutual friend had breast cancer. That made four women in our circle who have been afflicted by this dreaded disease. The good news is that all of them are now cancer-free, none of them lost a breast and all were able to tolerate the surgery, debilitating chemotherapy and radiation treatments that eventually saved their lives.None of these women were taking hormone replacement therapy (HRT). So when the front page news covered the dramatic decrease in breast cancer rates, attributable to the decline in HRT, I was delighted. However, I was concerned it wasn't the whole story.
According to a Dec. 15, 2006, article in The New York Times, the rates of the most common cause of breast cancer, tumors stimulated by estrogen (estrogen-positive tumors), dropped by an incredible 15 percent. Science writer Gina Kolata also wrote that the greatest decline came to women between 50 and 69 years of age. The reason is believed to be that millions of women stopped taking HRT for menopausal symptoms. This information was based on a report by the National Cancer Institute.1
Nearly 85 percent of breast cancer originates in the mammary ducts.2 The remaining 15 percent develops in the lobules (small lobes).3 Breast cancer usually grows very slowly and is detected only after many years of growth.4 Breast cancer can either be an invasive cancer which develops when abnormal cells break out into the surrounding tissues or beyond, or carcinoma in situ, meaning that it has not spread.5 This disfiguring disease is the second leading cause of death among women, killing as many as 40,000 women a year.6
When it comes to estrogen-positive tumors, researchers have understood that these tumors have estrogen receptors on their cell surfaces. So, if a woman stops taking estrogen-replacement medications, the tumors would stop growing. Or at least that is the hypothesis: Starve the tumor of its food source and it won't get any worse. (The pharmaceutical companies are understandably distressed by this news and caution that more studies are needed.) While this is a tremendous discovery in breast cancer, that is only one of the numerous risk factors associated with this disease. For those women who have given up on HRT, this could indeed be lifesaving.
However, stopping the hormones doesn't mean that women are out of the woods. There are quite a number of risk factors that also have to be considered. A woman's age is a huge factor. Unlike cervical cancer, breast cancer risks increase with age. Rates usually are low in women under 40 years old and start to escalate at age 41. In the U.S., 95 percent of women diagnosed with breast cancer are 40 or older.7 The highest rates are in women over 70. Other factors include: inherited genetic mutations, family history, high breast density on mammogram, radiation exposure in youth, benign breast disease, elevated levels of estrogen, menopause at age 55 or older, first period before age 12, not having children or having the first child after age 35, high bone density, being overweight, Ashkenazi Jewish heritage, alcohol consumption, use of birth control pills, being tall, and finally, not breastfeeding.8
Monthly self-breast exams still are recommended to detect any changes in the breast tissue. Performing this exam around the same time each month after your period familiarizes you with what is normal and what is an unusual mass. Getting annual mammograms also is a good defense.
The news about the tremendous decline in breast cancer occurrence is something to celebrate for certain, but women should not become complacent about their health. Instead, we should continue to take care of ourselves, eat well, exercise regularly and spend a few minutes every month to ensure that all is well.
The photographs that accompanied my last Womankind article, "Pregnancy Leg Massage" (April issue, Vol. 7, No. 4) do not reflect the facts expressed in the piece or the protocol I teach in my MotherMassage® workshop. Artwork often is included in articles and when the author isn't consulted, the artwork can prove to be incorrect. This is what happened here. I apologize for any misinformation these images might have given the readers.
Based upon the dynamic changes and adaptations to the circulatory system during pregnancy, ischemic compression techniques (those that provide digital pressure and quick release) are contraindicated after the first trimester. These pictures appear to represent this technique. To be on the safe side, avoidance of these bodyworks throughout the entire pregnancy (and for at least three months postpartum) will prevent dislodging potential thrombi. Pregnant women produce four to five times more clotting factor as a safeguard against hemorrhages during labor. These clots are more likely to appear in the deeper vessels of her legs and calves - the iliac, femoral and saphenous veins which would indicate lymphatic drainage as the most appropriate choice for the gravidas' legs.
In addition, the increase of interstitial fluid (another adaptation) often causes legs and feet to swell. Again, the most appropriate bodywork technique to enhance lymphatic absorption is lymphatic drainage. This is done with 5 to 7 grams of pressure, starting at the proximal joint supporting the direction of the flow towards the heart.
These pictures also demonstrate floor lying positioning that places a pregnant woman flat on her back. This position is absolutely contraindicated during pregnancy for more than 3-5 minutes (if she can even tolerate it for that long). In this position, the weight of the uterus compresses the inferior vena cava and aorta, decreasing maternal blood pressure (often resulting in pregnancy-induced hypotensive syndrome) thereby cutting off blood and oxygen to the fetus. Anyone who has taken my workshop knows how concerned and insistent I am about recumbent or semi-sitting positioning. The pregnant woman's upper body (from the hips) must be comfortably elevated at no less than a 45-degree angle to no more than a 70-degree angle with her hips slightly tilted to the left with a small wedge and her legs elevated.
I am glad for the opportunity to clarify the mistakes made by the inclusion of these erroneous photos as a companion to my article and I thank Massage Today for letting me set the record straight. I trust that students interested in studying prenatal massage will avail themselves of the essential hands-on supervision of a professional instructor and not the casual display of unfortunately poorly-chosen pictures.
Click here for previous articles by Elaine Stillerman, LMT.
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