resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Improving Communication Between AOM and Biomedical Providers
How comfortable do you feel talking to Western medical providers? If you are like me, you may not feel as comfortable as you would like. Some of my interactions with MD's haven't been the fruitful steps toward integrative medicine for which I had hoped.
Help: A Need at Every Level
One of the great gifts of training in acupuncture is the ability to take good care of oneself. I recently had a bout of frozen shoulder — an inflammatory syndrome which can be debilitatingly painful and take years to resolve.
Nuts Reduce Risk of Heart Disease, Cancer and Other Health Problems
Several recent studies suggest regular consumption of nuts may provide a significant degree of protection against certain types of cancer, heart disease, possibly type 2 diabetes and some neurodegenerative diseases.
Patient-Centered Care vs. Payer Restrictions: Your Ethical Obligation
Do you have an ethical obligation to evaluate your patients, make a diagnosis and provide evidence-based, patient-centered health care, irrelevant to the payer restrictions?
Getting a YES: An Effective Strategy for Overcoming Patient Objections
Patients make more excuses for declining care from an acupuncturist than perhaps any other type of doctor. Various reasons hold them back from making a commitment to care.
Fertility and Poly-Unsaturated Fatty Acids
Starting or expanding one's family is a major milestone. It's something that more and more people seek out health care advice and support for.
Do Some Good and Grow Your Business with Cause Marketing
Cause marketing is truly one of the best ways that you can promote your services as a acupuncture professional. Cause marketing refers to a type of marketing where a business partners with a non-profit organization to help bring awareness to a charitable cause.
The New Age of Communication
In the age of technology, everyone, including the patient, is seeking faster, easier ways to communicate. With a wealth of social media, blogs, websites and videos, we are constantly barraged with information – to the point of overload.
Surprising Reasons for Orthotic Efficacy
Clinical outcome studies show orthotics are effective in the management of a wide range of injuries, including plantar fasciitis, Achilles tendinitis and patellofemoral pain syndrome.
The Food Conversation: Nutrition and Your Practice
It's morning and your first patient rolls in with a triple espresso steaming in one hand and a frazzled, desperate look in her eye. "You gotta help me, doc, I am constipated unless I drink one of these, and I am exhausted and anxious all the time."
The Zen Art of "One Point"
We were always told in our Zen Shiatsu training (by Japanese and Japanese American instructors) that our ultimate aim was to to find that "One Point." To be so focused we could touch just one point to transform Qi throughout a client's body.
The Short Leg Dilemma
When evaluating a new patient, it is common to note a relative shortening of one leg to the other. Some patients will even tell you they have one, and then pull out the store-bought heel lift they read about online.
Practicing with Authenticity
To extrapolate from the above quote, patients love healthcare providers they can trust. One way to earn the trust of your patients is by practicing with authenticity. What does that mean, exactly?
Dorsiflexion Dysfunction: Evaluation & Manipulation Techniques
Almost every condition from the foot to the hip can be attributed to the inability to dorsiflex the ankle mortice and other joints that participate in dorsiflexion. Let's start by understanding normal versus abnormal dorsiflexion.
Practice Policy (Gone Bad): The Sign
Every once in a while, you see something and think to yourself, That's a really bad idea. Case in point: I went to see my medical doctor the other day. Just after being "roomed," as they say, the nurse checked my vital signs. Then she left.
More Chiropractors Required
An intriguing study published in the Journal of the American Board of Family Medicine examines how "chiropractic care affects use of primary care physician (PCP) services."
A Chiropractor's Guide to Yoga
"Doctor, can I continue to do yoga while undergoing your care?" "Is it OK for me to go back to yoga while I'm getting my back treated?" "It is safe to start my yoga classes again after my neck pain improves?"
News in Brief
Call for Abstracts Announced - Parker Las Vegas 2016; Logan Adds Doctorate Degree; New Role for Dr. James Edwards.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 1
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
Fish Oil: A Key Component of 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?
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 2
In the last issue of Acupuncture Today, the first part of this article introduced the topic of trauma and resilience, and their relationship to the autonomic nervous system response and the concept of the spirit being grounded in the body, and suggested the importance of mindfulness as a tool for healing.
Modernization of Chinese Medicine
Language – written, spoken, signed, or otherwise is learned as a means to express our individualized perceptions about the world around us. Language is designed to communicate our personal experiences.
Harvard Health References Flawed AHA Position Paper
In its special health report, "Stroke: Diagnosing, Treating, and Recovering From a 'Brain Attack,'" Harvard Health Publications includes information from the American Heart Association's 2014 position statement on cervical manipulation and cervical dissection – a statement the American Chiropractic Association emphasized in a letter to Harvard Health mixes "scientific facts with half-truths."
What's Chiropractic Research Worth to You?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fundraising campaign to support chiropractic research.
Oriental Medicine on the World Stage
"Let me win. But if I cannot win, let me be brave in the attempt." This simple, yet powerful statement was lived out time and time again by so many of the athletes from around the world during the Special Olympics World Games in Los Angeles.
Change Lives by Supporting Chiropractic Research: Are You In?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fund-raising campaign to support chiropractic research.
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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