resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
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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