resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Why Young People Need Chiropractic Now More Than Ever
According to a recent study published in BMC Musculoskeletal Disorders, "It is now widely acknowledged that neck pain (NP), mid back pain (MBP), and low back pain (LBP) (spinal pain) start early in life and that the lifetime prevalence increases rapidly during adolescence to reach adult levels at the age of 18."
9 Common Causes of Thyroid Imbalance and How You Can Help
How you sleep, how easily you wake up, and how much energy and stamina you have during the day are directly related to levels of the thyroid hormones.
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
News in Brief
National Chiropractic Health Month: Be Proactive; Collegiate Roundup: Academic Appointments at Parker, Logan.
Chiropractic Research in Review
Chiropractic Treatment of Lateral Epicondylitis; Cost / Benefit Analysis: Different Doses of SMT for Low Back Pain; Imaging for Occult Rib and Costal Cartilage Fractures; Treating Neck Pain: Thoracic Thrust Manipulation vs. Non-Thrust Mobilization.
Waking Up the Gluteus Maximus
In previous articles in this series, we expounded on the importance of the gluteus maximus (GM) in athletic performance and protecting the knee from injury. We also know there is a link between iliotibial band syndrome and GM weakness.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
CCE Finally Takes a "Baby Step" Toward Reform
During a 16-month period from October 2010 to February 2012, I devoted four separate columns to the heavy-handed attempt by the Council on Chiropractic Education to radically change the chiropractic profession through the accreditation process.
MPA Media Wins 7 Publishing Awards
MPA Media, publisher of Dynamic Chiropractic and DC Practice Insights, among other titles, has been recognized for editorial and design excellence with an unprecedented seven publishing awards by the American Society of Business Publication Editors (ASBPE), the nation's largest organization for business-to-business publications.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
Don't Turn a 2 Into a 10
The Wong-Baker FACES Pain Rating Scale1 is so useful because it can be used by almost anyone. Patients can use the numbers associated with the faces depicted on the scale or select the face that demonstrates their current level of pain from 0-10.
A Chinese Medicine Story: An Interview with Mazin Al-Khafaji
Mazin Al-Khafaji's work has interested me for years. In February 2014, we invited him for the second time to speak at the Southwest Symposium in Austin, Texas.
A Vibrating Capsule for Constipation? Relevance to Your Chiropractic Practice
The relationship between gastrointestinal (GI) complaints and back pain is not typically written about or discussed.
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
July, 2007, Vol. 07, Issue 07
Why Should I Learn Assessment?
By Whitney Lowe, LMT
Musculoskeletal disorders (MSDs) are one of the most pervasive health care issues in the United States. These conditions include a wide array of soft-tissue problems such as strains, tendinosis, sprains, myofascial trigger points, nerve entrapment, and the ever-present host of biomechanical problems resulting from chronic muscle tightness.MSDs are the second most common reason for seeing a family practice physician, with infectious conditions like the common cold being first.1 It's interesting that even with the high incidence of MSDs in our medical system, their importance as a health care concern seems undervalued.
Many different medical disciplines are involved in the treatment of MSDs. Orthopedists are the specialists whose primary focus is on disorders of the musculoskeletal system. However, most orthopedists' practices are limited to more serious conditions, such as those that might require surgical intervention. Consequently, the large majority of physician visits for MSDs are handled by family practice physicians.
MSDs account for millions of office visits with physicians each year. Yet most people would be astonished to realize that medical school training for most physicians does not prepare them to address these disorders at all. In fact, almost half of the medical schools in the U.S. do not require any clinical or basic musculoskeletal course prior to graduation.2
The lack of training in musculoskeletal medicine has been reflected in physician knowledge in several other studies as well. Dr. Elizabeth Matzkin and her colleagues administered a basic cognitive examination on musculoskeletal medicine to 334 medical students, residents and staff physicians.3 Seventy-nine percent of the participants failed the exam. The most common reason given for the lack of confidence in performance by the participants was that their training in musculoskeletal medicine was inadequate.
Adding to the problem of training deficiencies in musculoskeletal medicine, traditional Western medical care has not had a great track record when it comes to effectiveness in treating the plethora of MSDs. The ineffectiveness of many treatments could result from the deficiencies in training and preparation. However, it's more likely due to the fact that these conditions are largely functional, soft-tissue disorders that do not respond well to drugs or surgery, the two primary treatment tools of most physicians.
Ineffective results in traditional medical treatment for MSDs have driven millions of Americans to seek better care through complementary and alternative medicine (CAM) approaches, such as massage therapy. In their comprehensive 1998 study on alternative medicine use in the U.S., Eisenberg noted that there were an estimated 114 million visits to massage therapists each year.4 This number is likely to be higher in the coming years with the increasing popularity of massage. A study on the practice patterns of massage therapists in 2005 found that about 60 percent of visits to massage therapists each year were for musculoskeletal symptoms.5 That means a conservative estimate would suggest more than 68 million office visits to massage therapists each year to address MSDs! This number is likely to increase significantly with the aging of the baby boomer population.
Like our physician counterparts, we have gaps and deficiencies in our basic training related to MSDs. While there are a host of continuing education opportunities available for massage therapists that teach advanced skills and techniques, the large majority of these courses focus on treatment techniques. Consequently, we have all kinds of opportunities to learn how to manipulate the soft tissues in various ways to improve our outcomes. Yet, there are few training opportunities that help us develop the cognitive evaluation and reasoning skills that help us figure out the nature of our client's complaint. Wouldn't it make sense to expend appropriate effort properly identifying the nature of these MSDs?
Assessment is the systematic process of gathering information in order to make informed decisions about treatment. We must be able to tell if the client's condition is something that should be referred to another health professional or if it's something we can address. If we decide the client's condition is something that can be treated with massage, our use of all those treatment techniques we have learned will be far more effective if we understand why we are doing what we are doing. That is what assessment is all about. With more than 68 million office visits to massage therapists each year to address MSDs, shouldn't we also be looking at what we can do to best serve our clients? Massage therapy has tremendous potential to fill this critical gap of care for MSDs in the U.S. health care system, but as responsible health care providers, we really must know what we are doing. Learning and practicing effective client assessment is a key step in this process.
Click here for more information about Whitney Lowe, LMT.
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