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Building Kidney Yang and Jing
Kidney yang, if we include mingmen fire, is the energy and heat source for the whole body. Jing is the essence of yang, and is stored in the kidney, extraordinary channels, and in the bone marrow, which in TCM also includes the brain.
A Very New Year: It's Time to Track
As we enter 2017, we find "affordable care" is not so affordable for many individuals. They are discovering what employers learned long ago: Health care is expensive – and keeps getting more expensive.
Change on the Horizon? New White House Spells Shift in Health Care Policy
On the morning after Election Day, many in our country were surprised to learn that not only did the Republican nominee win the White House, but also that the House of Representatives and the Senate remain under GOP control.
The Key to Recovery
Starting in the 1970s and developing over a decade of assessment and improvement, the South Bronx's Lincoln Recovery Center staff refined the method of using five basic ear-points, which became the NADA protocol for the treatment of addiction.
Herbs for Digestion: The Power of Bitter
Many cultures (and indeed herbal clinicians) around the world have long respected the role of bitter herbs and foods for promoting digestion.
What Are Prebiotics – and Why Should You Care? (Part 1)
In previous articles, I spoke about the different kinds of fiber and their effects, and the potential risks of taking probiotics without also consuming prebiotic soluble fiber (PSF) in foods and/or supplements [see August & October 2016 issues].
Case Study of Benign Hand Tremors
Patients without degenerative diseases causing tremors are often given the diagnosis of essential tremors, for which treatment options are limited to lifestyle changes and medications.
Increase Your Practice Income With Retail Products
With only so many hours in a day, there is a cap on the revenue an acupuncturist can generate by way of appointments. Once your appointment book is filled, you can't really add more without burning yourself out.
The Mysterious Divergent Channels
The divergent channels are among the most mysterious entities in all of Chinese medicine. They are rarely mentioned, lacking reference in modern TCM study, and rarely used within popular Chinese medical treatment.
Losing Your Mind? Try Coconut Oil
Alzheimer's disease (AD) is currently the 6th leading cause of death in America according to the CDC. It affects over 5 million Americans and 50 percent of nursing home residents (2014), and is projected to spike to 16 million by 2050.
Top 2017 Health & Fitness Trends
We really did sign up for a career of learning and development. Now that you have built a strong foundation of your manipulation skills, nutrition base, movement assessments and business knowledge, it's time to keep up with the American College of Sports Medicine's 2017 worldwide health and fitness trends.
MD-DC Affiliations Under Fire
I am George P. McAndrews, lawyer for the chiropractors in the Wilk, et al., v AMA, et al., antitrust suit that resulted in an injunction against the AMA and others, banning them from interfering in lawful professional relationships between medical physicians and doctors of chiropractic.
Your Patients With Cancer Need You
It was a chilly Minnesota morning in March 1999 when she asked to speak to me alone. My then-busy chiropractic practice wasn't built for much privacy, but I quickly scooted the 60-some-year-old, white-haired patient to my exam room, as the open adjusting area was buzzing with excitement.
An Education in Stroke Risk and Chiropractic
Dr. Steven Shoshany's ninth appearance on "The Dr. Oz Show" may prove to be his most significant, as he addressed questions related to the death of Katie May, who suffered two strokes in February 2016, hours after her third visit to a chiropractor for what she described in a Twitter post as a pinched nerve in her neck experienced during a photo shoot days earlier.
Scope of Chiropractic Practice: Time for Change?
The University of Bridgeport, College of Chiropractic Student Government Association sponsored a panel discussion on Oct. 25, 2016.
Acute Locked-Back Syndrome: Cause and Correction
As we all know, occasionally a patient will present with acute-onset low back pain with or without a precipitating incident. A distinguishing feature of the presentation is visible lateral antalgia, both standing and walking.
Scar Reduction With Acupuncture & Microneedling (Part 1)
Applied correctly, modern skin needling techniques can form part of a holistic treatment and incorporate the principles of Chinese medicine.
Clinical Outcomes & Safety for TCHM
The practice of Traditional Chinese Herbal Medicine (TCHM) may appear archaic to those who misunderstand the theories and principals that guide it. In fact, TCHM continues to evolve and new systems are consistently being discovered and applied within the tradition.
September, 2007, Vol. 07, Issue 09
Acid Reflux and Hiatal Hernia
By Don McCann, MA, LMT, LMHC, CSETT
Everybody knows about the "little purple pill." Why? The answer is quite simple. The majority of Americans over the age of 40 are experiencing, the symptoms of acid reflux, which are very uncomfortable.Many people experience acid reflux as a result of hiatal hernias of the esophageal hiatus, which is even worse.
Unfortunately, since many massage therapists aren't aware that there are effective soft-tissue treatments that can eliminate these symptoms without drugs or invasive medical procedures, they have not developed the skills to treat these conditions. In order to be able to effectively treat hiatal hernia and acid reflux, you must first understand how tension in the soft tissue from stress and structural imbalance contributes to them.
One form of hiatal hernia is a tearing in the diaphragm that allows a portion of the stomach to protrude through the tear. There also can be damage to the esophageal hiatus where the esophagus empties into the stomach. When this sphincter valve of the esophageal hiatus is affected by stress or structural imbalance, it is not able to function properly. This improper function allows the contents from the stomach to flow back into the esophagus (acid reflux). This is especially troublesome when a client is prone or supine or has a full, actively digesting stomach. Acid reflux also can occur even when there is no significant damage to the esophageal hiatus. This can be due to overactive digestion taking place in the stomach resulting from spicy food, overeating or the presence of excess stomach acid. How can massage therapy effectively treat these conditions? Let's look at where the stomach is located and what muscles have a major effect on the esophageal hiatus and the stomach.
The esophageal hiatus is located in the center of the diaphragm at the top of the stomach. The diaphragmatic muscle attaches on the sternum and lower ribs, and extends all the way around to the back including the thoracic vertebrae. This makes it extremely reactive to any structural distortion. If the musculoskeletal system is distorted, the resulting misalignment is reflected in contractions and distortions throughout the diaphragm. Stress affecting the sympathetic nervous system can add to structural distortions that affect the diaphragm. If you add extra weight to the structure, you have yet another distortion factor for the diaphragm. When the esophageal hiatus is constantly stressed by these distortions and imbalances, it reacts like an "o" ring with unequal pressure on all its sides, which does not allow it to close effectively. This usually results in acid reflux or a hiatal hernia.
To resolve hiatal hernia problems, massage therapists need to be able to address both the structural distortions and the stresses that involve the diaphragm. My three-step approach to working with deep tissue will treat this area effectively starting with the surface tissue and moving progressively deeper with successive strokes. It is important to remember to follow the principle of "the deeper you go, the slower you go!" As you work deeper into the abdomen, apply just enough pressure to sink in slowly, and only move deeper as the client relaxes and the resistance decreases.
The intent of these abdominal strokes is to release the tension in the diaphragm and stomach allowing the rib cage to expand upward while reducing the distortion and stress on the diaphragm. In releasing the diaphragm, you are releasing the stresses that have accumulated from both the sympathetic and parasympathetic nervous systems. This often results in a calming of the stomach and reduction in the hyperacidity found with acid reflux, nervous stomach and ulcers.
Applying these massage techniques to release the stresses on the diaphragm will treat hiatal hernias and acid reflux very effectively. A relaxed diaphragm allows the esophageal hiatus to function efficiently, which will prevent acid reflux by keeping the contents of the stomach where they belong. A relaxed diaphragm also will allow a tear to heal so the stomach can no longer protrude upward through it. This often is not an overnight solution, but clients usually experience additional relief with each session. This is a great chance to assist your clients with proper therapeutic massage techniques.
Click here for more information about Don McCann, MA, LMT, LMHC, CSETT.
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