resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
November, 2007, Vol. 07, Issue 11
Companionship in Cancer Care
By Tracy Walton, LMT, MS
An oncology nurse once told me that in order to get up each morning and go to work at the bone marrow transplant unit at her hospital, a certain amount of inner preparation was needed. She needed to be able to look her patients in the eye and say, "I will walk with you" through the treatment process.
Her words have stayed with me and referred me back to that inner preparation time and time again.It's no wonder so many nurses are drawn to massage therapy, as there seem to be several parallels in massage therapy and nursing. Touch is one of them. Alleviating suffering is another. And companionship is a third.
In my own work with people with cancer, I've encountered a range of individual experiences and subpopulations: cancer survivors, people in treatment, people at end of life, patients in the middle of the diagnostic process and caregivers. Within each subpopulation of my practice, individual experiences also differ widely. I've worked with people in many emotional states - those who are fearful, driven, hopeful, outraged, accepting, cheerful, terrified, resigned, perplexed, grieving, despairing and at peace. No matter what the journey looks like, all can use companionship.
To be that companion, I too have to ask myself each morning whether I am prepared to truly walk with my clients. Walking with a client means listening deeply, opening my heart, accompanying them without judgment, accepting that wherever they are is wherever they need to be. It means breathing through my own fears and letting my care come through my hands without hesitation. It means touching my client with full-hand contact: palms, fingers and fingertips. It means looking for ways to my client's way, without trying to fix it, without needing either my client or my client's path to be different. To truly walk with my client, I need to prepare myself. I wrote recently for Massage Today about "Meeting the Emotional Challenges of Oncology Massage" in the June 2007 issue and offered some self-care measures to help prepare for each day. For the most part, I follow them regularly.
End of Life
Another step in my own preparation is to read. Recently, I came across an interesting small study from Yale University on massage therapy and meditation at end of life.1 The study sample was made up of people with HIV, not people with cancer. But the study was instructive for me, not just for end-of-life care, but for middle-of-life care, life-crisis care and beginning-of-life care - any kind of care. In fact, whenever I read an end-of-life study, I try to replace "end of life" with "life," "birth," "health," "illness" and so on, replacing one point in the life cycle with another to see if the principles still apply. They often do.
These researchers, led by a physician's assistant and physician, pointed out what many end-of-life caregivers have noted: Little attention is given to the quality of life, especially spiritual quality of life, at this important transition point. They set out to study it, using massage, meditation and both in tandem.
The result was powerful. I have read many massage studies but none have moved me to tears as this one did. The researchers wrote plainly and clearly about their study population and its unmet needs. Years of listening carefully to their patients were evident in their words and in their study plan. They described a sample of 58 patients with late-stage AIDS, all in residential hospice care. They examined overall quality-of-life (QOL) measurements and QOL subscores in well-being, physical function and others. They were particularly interested in their subjects' experience of spiritual, or transcendent, quality of life.
The researchers randomized patients to one of four groups. For comparison, a control group received only "usual care;" care usually provided to people in late-stage disease. The other three groups also received usual care, plus one or more interventions. One group received daily massage, another instruction in meditation. The fourth group received both massage and meditation.
Swedish massage was provided in 30-minute sessions, five days per week, for the four-week study period. The meditation instructor offered a cassette, a tape player, and instruction to do the exercise at least once daily, and she made herself available for questions and assistance throughout the study period. "Metta," loving-kindness meditations guided the listener to feelings of love for the self and others and feelings of well-being. Forgiveness meditation guided the listener to forgiveness of self and others. Looking over this study, I had my first experience of reading statements such as "Just as I wish to be free from danger, may you be free from danger. Just as I wish to be well, may you be well. Just as I wish to be peaceful, may you be peaceful," in a medical journal. It was a sweet moment, if initially disconcerting.
The investigators found interesting results. Alone, massage or meditation affected QOL slightly, but results were not significantly different than the control group. However, when massage and meditation were combined, the QOL outcomes were statistically significant. Moreover, the combined effect of massage and meditation was greater than the sum of its parts. That is, the two interventions combined were more powerful than the additive effects of the two single interventions. In other words, a synergy seemed to be at work. These patients' improved scores persisted even four weeks after the last intervention and may even have persisted at the 68-week mark.
Initially, the researchers had set up the study because of their concern about the experience of AIDS - that it was inherently isolating. Their concern with using meditation was that it can feel isolating as well. By adding in the massage component, they hoped to see whether the companionship of massage made people more receptive to the meditation. From their results, it seemed so. Moreover, they speculated that the meditation could have made people more receptive to the massage. It seemed to me that the "felt sense" of meditation and the "felt sense" massage were potent interactions in the study.
The study is small, and the investigators made no sweeping statements about their results. Instead, they presented it as justification for further study. They suggested future studies be rigorously designed to explore any links between massage and meditation in late-stage disease.
As many studies do, this one offered more questions and speculation than firm answers. However, in it was a hint of the companionship we all need during our most important transitions. Considering all of the hands we need to hold firmly throughout our lives as we start kindergarten, give birth, leave home, get married, say goodbye, hear a cancer diagnosis or make any major change in life, this would seem obvious. Sometimes we forget this, too, leaving one or more of us isolated for a time. This isolation is especially poignant during a health crisis such as cancer or AIDS.
The journeys people take through cancer and AIDS aren't limited to the end of life and the majority of experiences happen smack in the middle of it. While AIDS carries its own particular stigma and isolation, cancer also can be a lonely experience. During any health crisis, Metta meditations on loving kindness and nondenominational prayers of forgiveness may help, as may the skilled touch of massage. Loving kindness comes in many forms and massage might provide one clear, unmistakable, flesh-and-blood sense of it.
May we reach then with firm, certain and open hands.
Click here for more information about Tracy Walton, LMT, MS.
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