resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
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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