resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
First Do No Harm?
There's no questioning the frightening nature of breast cancer, which strikes one in eight women in the U.S. – eclipsed only by skin cancer in terms of prevalence.
ACA or ICA: Which Best Represents You?
Last June, I was honored to represent Texas ICA members as their representative assemblyman at the ICA Annual Meeting in Kansas City.
Reducing the Autogenic Inhibition Reflex: Making Weak Muscles Strong
The autogenic inhibition (AI) reflex is a sudden relaxation of a muscle in response to excess tension.
Medicine is Clumsy, Don't You Be
All medical systems have clumsiness in them. If the technique isn't, the practitioner is. Everyone in every form of medicine is striving to improve. That is why we call it practice.
We Get Letters & Email
A House Divided? (May 1 issue) provoked significant response from readers. Here are several of the surprisingly similar comments we received.
Giving Vets the Care They Deserve
The Department of Veterans Affairs (VA) administers the largest integrated health care system in the United States.
Integrating Art with Clinical Practice for Patients with PTSD: The Artemis Project
Are you restricted by those one-on-one clinic dynamics? Why not join colleagues and clients in experimental group settings? Three of us volunteered to do just that in Austin on behalf of women veteranss from all branches of the service.
Professional Credentialing and Board Certification: An Ethical Faux Pas
Because of the Affordable Care Act, health care systems are coordinating care through accountable care organizations (ACOs) in order to reduce the cost of care and improve quality of care.
Rethinking Musculoskeletal Pain – A Public Health Perspective
The American Public Health Association (APHA) is the world's oldest and largest association of its kind, founded more than 140 years ago and boasting over 25,000 members.
Our Biggest Challenges to Compete in Wellness Care
In the first article in this four-article series [May 1 DC], I made the case that chiropractors should either embrace offering lifestyle wellness in their practices or face the possibility of losing their place in the wellness care marketplace.
5 Simple Steps to Create an Effective Marketing Calendar
In the educational experience of most healthcare practitioners, business and marketing are overlooked topics.
The Acupuncturist's Problem
I want share with you some observations and insights into what seems to be the most common problem my colleagues in the acupuncture profession struggles with. If you also struggle with this problem, I hope you get a valuable "aha" moment from reading this.
A Poor Choice for Pain Relief
Acetaminophen is the most popular pain reliever in the U.S., accounting for an estimated 27 billion annual doses as of 2009. With 100,000-plus hospital visits a year by users, it's also the most likely to be taken inappropriately.
Green Tea Improves Cognitive Function in Elderly Subjects
Publishing their results in the journal Nutrients in May 2014, researchers showed that drinking the equivalent of 2-4 cups of brewed green tea (or bottled tea) daily improved cognitive function or reduced the progression of cognitive dysfunction in elderly subjects.
Animal Acupuncture: A Case Study in the Treatment of Traumatic Injury in the Equine
The rise of animal acupuncture in the U.S. began in the early 1970's as a result of the work by members of the National Acupuncture Association in Westwood, Calif.
5 Tips for Using Pinterest to Market Your Practice
Pinterest is a very popular, but often under-utilized, social media platform where people can bookmark, or "pin," fun and interesting things from all across the internet.
Spieth Thanks His Chiropractor After Historic Masters Win
Jordan Spieth didn't just capture the hearts of golf enthusiasts worldwide with his record-setting, wire-to-wire victory at the 79th Masters Tournament.
How Much Do You Know About the Benefits of Birds Nest?
Edible bird's nest is the nest made by the Swiftlet bird of Southeast Asia that is usually prepared as a soup and prized in Chinese culture as a healthful delicacy.
PCOM Granted Regional Accreditation
Pacific College of Oriental Medicine (PCOM) recently announce it has received regional accreditation from the Western Association of Schools and Colleges (WASC). This achievement reflects five years of hard work on the part of faculty, staff, and students.
The Challenges of Integrating Eastern and Western Medicine
My Masters thesis was titled, "The Challenges of Integrating Eastern and Western Medicine," which highlighted several reasons why it is hard for these two worlds to mix.
Leg-Length Inequality and Pelvic Fixation: A New Approach to the Negative Derifield (Part 2)
As we noted in our previous article, with a positive Derifield (+D), the doctor observes the reactive (shorter) leg in the prone position that becomes longer or "crosses over" in the flexed position.
Marijuana, Apathy and Chinese Medicine, Part 1
This article was written in response to the unheeded acceptance of marijuana as a harmless substance that potentially does good when used for the medical relief of pain.
February, 2008, Vol. 08, Issue 02
By Ben Benjamin, PhD
Question: If taking a deep breath causes pain in the chest area, what are the three most likely musculoskeletal problems?
Answer: Intercostal muscle strain, a fractured rib or thoracic ligament sprain.
Whenever there is pain in the thoracic region, it's important to have the client see a physician quickly. Damage or disease of the organs in the thorax region - including the heart, lungs, spleen and gall- bladder - can produce pain in the chest that mimics a musculoskeletal problem. The pain often also extends into the middle or upper back.
When a musculoskeletal problem is to blame, pain on inhalation most likely is caused by a tear of the internal or external intercostal muscles. These muscles are used in breathing; more tension is placed on them as the chest expands. Intercostal muscle tears can cause sharp, debilitating pain, but they heal fairly quickly when treated by friction therapy followed by massage. Locating the injury generally is quick and easy; gently run your index finger over the muscles in the grooves between the ribs in the painful area.
The second possible cause is a fractured rib. This usually is quite painful and likely will be picked up by a doctor's examination or by an X-ray. Any time a client reports pain resulting from a physical blow to the chest, think rib fracture and get the person to a doctor. When a rib is fractured, the pain is felt right at the location of the break. There is no significant referred pain. With this injury, even gentle touch will be quite painful and the pain caused by a deep breath, cough or sneeze will be sharp and intense. It often feels as though the person is being stabbed in the chest. Breathing will be very shallow and there may even be some discoloration in the injured area. The physician may tape the area to diminish movement and often will prescribe pain-reducing medication if the pain is very severe. Fractured ribs generally take six to eight weeks to heal.
A third common cause of chest pain is ligament sprains in the thorax, usually between T2 and T10 (see illustration). On a deep inhalation, these refer pain into one side of the chest or from the mid-back through the body to the chest. The pain may range from mild to severe, and also will occur during rotation of the torso. Remember that this is referred pain, not local pain, so treating the painful area will not be effective. Only identifying and treating the damaged ligament or ligaments will provide relief.
Click here for more information about Ben Benjamin, PhD.
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