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Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
April, 2008, Vol. 08, Issue 04
Massage for Caregivers
By Tracy Walton, LMT, MS
I have provided massage to people with cancer for years, and the exchanges I have shared with them have influenced me deeply. But some of my most moving encounters have been with the caregivers of people with cancer. These are family members, friends and partners who, by design or by accident, also are shaped and molded by their experiences as companions to their loved ones.
I meet caregivers when they bring their loved ones into my office. I also meet them at my clients' homes, bedsides and in the hospital. Occasionally, I even see them on my massage table, sometimes for an occasional massage and sometimes for a course of sessions.
Unfortunately, this is not as often as I wish. Caregivers often are the last to benefit from skilled touch in the cancer scenario. When I brainstorm with my students about the benefits of massage for people with cancer, we think up a flurry of ways touch can be helpful to patients. Often a lone voice will ask, "What about massage for family and other caregivers?" And we all quietly nod, remembering people who tend to be forgotten.
Caregiving can be physically exhausting and emotionally draining. It can mean being in a chronic state of emergency. It can require constant vigilance - 24 hours a day, seven days a week - for weeks, months or even years at a time. Imagine being at a sentry post for that long, never relaxing when your world is under siege. The sense of responsibility can be staggering, and rarely is matched by an equivalent amount of control over how things are going to go. Finding ourselves in this disparity, it's natural to be frightened, sad and outraged by the experience. It's no wonder the health risks of caregiving are enormous. Most poignantly, caregiving is isolating. It can be an incredibly lonely experience.
Against this landscape, I've looked for resources in massage therapy and found several. One is a book, A Touch of Hope, by Jana Carrington, who practices massage and teaches Reiki in central Florida. She knows both sides of the experience as a caregiver to her husband through years of cancer treatment, and as a cancer survivor who was diagnosed with cancer within months after her husband's completion of a bone marrow transplant and subsequent remission. Her book is designed for caregivers to read in small increments for self-care tips such as simple reminders to breathe. It's beautifully laid out and possible to draw from without making a commitment to reading the entire book.
I know of two research papers in which investigators looked at the effects of massage therapy on caregivers of people with cancer. The first, by Stephanie Rexilius, et al., appeared in 2002 in Oncology Nursing Forum. The researchers looked at caregivers of patients receiving a stem cell transplant. They recruited 36 caregivers and compared a massage group, a healing touch group and a control group. The massage and healing touch groups received two 30-minute sessions per week over three weeks. The investigators found anxiety, depression, and experiences of burden and fatigue at baseline. Although they did not find statistically significant improvements in the healing touch group, subjects who received massage therapy showed reduction in anxiety, depression and several types of fatigue.
In another paper, Nursing Research, a researcher looked at a more general population - spouses of patients with cancer. Author Linda Goodfellow recruited 42 subjects as part of her doctoral work in nursing. Half were provided with a single 20-minute massage. The other half (the control group) read a book for 20 minutes. In both groups, blood was collected via an IV that had been placed 30 minutes before the procedure. The investigator found improvement in mood and reductions in stress after the massage intervention as compared to the control group, but did not observe effects of massage on natural killer (NK) cell activity, a measure of immune function.
These two studies, while small, demonstrate a spark of interest in the potential for massage to help people's stress during difficult times in their lives. I would caution therapists to quote these studies carefully, without making sweeping claims. Something like, "Small studies suggest that massage therapy might help caregivers of people with cancer" and "Further study is needed to see what the role of massage is in this population," are more accurate than the statement, "Research proves massage helps caregivers."
But the fact that the research isn't quite there yet shouldn't stop us from seeking out work with caregivers. We don't have to wait for the science to support what we already know in our hearts: Skilled touch heals. It eases stress and builds an important bridge between people, easing the isolation of some of the hardest human experiences.
Yes, resources are growing in recognition of caregiver stress. But one of the greatest resources might be massage therapy professionals. Our willingness to listen, the full attention we give to our clients, and the support we provide to others can be powerful. As they give their companionship to others on the cancer journey, so too can they use our companionship.
One of the best resources in this caregiver scenario might prove to be our own hands. There we can comfort, reassure, ease pain, help sleep, shift perspective, validate and support. There we can provide respite, a port in a storm - and where nothing has to be explained, just wordless, quiet support. It will be interesting to find out, in the years ahead, the difference that our work can make.
Click here for more information about Tracy Walton, LMT, MS.
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