resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
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?
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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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