resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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%.
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).
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.
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.
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.
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).
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
May, 2008, Vol. 08, Issue 05
By Rita Woods, LMT
As massage therapists, we are constantly on the lookout for the latest and greatest products to benefit our clients' various skin types. One client has sensitive skin and so only a certain lotion or oil will do. Another prefers lotions that don't give off any scent, while another wants to smell like a garden after a treatment. While there are some great products on the market, there are others that might contain chemicals some clients are trying to avoid at all costs.
So, what ingredients should we look for when preparing to purchase the various lotions, oils and topical creams we use in our practices? What does the federal government have to say about these chemicals and what is the research behind the movement to limit or eliminate our exposure?
The Federal Food, Drug and Cosmetic Act defines cosmetics as items intended to be applied to the human body for cleansing, beautifying, promoting attractiveness or altering one's appearance without affecting the body's structure or functions. This definition includes skin-care creams, lotions, powders and sprays, perfumes, lipsticks, fingernail polishes, eye and facial makeup, permanent waves, hair colors, deodorants, baby products, bath oils, bubble baths and mouthwashes, as well as any material intended for use as a component of a cosmetic product.
The products we use every day in our practices could fall under this definition. As you can imagine, we are exposed to hundreds of these products daily. How do we know if what we are using is harmful? That question would appear to be simple to answer. As it turns out, however, it's one of the most complicated issues we face today.
Several ingredients in our personal care products have come under fire recently thanks to the work of avid watchdog groups such as the Environmental Work Group (www.ewg.org). One chemical in particular comes from the family of "phthalates" (pronounced THAY-lates). This one has prompted the state of California to ban its use in toys and baby products beginning in 2009. This is important to you because it can be hidden in the products we use.
In general, phthalates are known as plasticizers. There are eight members of this family, and they are used in just about every industry in the world to make plastic pliable. Another important thing they do is make scents last longer in products. This characteristic puts them in our personal care products: makeup, nail polish, body washes, lotions, air fresheners, laundry soap, dryer sheets and shampoo, just to name a few.
But here's the catch - you won't see phthalates listed as an ingredient. They often are included as a part of the fragrance ingredient, which is exempt from the same labeling laws. Full disclosure of "fragrance" may jeopardize company trade secrets, so a company doesn't have to divulge that information. The real problem here is that this loophole can be used to "hide" other potentially harmful ingredients. Reproductive and birth defects are the main concern for people highly exposed. Some advocates are trying to get phthalates removed from all cosmetics and products that fall under the personal care definition. The loophole is under investigation.
Another area of concern is the use of preservatives such as "methylparaben" and "proylparaben" in cosmetics. The same preservatives often are used in foods. The food supply is under even greater scrutiny. As you can image, it affects everyone, not just those who use personal care products. If you eat a lot of processed foods, you could be increasing your exposure. According to most scientists, we just don't know the long-term effects of many chemicals. While there still is no concrete evidence they pose a health threat, there is some supportive evidence that they can elicit an allergic response in some people.
The Cosmetic Ingredient Review Board (CIR) Expert Panel issued an amended final report in 2006, concluding, "Methylparaben, ethylparaben, propylparaben, isopropylparaben, butylparaben, isobutylparaben, and benzylparaben are safe as used in cosmetics." The CIR provides information on the safety of chemical ingredients and issues safe recommended percentages of each chemical it tests. Some chemicals will be banned altogether, while others must be used only within certain levels. Formulating chemists use these guidelines when they make certain products.
Some factors in daily living can complicate the exposure issue. For instance, people exposed to "toluene" (a harmful chemical found in nail polishes) are at higher risk of toluene toxicity if they drink large amounts of alcohol or take over-the-counter pain-relieving salisylates such as aspirin or acetaminophen. Toluene is processed in the liver (as are most chemicals), which then overworks the liver. The overburdened liver can no longer do a good job and toxicity can occur.
Healthy people with healthy lifestyles are better equipped to deal with the onslaught of chemicals to which they are exposed. Unfortunately, people with certain diseases or sensitivities are at greater risk of having adverse reactions. Most adverse reactions are classified as allergic reactions. Regulations from other countries actually may put U.S. companies on the fast track to changing their ingredients. The worry is that the substitutions used may be as harmful as the ones they remove. We may not know about their toxicity until they start showing up in tissue samples a few years down the road.
So, what's a body to do? Here are some tips to help minimize your exposure to chemicals in the products you and your clients use.
Learn to Read Labels
Now is a good time to start reading cosmetic labels, if you don't already. The list of ingredients must appear on the label in descending order of predominance. The lower an ingredient is on the list, the less there is of it in that product. I have seen "fragrance" listed as high as ingredient number 22 out of 45, and I have seen it as the last ingredient. The same concept is true for parabens as well.
You don't have to be a chemist to figure out that either the raw product smells really bad and the manufacturer used a lot of fragrance to cover it up, or the fragrance may be hiding other chemicals. While it might not be an exact science, it's still your best defense in the cosmetic aisle.
Watch for "Greenwashing"
Some companies are trying to jump onto the green wagon train when it comes to naturals and organics. You'll see them supporting cancer research and yet continuing to offer some of the most toxic cosmetics on the market. Again, www.ewg.org has listings of products and companies. Watch out for the color green and natural scenes in ads. It's an attempt - and an effective one - to get you to see them as part of the natural movement. Their ad may say one thing, but their ingredients could say another. It's becoming increasingly difficult to pick out green abusers.
Check Out Other Sources
Be open-minded and look at all sides of the story. The Environmental Protection Agency and the Centers for Disease Control & Prevention have Web sites with consumer-friendly information. You'll also find links on their sites that will lead you to lists of known and probable carcinogens. Look to current research from other countries, as the U.S. government doesn't exactly lead the pack on these changes.
Get Healthy and Stay Healthy
Make healthier choices about the foods you eat. Reducing your overall exposure is key. Get plenty of exercise. Reduce your use of perfumed and dyed laundry soaps. Use dryer balls instead of dyer sheets. Dryer sheets coat your clothes with chemicals. By the way, this also makes your towels less absorbent. Wear less makeup. Become aware of the chemicals in your home and work to reduce their impact on you, your family and the environment. And share all this information with your clients. We may not be able to control what goes in products, but we can control what products we use.
Click here for previous articles by Rita Woods, LMT.
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