resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
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 more information about Rita Woods, LMT.
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