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Tailor-Made Knee Pain: The Sartorius Muscle
A patient was referred to my office after receiving treatment from various providers with no results. The patient was training for the Olympics as a marathon runner and was unable to run or walk without severe medial knee pain.
Mechanism: Experimental Approaches to Understanding Acupuncture, Part 1
The clinical benefits of acupuncture are difficult to ignore, but also can be difficult to explain to a Western audience. For nearly 50 years, relentlessly inquisitive scientists and physicians have been working toward a conceptual model to explain acupuncture.
It's Time to Review
It is amazing to see the changes that are occurring in the acupuncture profession. Let's look at some of the news and events that have contributed to this growth and awareness.
One Size Does Not Fit All: Exercise and Nutrition According to Your Yin/Yang Body Type
There are countless new exercise and nutrition plans out there, emphasizing the latest ground-breaking research and claiming to revolutionize the way we view health.
Pro-Con: Swaddling for Newborns
The practice of swaddling has been used for thousands of years and was popular until the 1700s, when it was slowly abandoned by many cultures that considered it old-fashioned or barbaric.
The Concussion-Subluxation Complex
In the Aug. 1, 2014 issue of Dynamic Chiropractic, I reviewed some of the literature demonstrating the role of the chiropractic adjustment in post-concussive care.
F4CP Making a High-Impact Impression
The Foundation for Chiropractic Progress has released details of its 2016 strategy, certain elements of which are already in play. The strategy includes ads, posters and other resources available to all F4CP members.
Chinese Herbs and Pulmonary Fibrosis: A Case Study
"Mary M."* recently celebrated her 90th birthday. Even the former sheriff dropped by to kiss the hand of this diminutive retired teacher, to honor the years she interpreted for him during interviews with Latinas and Latinos.
Footsteps of the Sages: An Apprenticeship with Dr. Kezhan Zhang
When I met Dr. Kezhen Zhang in May 2013, I was his translator and the integrity, creativity, and passion he demonstrated as a practitioner and advocate of the medicine convinced me to travel to Beijing to study with him.
Your Billing Questions Answered
I hear a lot of the following questions: I am afraid I may doing something illegal. I have heard I cannot have different fees for the same service.
Omega-3 Fish Oil: An Underappreciated Element of Men's Health
As a clinician with many male patients -- and as a man myself -- I am all too aware of the fact that we like to convince ourselves that we are doing great, when that may be the farthest thing from the truth.
Making Sense of an Increasingly Obvious Conclusion
Where's U.S. health care heading? Like it or not, the list of telltale signs is growing to a point that stands out to even the most myopic observer. Consider this list of facts as you look into the future of health care in the United States:
Targeting the Bad Apples in the Bunch
While everyone was focused on the conversion to ICD-10, the Office of Inspector General for Health and Human Services released a new report on chiropractic titled "CMS Should Use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services."
The Modern Application of Ancient Mei Rong
Chinese Medical Cosmetology (Mei Rong) has a well-documented and venerated history dating back to the Qin (221-206 BC) Dynasty.
Designing a Fitness Plan (Part 1)
It doesn't matter if you come to my practice for pain relief, weight loss, healthy aging or something else. The formula I talk about for each patient's fitness strategy is pretty much the same.
Diagnose Sprain Injuries in MVA Cases With Dynamic X-Rays (Pt. 1)
Am I the only person to notice hospitals are doing a seemingly insufficient job lately in their initial radiological workup of motor vehicle accident (MVA) victims?
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 2
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
Born to Energize the Human Spirit: Recollections of Sig Miller
Sig Miller, longtime executive director of the Association of New Jersey Chiropractors (ANJC), passed away on Sept. 17 after a long battle with cancer.
Which Way is the Energy Going? Are You Burning Yourself Out?
One of the simple methods that I use to define Yin/Yang theory to patients is to ask the question, "Which way is your energy going?"
Too Many to Remember: Tips to Revive Your Ortho / Neuro Test Skills
When I was at Palmer in the mid-1980s, we were given a set of notes in one of our diagnostic courses. The notes covered approximately 70 orthopedic and neurological tests for various regions of the body.
North Carolina Acupuncture Board Files Dry Needling Lawsuit
In early September, the NCALB filed a complaint against the North Carolina Board of Physical Therapy Examiners over the issue of dry needling, a form of acupuncture that uses solid needles to puncture the skin and muscle tissue to relieve pain.
Acupuncture and Oriental Medicine in the West
We know acupuncture and Oriental medicine as the indigenous medicine of East Asia; in particular China, Korea and Japan are the countries of origin of this wonderful healing system.
Syncretism: Acupuncture and Public Health in Cuba
"Syncretism" is defined as a union of diverse tenets or practices. On a recent trip to Cuba designed to demonstrate the integration of Traditional Medicine and biomedicine, our group witnessed this union firsthand.
May, 2008, Vol. 08, Issue 05
Simple Answers Create Positive Results
By David Kent, LMT, NCTMB
Addressing the pain and discomfort associated with trigger points is one of the most common complaints massage therapists deal with in the treatment room. It's not uncommon, for example, to palpate a trigger point in the upper trapezius, sternocleidomastoid or suboccipital muscles, which produces a referred phenomenon to a completely different area of the body, such as the head.
When trigger points refer into the head, the phenomenon often is described as pain, headache, pressure, tingling and/or numbness. Although clients often are surprised at this phenomenon, most are thrilled when I am able to isolate and treat the trigger point. Occasionally, however, a client might show distress at this discovery and say something like, "I'm all screwed up," "I'm wired wrong" or "I'm weird." In this article, I will share simple solutions for addressing these types of comments in ways that will help empower your clients to have a more positive attitude and take a more proactive approach to their health care.
The mental image we have of ourselves is important, especially when it comes to our health and well-being. I don't want my clients to believe they are "screwed up" or "wired wrong." To help transform this negative mindset, I educate my clients to help them establish a new understanding about the processes taking place inside their bodies. Part of this includes suggesting more appropriate labels to describe what is happening. For example, I might say, "You are not all screwed up or wired wrong. The patterns you're experiencing are typical of many people with trigger points." Then, as I explain to the patient how trigger points are formed, I simultaneously use laminated trigger-point charts to demonstrate the path and the pattern of the trigger points. I always use a wet-erase marker to circle the trigger point patterns right on the chart. This is an easy method, and the marker can be wiped off using a wet paper towel (Figure 1).
Since "a picture is worth a thousand words," postural photos are another useful visual aid. Postural photos allow both the client and the therapist to see and assess the client's posture patterns and identify specific problems, such as a high-shoulder or forward-head posture (Figure 2). Photos show clients the structural stress placed on their muscles; this also usually corresponds to the presence of trigger points in the same musculature.
Offering a thorough explanation while using a visual aid helps the client achieve a greater understanding of the body's physiological reactions and causes of their pain. Additionally, clients who can "see" their problem via a chart or a photograph will not only understand it better; they also will have the knowledge to influence their situation and take an active role in their health care. For more about using visual aids, read my article, "Charting Progress: Visuals for Success," in the February 2008 issue of Massage Today, where I share how to integrate visual aids into any massage environment, whether it's a medical, clinical, spa or outcall setting.
Simple Solutions for Empowering Your Clients
The next time one of your clients says they feel "all screwed up" or "wired wrong," try using one of the following quotes to help create a more positive outlook:
Finally, create a positive environment and maintain a positive attitude for your clients. Let your clients know they are not alone; that many people suffer from conditions similar to theirs; and that you have successfully helped many before them. While we as massage therapists may clearly understand what a client is experiencing, we can't assume the client has the same level of understanding. Remember to communicate openly and with compassion. This can work wonders on a client's mental outlook and also can help make them more comfortable in the treatment room.
Obviously, there are going to be situations we can't help. Perhaps a client's condition is structural, too advanced, genetic, etc. In these cases, we just do the best we can by providing the best treatment we know how and educating our clients about the importance of self-care, such as drinking water, getting quality sleep, eating nutritious foods, exercising, maintaining good posture and keeping a positive outlook. While we might not be able to help everyone in every situation, those we can help within the scope of our training will sincerely appreciate our efforts.
Click here for more information about David Kent, LMT, NCTMB.
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