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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.
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.
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.
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.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
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.
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.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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?
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.
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?
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.
June, 2008, Vol. 08, Issue 06
Age-Related Changes and Conditions, Part 1
By Ann Catlin, LMT, NCTMB, OTR
Older adults make up a growing clientele for massage therapists. According to the 2006 AMTA consumer survey, the use of massage among older adults has tripled in the past 10 years. Serving clients who are over age 65 requires that you have a basic understanding of age-related changes and the conditions many older adults are living with.While no two older adults are exactly alike, there are more or less typical changes that occur in physical and mental condition and function as we age.1,2
Vision: Changes in eyesight often are one of the first noticeable signs of aging. The eye lens stiffens, making focusing on close objects harder and seeing in dim light more difficult. The eyes produce less fluid, making the eyes feel dry. Depth perception can be impaired as the number of nerve cells decrease.
Hearing: Many people experience a decreased ability to hear high-pitched sounds, including consonants, making it difficult to understand words or certain tones in music.
Taste: The sense of taste is duller because the taste buds decrease in number and are less sensitive.
The skin tends to become thinner as the fat layer under the skin thins. The body produces less collagen and elastin (the fibrous tissue that makes skin strong and flexible) resulting in skin that tears more easily. Circulation in the deeper layers of the skin decreases, making the skin slower to heal when injured. There are fewer nerve endings in the skin, leading to diminished sensitivity to pain, temperature and pressure. Blood vessels become more fragile and the skin is more easily bruised. The skin also might be more vulnerable to chemical irritation.
Changes Affecting Physical Activity
Bones and Joints: Bone density tends to decrease somewhat in both men and women; however bone loss increases in some women after menopause due to lower estrogen levels. Less synovial fluid in the joint capsule is produced, leading to stiffness and decreased joint mobility, especially in weight-bearing joints such as the hips, knees and spine. The tendons and ligaments around the joints become weaker and stiff. The joint cartilage might erode.
Muscles: Muscle mass and strength decrease due in part to changes in hormones that regulate muscle development. The degree and impact of muscle loss is affected by the activity level of the individual. Those who do some form of weight-bearing exercise lose less muscle mass.
Balance: Unsteadiness might be a problem when structures in the inner ear that help regulate balance deteriorate. Some people experience dizziness upon standing because the heart pumps less blood to the head, and blood pressure is less able to respond to a change in position.
Changes in Mental Function
The number of brain nerve cells tends to decrease; however, the brain can compensate for this loss by establishing new pathways and connections. Levels of neurotransmitters change and blood flow to the brain decreases. There might be mild decline in some mental abilities such as short-term memory, recalling words, the ability to learn new material or performance under pressure. However, these normal changes do not greatly impact the person's daily functioning.
The motility of bowel contents slows, increasing the risk of constipation. Liver cells tend to decrease in number, decreasing blood flow through the liver, and liver enzymes work less efficiently. The liver then might eliminate toxins less effectively.
The kidneys become smaller and they remove wastes from the blood less efficiently. The bladder holds less urine, causing the need for more frequent urination. For some, this might interrupt restful sleep. The urinary sphincter may be weaker and less able to prevent urine leakage.
Immune System Changes
Immune cells tend to function more slowly, contributing to greater susceptibility to infectious disease such as pneumonia or influenza.
Massage therapists have much to offer older adults living with these changes. Aging, like massage, is a holistic event, not just a physical one. Physical changes are accompanied by psychological, social and spiritual alterations and adjustments as the gradual process of aging unfolds over time. For the older adult receiving massage, the benefits include decreased physical discomfort, greater ease of movement, an improved immune system, emotional support, spiritual acknowledgement and the empowerment of self care.
In Part 2 of this article, common conditions and disease in older adults will be explored, along with considerations for assessing the needs of older clients.
Click here for more information about Ann Catlin, LMT, NCTMB, OTR.
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