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Let's Clear Up the Collection Confusion
This is an often-misunderstood practice swirling with misinformation. First, a few basics: Insurance is a contract between the patient and the insurance company. The insurance company is simply making a payment for services or care on behalf of the patient.
Shoulder Rehab: Start With the Scapula
The scapula is an incredible display of elegance and movement within the biomechanics of human motion. It's evolved for mobility and stability in the scapulo-thoracic region, giving us the ability to do things that are uniquely human, such as throwing with accuracy.
Five Branches University Has First Hospital TCM Residency
Established in 1984, Five Branches University (FBU) has campuses in Santa Cruz and San Jose, Calif., which serve the communities of Santa Cruz, the Monterey Bay, and Silicon Valley.
The winter season is upon us and offers unique challenges for the clinician and patient alike. To effectively navigate through the winter season there are two main TCM medicinals, Huang Qi and Gan Jiang, to consider, as well as two important formulas which feature these two TCM treasures.
Anti-Aging With Dr. Ping Zhang
Jennifer Waters, TCM practitioner and writer of the Acupuncture Today column, "Talking With the Masters" sat down with Dr. Ping Zhang to discuss aniti-aging with acupuncture.
Acupuncture Points: Broadening Our Scope and Diagnostic Work
As every practitioner knows, the correct diagnosis is everything. Most healing disciplines rely on the use of symptomatology for their treatment implementation. Beyond symptomatology, we have clinical tests to provide more objective findings.
Qigong for Substance Abuse
It is commonly believed that substance abuse, in addition to harming one’s physiological state, hurts the spirit. There is also a belief that one’s spirit does not weaken due to substance abuse, but rather, the person finds solace in addiction due to an already weak spirit.
Scar Reduction With Acupuncture & Microneedling (Part 2)
Protocols & treatment Timing
The Case Report: A Valuable Tool
Case reports are a valuable form of descriptive research. The most basic form of practice-based research, a case report is a detailed account of the history, presenting symptoms, assessment, observations, treatment and follow-up of an individual patient, discussed in the context of prior and potential future research.
A Conversation With Dr. Betty Edmond
This month's column is an exclusive interview with Betty Edmond MD, newly elected CEO/President of the AOMA Graduate School of Integrative Medicine in Austin, Texas.
Low Back Pain in Running Athletes
After 7 million years of adapting to upright postures, the lumbar spine and pelvis have become remarkably adept at managing ground-reactive forces associated with running.
An Education in Gluten Sensitivity
A relatively new syndrome officially documented as non-celiac gluten sensitivity (NCGS) or gluten sensitivity (GS) was officially recognized and published in the new list of gluten-related disorders in 2012.
A New Year and Vision for the ACA
Inadequate pain management coupled with the epidemic of prescription opioid overuse and abuse has taken a severe toll on the lives of millions of people in the United States. Every day, more than 1,000 people are treated in the ER for misusing prescription opioids.
Prepare for the End, From the Beginning: Wealth Building and Retirement with the Tao
Yin and yang flow into and out from one another continually. Beginnings become endings and endings become beginnings again. Wholeness and cycles are the nature of Tao.
An Opportunity & a Responsibility
Nearly 80 Americans die from an opioid-related overdose every day, and spine-related pain is one of the principle drivers of opioid use. This unfortunate situation creates both an opportunity and a responsibility.
Nutrition for Menopause: Front-Line Therapy for All Phases
Of all the changes women experience during their reproductive life, there is no doubt the most dreaded are the three phases of menopause. This is not surprising since all of the symptoms associated with menopause are replete with unpleasantness.
True Practice Mobility for the Chiropractic Profession
When natural disasters occur, chiropractors can literally travel to the other side of the world to offer humanitarian relief in less than a day. The chiropractor's license to legally practice, however, can't make it past the state line.
Flirting With Alternative Therapies
There are about as many adjunct therapies being marketed to acupuncturists as there are acupuncturists. While some may remain purist in their application of traditional Chinese medicine, others choose to explore new horizons of treatment.
We Get Letters & Email
Our Country Needs Us Between Elections, Too; Continuing Care: We Aren't There Yet; Our Associations Need to Do More.
The Acupuncture Channel System (Part 1)
The earliest Chinese reference to channels is in the Mawangdui Medical Manuscripts,1 which are dated to the Warring States period of the Zhou Dynasty (475 BC-221 AD). The text presents 11 channels. There are no acupuncture points listed in those channels.
Another Step Forward for Chiropractic
Chiropractic is now available to 86,000-plus Latter-Day Saints missionaries and you are invited to become a provider. LDS membership in not required; our only concern is that our missionaries get the best quality care available.
Crow Like the Rooster
As we welcome in the Year of the Rooster, we look at some of its major characteristics: confidence and communication, which suits the image we have of the Rooster...strutting in the farmyard, crowing to the others that it's time to wake up.
August, 2008, Vol. 08, Issue 08
A Wrinkle in Time
By Rita Woods, LMT
Anyone wanting to get involved in the anti-aging boom must understand wrinkles. While wrinkles certainly are not the only thing with which we should be concerned in any good anti-aging regime, it's what most people think of first.It's what we see everyday. I suppose if we could see our liver or intestines, we probably would approach anti-aging with a new focus. Be that as it may, we see our skin so our "looks" take on greater importance.
As massage therapists, we see all types of skin - from young to old and from healthy to sick. We also know we can tell a lot about a person's health simply by putting our hands on their skin and feeling the underlying tissue. We know if they are properly hydrated, if they smoke, if they are active or inactive, and if they have sun-damaged skin.
Changes in the physiology of the skin dictate the development of wrinkles. Heredity plays a big role in skin health as well. If you've been blessed with good skin genes, congratulations! If your mother, grandmother and great aunt Mildred had no wrinkles when they died at the ripe old age of 93, you're in luck. But for most of us, we have to look at the factors that contribute to wrinkles and try to avoid them. Your clients probably have asked you about this already.
To form a wrinkle you need loose skin. Loose skin comes from physiological changes, toxic influences and from shrinking bones. For instance, after age 70, the bones of the skull begin to shrink, causing even more sagging skin. Wrinkles appear to start in the dermis as changes in the elastin structure cause the elastin to lose its snap. Fibrils of elastin running through the layers of our skin are what help hold the skin and muscles together. When this system can no longer do its job, you will begin to see wrinkles form. Decreased production of both collagen and elastin play key roles in the formation of wrinkles.
If you are doing any facelift massage work, there is some crucial information you need to know to assist you in releasing some of the expression lines. Wrinkles form perpendicular to the long axis of facial muscles. Forehead furrows run horizontally to the vertical axis of the frontalis. Wrinkles around the circular muscles of the eyes and mouth form in a spoke-like fashion; specifically, the crow's feet and upper lip vertical wrinkles in the orbicularis oculi and orbicularis oris.
As with any other muscles in the body, working the fibers in a gentle cross-friction fashion will help to release adhesions and working in the direction of the muscle fiber will help re-educate the muscles for proper positioning and function. Next time you look at a face, really look at it and I'm sure you'll be able to see how the wrinkles have formed. Folds in the skin that run parallel to the underlying muscles are natural crease lines and are not technically wrinkles. They might come from the loss of fat in the underlying dermis or result from severe sun damage. These actually are referred to as "crinkles" by some skin care experts.
These changes are going to happen whether we like it or not. After all, we're only human. However, we can slow these changes and reverse some of the damage. Age isn't the only culprit; research shows the following key factors to aging skin. They all appear to damage the cellular structure in such a way as to alter its ability to perform.
First and foremost is sun exposure. It's the number one "bad guy" on the list. Every sunburn you have ever had damaged your skin, and it might take 15 to 20 years before you see visible signs of that damage. Ouch. The sun's rays denature proteins and enzymes through a cascade of events; even the DNA is changed and the cells undergo profound structural changes. Preventing damage from sun exposure is easy with sunscreen, hat and long sleeves. Remember, a tan now will become a wrinkle in time.
Smoking cigarettes is number two on the list. Surely you have noticed that people who smoke have a lot more wrinkles than people who don't. The damage comes from free radicals. There is growing evidence in the dermatology field that free radicals are one of the major causes of abnormal proteins in the body. These abnormal proteins produce damage to the various tissues of the body. It's estimated that with every inhale of cigarette smoke, there are more than 10 thousand trillion free radicals. That's many times more free radicals than there are cells in the body. I'm sure you've noticed the dull yellowish hue and lack of luster in the skin of a smoker. It is aging at an accelerated rate. Trying to get rid of wrinkles in a smoker is wasting time and money. Telling that to a client might not endear them to you, but you need to know it's a losing uphill battle unless they quit smoking.
Alcoholic beverages also produce a complex set of problems for body tissue. It's toxic to the body at a certain level. Heavy drinkers have a dull, yellow skin tone that is very dry. This shows the ravaging taking place on the underlying tissue. Once again, this situation makes it difficult to achieve good skin care.
Soap-based cleansing products are no doubt a contributing factor to the formation of wrinkles. But why and how much has not been determined. Soap is, however, consistently cited as contributing to dry and prematurely aging skin. Soaps must remove oil and dirt to clean. The drawback is they also can strip the skin of its natural lipids. Natural lipids are essential for maintaining skin integrity and for protection of the dermis. Most soap adversely affects the pH of the skin. That's why a toner is traditionally used after cleansing - to balance the disrupted pH. Just stay away from toners with alcohol. Soaps also adversely react with keratins in the skin, resulting in a dry, tight feeling. There are good cleansers that don't strip the skin but actually hydrate as they clean.
Good luck with your next face massage. Perhaps you'll view it with a different perspective. And when your clients ask for suggestions concerning their skin, remember it's what they don't do, rather than what they actually do.
Share your knowledge.
Click here for previous articles by Rita Woods, LMT.
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