resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
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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