resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
How Many of Your Patients Have Sarcopenia?
Figure 1 demonstrates the typical appearance of sarcopenia in the paravertebral muscles. Have you considered evaluating your patients for this problem? Sarcopenia is the progressive loss of skeletal muscle mass and function that affects the older population.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Excited to Share the Science of Chiropractic: An Interview With Dr. Heidi Haavik
Dr. Heidi Haavik has become known in the circle of chiropractic researchers as not only a rising star, but also one willing to do research that can have a major impact in the scientific world and how chiropractic is perceived.
Day in the Life of an Advanced-Practice DC
Can you tell us a little about your background in the profession? Why did you want to become a DC? I studied at Boston University from 1968-1972 as a pre-med student majoring in biology.
Identify & Adjust the Apex Posterior Sacrum
Low back pain involving an apex posterior sacrum (+θX-axis misalignment) typically presents with signs of lumbosacral joint impingement or facet syndrome.
An Alarming Lack of Accountability
Accountability seems to be a lost quality today. The simple act of taking responsibility and doing the right thing just doesn't happen as often as it should. Maybe it is the litigious nature of our society.
F4CP Launches New Social Media Campaign
The Foundation for Chiropractic Progress has launched a new service to help member doctors: a social media campaign called "Accelerator."
Let's Streamline Your Front Desk
Your front office can be your greatest source of efficiency or a constant bottleneck. Increasing the productivity of this area without sacrificing the quality of patient interaction can be a little tricky.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Specialized Pro-Resolving Mediators: 21st Century Inflammation Fighters
Specialized pro-resolving mediators, or SPMs, are a portion of the omega-3 fatty-acid spectrum that have been shown to have a powerful effect on reducing inflammation.
News in Brief
Northwestern Student Honored for Addressing Concussions Head-On; Northwestern Announces New CFO; Life U. to Provide Unique Opportunity.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
Misconceptions & Opportunities With Medicare
As I speak around the country on how to properly document Medicare patient encounters, I get questions regarding opting out of Medicare. There are many misconceptions about opting out of Medicare, including just what it means to opt out.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
Designing a Fitness Plan (Part 4): Blending Pain Relief With Healthy Aging
Pain relief is still the No. 1 reason patients come to my office. However, most of my patients have other goals as well, such as: "I want to lose 10 to 20 pounds"; "I feel old and want to slow down the aging process"; "My doctor says I am becoming a diabetic and need to exercise"; or "I'm tired and want more energy."
December, 2008, Vol. 08, Issue 12
Samples From the Research Stream
By Keith Eric Grant, PhD, NCTMB
In monitoring water chemistry and quality, hydrologists often dip into the flow of a river or stream, collecting samples. Similarly, I've been sampling from the stream of recent research in several areas.First, I want to touch on a couple of samples specific to massage and exercise.
A news release from Ohio State University suggests compressive massage has a positive effect on post-exercise tissue recovery.2 The report notes, "The muscles in animals receiving simulated massage had improved function, less swelling and fewer signs of inflammation than did muscles in the animals that received no massage treatment after exercise." Recovery of muscle strength was also greater. The importance of the research is that it starts to reveal a cellular basis for the positive effects of massage, even though the exact mechanism of how the changes occur is not yet known.
On Tuesdays, The New York Times publishes "The Science Times," which spotlights breaking science news. Among the stories they caught from the forefront of research on exercise physiology was one advancing knowledge on how muscles fatigue: "A popular theory, that muscles become tired because they release lactic acid, was discredited not long ago. ... [The report] says the problem is calcium flow inside muscle cells. Ordinarily, ebbs and flows of calcium in cells control muscle contractions. But when muscles grow tired, the investigators report, tiny channels in them start leaking calcium, and that weakens contractions. At the same time, the leaked calcium stimulates an enzyme that eats into muscle fibers, contributing to the muscle exhaustion."1
It's long been thought that delayed-onset muscle soreness (DOMS), the soreness that occurs 24 to 72 hours following strenuous exercise, was due to microfiber damage resulting in leakage of calcium ions from the sarcoplasmic reticulum. Normally, calcium ions are released from the reticulum to initiate muscle fiber contraction and pumped back into it to end contraction. The microdamage would result in leakage, thereby initiating a process of hypertonicity, inflammation and pain-receptor sensitization. The current research pushes this process back in the exercise-recovery cycle as a process of muscle fatigue.
In late October, I attended several days of the annual Science Writers' Conference, jointly put on by the National Association of Science Writers (NASW) and the Council for the Advancement of Science Writing (CASW). The threads of research I want to sample from the conference change the focus to learning and communication. Among the presenters were Clifford Nass, professor of communication and computer science at Stanford University, and Robert Bloomfield, professor of management at the Johnson School of Management at Cornell University. Along with nuances of computer-human interaction, Nass talked about brain neurology. He noted that the upcoming Internet generation are cognitive multi-taskers in a manner never seen before. While hunter-gatherers had to pay attention to multiple signals from their environment, there was a coherence to the different inputs. In contrast, modern multi-taskers pay attention to multiple windows and streams of input that are unrelated to each other. Nass noted that there is no current psychological model for how the young manage multi-tasking, but manage it they do. Moreover, multi-taskers become bored with linear input. It's likely that different neurological use of the brain has physically changed the neurons retained during development. Nass' observations are consistent with observations made by Marc Prensky, who distinguishes between "digital natives" and "digital immigrants."3 There are some profound implications that the learning style of the upcoming generations will be substantially different than for previous generations. To be effective, education and training will have to adapt.
Robert Bloomfield also gave an interesting presentation on the use of the virtual world "Second Life," both for social research and as a place for communicating remotely. As he gave his talk in the "real world," he also was in front of a podium, located on Muse Isle NorthWest in "Second Life," talking to about 15 virtual listeners. Bloomfield characterized "Second Life" as providing "people, time and tools" for research and communication. As an economist, he was interested in the banking failures that occurred in "Second Life," as a means of seeing real people responding to a simpler economic situation than exists in the real world. As a means of communicating remotely, Bloomfield noted that "Second Life" provides a sense of place. The visual view can emulate locations in the real world known to participants. Those attending a virtual conference have access to audio, visual presentations and texting. Via texting, different subgroups of participants can spin off side discussion with little impact to others. While it would be more difficult to teach a kinesthetic "vocabulary" via such means, "Second Life" could provide a rich environment for conceptual learning and for viewing and discussing videos of technique demonstration. While I don't expect virtual massage clients to exist anytime soon, the world of learning and communicating continues to evolve and change.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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