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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.
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.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
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.
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.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
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.
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.
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.
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.
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.
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.
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.
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.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
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.
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.
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.
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.
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.
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?
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?
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.
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.
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.
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.
February, 2009, Vol. 09, Issue 02
Treating Depression with Massage
By Don McCann, MA, LMT, LMHC, CSETT
Physical pain that is often chronic goes hand in hand with psychological depression. Often, clients who come for massage for pain relief also suffer from depression. Of course, as massage therapists we do not do psychotherapy. However, depression has major physiological and anatomical components; it is in this area that massage can truly have a significant and profound effect.
It is important to understand depression and how it manifests physically. You also need to understand the different types of depression and physically how they individually respond to massage therapy.
Situational depression: Many clients are situationally depressed. They usually have situations in life that are stressful and appear overwhelming. Situational depression often arises after loss of a loved one is experienced, typically during the mourning process. The good news is when the situations change massage can very effectively support the client moving out of depression.
Family of origin depression: Other forms of depression are more psychological in nature and usually stem from family of origin issues that have been unresolved. Often these clients will have been in therapy to work on these issues and many will be medicated for depression. The seeds of depression will have been around since early childhood, so there has been plenty of time for the body to grow into a depressed and collapsing structure that gets significantly worse when the issues arise. In these situations, there are also endorphin biochemical changes.
Moderate depression, like family of origin depression, will be longer term than situational depression. However, unlike family of origin depression, moderate depression will often be triggered by no discernable event. Often the appearance is cyclic even to the time of the year. These clients are often on long-term medication and in therapy. Because of the longevity and severity of moderate depression there are substantial structural and biochemical changes to the endorphins. It is important that these clients be monitored by mental health professionals during the duration of massage therapy.
Severe depression often requires hospitalization and heavy medication. These clients usually won't be coming for massage until they have had months of both psychological and chemical therapy. Due to the severity of the depression their issues are often profound, and the changes both structurally and biochemically are more severe. It is important for the massage therapist to be working with the psychiatrist and/or psychotherapist to monitor the risk for relapse and potential suicide.
Chronic depression is usually moderate to severe. These clients are being treated by mental health professionals with both medication and therapy. Because of the duration of chronic depression there will be significant structural collapse and changes in the endorphins. They should also be monitored by a mental health professional during the course of massage.
Treatment with Massage
Now let's identify some of the physiological and energetic challenges for those who are depressed. This is where massage therapy can accomplish physical changes that normal psychotherapy or medication cannot. With all the above forms of depression there is a structural collapse in the client. This involves a shortening of the abdominal muscles and a tightening of the diaphragmatic arch which pulls the chest down and forward, limiting its ability to expand during breathing. There is an additional medial rotation of the shoulders and internal rotation of the arms resulting in a kyphosis that further restricts breathing. Without the support of the thoracic region, the head and neck will move forward and down and further into collapse. All this distortion of the upper body will lead to further distortion in the lower body and give the structure an image of being fully collapsed. The degree of structural collapse will depend upon the severity of depression and its duration.
The benefits of massage: Applying massage with the goal of releasing the structural collapse associated with depression will bring the client from a hopeless, helpless collapsed structure to one that is supported and erect. This sense of support will give the client feelings of being stronger and more capable of dealing with the issues of their depression. Key areas to release for structural support are: 1) the abdomen and diaphragmatic arch; 2) the musculature and connective tissue of the front of the chest that cause a sunken chest and medial rotation of the shoulders; 3) the musculature and connective tissue of the anterior shoulder and upper arms that cause an internal rotation of the arms; and 4) the musculature and connective tissue of the anterior neck followed by the posterior neck and top of the shoulders. Follow this by bringing the legs out of hyperextension and more under the body. All of this will result in a significant structural change in a depressed client.
While releasing the structural collapse associated with depression you will also be releasing the breath process which will allow depressed clients to energize their system and have more energy. This additional energy will allow them to take part in their lives and move out of depression.
Click here for more information about Don McCann, MA, LMT, LMHC, CSETT.
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