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Syncretism: Acupuncture and Public Health in Cuba
"Syncretism" is defined as a union of diverse tenets or practices. On a recent trip to Cuba designed to demonstrate the integration of Traditional Medicine and biomedicine, our group witnessed this union firsthand.
Footsteps of the Sages: An Apprenticeship with Dr. Kezhan Zhang
When I met Dr. Kezhen Zhang in May 2013, I was his translator and the integrity, creativity, and passion he demonstrated as a practitioner and advocate of the medicine convinced me to travel to Beijing to study with him.
Tailor-Made Knee Pain: The Sartorius Muscle
A patient was referred to my office after receiving treatment from various providers with no results. The patient was training for the Olympics as a marathon runner and was unable to run or walk without severe medial knee pain.
Omega-3 Fish Oil: An Underappreciated Element of Men's Health
As a clinician with many male patients -- and as a man myself -- I am all too aware of the fact that we like to convince ourselves that we are doing great, when that may be the farthest thing from the truth.
Pro-Con: Swaddling for Newborns
The practice of swaddling has been used for thousands of years and was popular until the 1700s, when it was slowly abandoned by many cultures that considered it old-fashioned or barbaric.
One Size Does Not Fit All: Exercise and Nutrition According to Your Yin/Yang Body Type
There are countless new exercise and nutrition plans out there, emphasizing the latest ground-breaking research and claiming to revolutionize the way we view health.
Born to Energize the Human Spirit: Recollections of Sig Miller
Sig Miller, longtime executive director of the Association of New Jersey Chiropractors (ANJC), passed away on Sept. 17 after a long battle with cancer.
Chinese Herbs and Pulmonary Fibrosis: A Case Study
"Mary M."* recently celebrated her 90th birthday. Even the former sheriff dropped by to kiss the hand of this diminutive retired teacher, to honor the years she interpreted for him during interviews with Latinas and Latinos.
Too Many to Remember: Tips to Revive Your Ortho / Neuro Test Skills
When I was at Palmer in the mid-1980s, we were given a set of notes in one of our diagnostic courses. The notes covered approximately 70 orthopedic and neurological tests for various regions of the body.
Designing a Fitness Plan (Part 1)
It doesn't matter if you come to my practice for pain relief, weight loss, healthy aging or something else. The formula I talk about for each patient's fitness strategy is pretty much the same.
Acupuncture and Oriental Medicine in the West
We know acupuncture and Oriental medicine as the indigenous medicine of East Asia; in particular China, Korea and Japan are the countries of origin of this wonderful healing system.
Your Billing Questions Answered
I hear a lot of the following questions: I am afraid I may doing something illegal. I have heard I cannot have different fees for the same service.
Which Way is the Energy Going? Are You Burning Yourself Out?
One of the simple methods that I use to define Yin/Yang theory to patients is to ask the question, "Which way is your energy going?"
The Concussion-Subluxation Complex
In the Aug. 1, 2014 issue of Dynamic Chiropractic, I reviewed some of the literature demonstrating the role of the chiropractic adjustment in post-concussive care.
Diagnose Sprain Injuries in MVA Cases With Dynamic X-Rays (Pt. 1)
Am I the only person to notice hospitals are doing a seemingly insufficient job lately in their initial radiological workup of motor vehicle accident (MVA) victims?
North Carolina Acupuncture Board Files Dry Needling Lawsuit
In early September, the NCALB filed a complaint against the North Carolina Board of Physical Therapy Examiners over the issue of dry needling, a form of acupuncture that uses solid needles to puncture the skin and muscle tissue to relieve pain.
Mechanism: Experimental Approaches to Understanding Acupuncture, Part 1
The clinical benefits of acupuncture are difficult to ignore, but also can be difficult to explain to a Western audience. For nearly 50 years, relentlessly inquisitive scientists and physicians have been working toward a conceptual model to explain acupuncture.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 2
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
Targeting the Bad Apples in the Bunch
While everyone was focused on the conversion to ICD-10, the Office of Inspector General for Health and Human Services released a new report on chiropractic titled "CMS Should Use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services."
It's Time to Review
It is amazing to see the changes that are occurring in the acupuncture profession. Let's look at some of the news and events that have contributed to this growth and awareness.
The Modern Application of Ancient Mei Rong
Chinese Medical Cosmetology (Mei Rong) has a well-documented and venerated history dating back to the Qin (221-206 BC) Dynasty.
F4CP Making a High-Impact Impression
The Foundation for Chiropractic Progress has released details of its 2016 strategy, certain elements of which are already in play. The strategy includes ads, posters and other resources available to all F4CP members.
Dietary Fat and Prostate Cancer: An Important Update
K.M. Di Sebastiano and M. Mourtzakis published a review paper examining the role of dietary fat on prostate cancer development and progression late last year that does a stellar job of summarizing the available data on fat and prostate cancer.
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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