resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
May, 2009, Vol. 09, Issue 05
How Often Do You Get A Massage?
By Sharon Puszko, PhD, LMT
When was the last time you received a massage? This is not a rhetorical question; I really want you to answer this question for yourself. If you have to pause to think about the answer, then chances are you have gone too long without one. I know our lives are rather full between tending to clients and family, running errands, paying bills, and everything that comes with managing a household. But, as the saying goes, one cannot heal others unless they first heal themselves. Taking care of yourself is just as important to a massage therapist as taking care of your clients.
Remember all the reasons massage is valuable for your clients? You share with them how massage can help to alleviate joint and back pain, manage fibromyalgia and migraines, speed recovery from injury, increase blood circulation and manage stress, etc. Well, all of these reasons apply to you as well. While we all enjoy the laying on of hands, we can't experience all the benefits of a massage vicariously through our clients: we must lay our hands down once in a while and let someone else do the work so we can practice what we advocate.
In order to best serve your clients, it is important to keep in touch with how receiving massage feels to you. Without regular massages, we can easily lose perspective on how issues of touch affect a client in terms of pressure, temperature, and the frequency of repetitive strokes. Weekly or monthly massages allow us to experience new techniques or ways to modify existing ones for a certain group of clients. For example, as a specialist in geriatric massage, I find it helpful to trade massages with colleagues who work with other modalities.
Getting a massage is also important for us as practitioners because it helps prevent injuries common to the profession, such as repetitive stress injuries, muscle strains and carpal tunnel. This advice sounds familiar, doesn't it? I am sure you have mentioned this to more than one of your clients in the past several months. Now it is time to listen to your own advice! Just like athletes, our body is our tool and our work depends on it functioning well. It is for this reason that we must care for our bodies/tool with the same degree of intensity that dancers, swimmers, and runners do.
In a recent survey I gave to students at the Daybreak Geriatric Massage Institute, only 6 percent reported that they receive a massage once per week with the majority responding that they receive a massage 6 times per year or less. The main reason respondents gave for not receiving regular massages was that they cannot afford it more often. Ideally, we should be receiving a massage weekly; if that is not possible than we should strive for a massage every other week. Here are some common reasons given for not receiving regular massages, as well as some suggestions for overcoming these obstacles:
I do not want to spend the money. I have to respect this response. Many of us may have experienced a change in our clientele recently, and we must adjust the way we manage our finances accordingly. If you do not feel comfortable spending money on a massage, please consider trading with someone. Probably the most common person to trade with would be another massage therapist. However, if that is not an option for the therapist you like (e.g. he or she only accepts cash), perhaps another form of trade would free up some money to get a massage from the person you prefer. For example, maybe you could trade a massage for a haircut, yard work, babysitting, marketing opportunities, or something else. By not spending money on these other things, you would be able to put aside the money needed for a massage.
I have not found a practitioner with whom I want to trade/pay. The Internet is a wonderful tool for finding people with similar interests. Visiting local massage schools is a great way to connect with fellow practitioners. Check the free daily papers for events related to massage, or postings from local massage therapists. Word-of-mouth also goes a long way, so the more people you talk to, the better chance you have to meet other therapists. Once you start finding people, it is simply a matter of trial and error until you find a practitioner whose work you enjoy, and with whom you can arrange a form of payment.
I do not have the time. Really? I believe we all have time for what is a priority to us. Yes, we are all busy, especially those of us who are caretakers of young children, aging parents, or other family members. What rings more true is to say "I do not believe receiving a massage is a priority in my busy life right now." I urge you to reconsider, for all the reasons mentioned. Every massage therapist can find one hour (one and a half, including travel time) each week, or every other week, for something that is a priority. Your challenge, therefore, is to re-categorize massage as a priority in your life.
The bottom line is this: We cannot be an effective massage therapist if we do not take good care of ourselves. It is imperative that we listen to our bodies and respond accordingly to its needs. So please, try turning off your ringer, take a deep breath, lay yourself down on the massage table instead of standing by it, and let someone take care of you for a wonderful change of pace towards self-care and being the best therapist you can be.
Sharon Puszko is the owner/director/educator for Day-Break Geriatric Massage Institute. She may be contacted at
or through her Web site: www.daybreak-massage.com.
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