resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
June, 2009, Vol. 09, Issue 06
The Importance of Scar Tissue Release Therapy
By Marjorie Brook, LMT, CIMI
Scar tissue therapy is generally overlooked by health professionals because the extent of physiological effects scars can have on the body have never really been acknowledged. As massage therapists, we know that the slightest restriction in the elaborate matrix of fascia can have major repercussions from one end of the body to the other.A simple scar from a childhood accident to major surgery can have a lifelong effect both physically and mentally for your client. Scar tissue has the potential to spread in any direction including internally throughout the body. It can also restrict movement or function anywhere in the body from a joint to an organ.
Scar tissue release therapy is extraordinarily simple to learn, easy to apply and yields powerful results that can prevent a lifetime of compensation, complications and pain. I have been a licensed massage therapist for more than 12 years and in all that time, a reoccurring theme seems to have prevailed. The presence of scar tissue can have a lifelong physiological effect on the body -- a fact that seems to have eluded traditional health care professionals. This realization combined with my clinical experience, education, teaching and research, has led to developing methods that improve upon existing fascial techniques for scar tissue release.
During the course of my career I've treated many patients whose problems could be traced back to a scar they had forgotten they even had. Almost everyone has a scar. While not every scar presents a problem, often they can. This is due to the fact that the body is one large, three-dimensional piece of fascia that envelops us like an intricate spider web. Any kink, pull or restriction in one area affects the whole matrix.
Scar Tissue & Adhesions
Scar tissue and adhesions are the result of our body's natural healing process and it occurs both internally and externally. The process, if working correctly, is supposed to eliminate the scars and adhesions once the wound is healed. In some cases, a person's body does not breakdown the scar tissue. The adhered tissue continues to spread which can trigger a cascading effect of compensations throughout the body.
Scars are areas of fibrous tissue that have replaced normal skin, or other tissue, after injury. A scar results from the biologic process of wound repair (protective, useful barrier) in the skin and other tissues of the body. Scar tissue is never as functional as the original tissue it has replaced. With the exception of very minor lesions, every wound (both internal and external) results in some degree of scarring.
Adhesions are bands of scar tissue that anchor and support the wound. It binds together all tissue it comes into contact with. Adhesions may be thought of as internal scar tissue. Although adhesions can occur anywhere, the most common locations are within the stomach, pelvis and heart. (For a comprehensive list of specific types of scar tissue and adhesions go to www.brookseminars.com/resources.)
Cases of Scar Tissue Treatment
Scar tissue release therapy is extraordinarily simple to learn, easy to apply and yields powerful results that can prevent a lifetime of compensation, complications and pain. The therapy is a series of fascial techniques that release and realign the restrictive tissue from the starting point (visible scar) to the end point (where the line of frozen fascia stops). This release system differs from traditional methods because it approaches the multi-faceted matrix of fascia three dimensionally.
I have used this therapy with success for clients who range in age (from children to seniors) and who have experienced a broad scope of problems. In many cases, the results have been achieved within one to three sessions. Below are the stories of three clients who have experienced dramatic results (client names have been changed to protect their identities):
Another client for general relaxation massage referred "Laura" to me. Prior to starting our first session she forewarned me (out of being embarrassed) that her leg was "scary" looking due to vein removal surgery she'd had several years prior. I've seen and helped many clients with scar tissue resulting from vein removal surgery but was stunned at hers. Starting about two inches above her knee all the way down to the middle of the foreleg was a scar every inch and a half - with skin puffing up in between. It looked as though she had been bitten by a shark. In addition to the physical scarring, she experienced pain in her knee and down her leg (which made it difficult to keep up with her four boys). As you would imagine these scars not only affected her physically, but emotionally as well. She was very self-conscious of their appearance, so uneasy that she had not worn shorts since the surgery. She was frustrated that she couldn't keep up with her mother's walking pace while out shopping. And she was angry because her doctor told her nothing could be done, "it just healed that way." But after just one scar treatment session Laura experienced relief physically. By the end of three sessions the swelling was gone, the scars were reduced and Laura was thrilled. Laura's scars have faded by 85 percent. She now wears shorts and was able to actually go skiing with the boys for the first time in four years!
"Debbie," 35, came to me several years ago for help with what she thought was carpal tunnel syndrome. After observing a large scar on Debbie's wrist I inquired as to its origin. When she was nine years old she had put her hand through a window chasing her brother. After working on her hand for two sessions, scars from the glass cuts were reduced visibly by about 80 percent, she obtained range of motion back in her hand/wrist and the numbness was gone.
Another regular massage client one day inquired about my services for his 10-year-old son "Bobby." Bobby, who is very active in sports, was born with a clubfoot and was experiencing a lot of pain in the Achilles tendon of his good leg. After three surgeries his foot was locked in an inverted position causing him to walk on the outside edge of the foot. He was also scheduled for a fourth in a series of seven surgeries. After a thorough evaluation it was clear that it was not the deformity of Bobby's club foot that was holding his foot in this position - but the scar tissue and adhesions from the past surgeries which was wrapped around the ankle into the arch of the foot and up the back of the Achilles tendon. Due to the inversion of the foot, Bobby was using his hip flexors to move his leg forward. After working on Bobby's good leg, I asked his parents if it would be all right if I worked on the other foot. Much to the parent's shock after the first session of treatment, Bobby's foot released about 90 degrees. Upon seeing her son stand with his foot almost flat on the ground Bobby's mom said half in shock and half in anger, "Why didn't the doctors tell us to work on the scars? We would have done it everyday!" I continued to work with Bobby for almost two years. Along with continued work on removing the extensive scar tissue, he needed stretching and strengthening sessions to retrain the muscles in the atrophied leg and throughout his hip. While his foot will always be stunted from his deformity he never did have that fourth surgery.
It is my hope that with modern science starting to recognize the importance of fascia and the effects of scar tissue on the body that scar tissue release will be brought to the forefront of therapy. Massage therapists can make significant and long-lasting changes in the health and well-being of their clients by incorporating scar tissue release therapy into their treatments. It is my experience that this therapy can play a major supportive and therapeutic role in helping anyone living with the physical, emotional and mental effects of scar tissue and adhesion restrictions.
Marjorie Brook has been a nationally certified, New York State LMT since 1997. She is an advanced AIS practitioner/instructor who teaches nationwide, as well as in Canada and Europe. Marjorie offers continuing education courses in Active Isolated Stretching and Strengthening, Scar Tissue Release, and Body Mechanics through her company at www.brookseminars.com.
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