resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
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.
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.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
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.
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.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
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.
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?
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
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.
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
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.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
September, 2009, Vol. 9, Issue 09
Research Goldmines For You and Your Client
By Rita Woods, LMT
As therapists, we see clients with a variety of medical conditions. While their condition may not be directly related to their massage visit, it may impact how we individualize a massage session.Medical information can be complex so it's important to find sources that give an accurate and well-defined explanation without being confusing. It's also nice to find information that you can print and share.
The National Institutes of Health (NIH) is the primary federal agency for conducting and supporting medical research. Helping to lead the way toward important medical discoveries that improve people's health and save lives, NIH scientists investigate ways to prevent disease as well as the causes, treatments, and even cures for common and rare diseases. Composed of 27 institutes and centers, the NIH provides leadership and financial support to researchers in every state and throughout the world. Funded by Congress, the NIH offers information free to the public and to researchers. In fact, if the researchers use federal funds from NIH, they must make their manuscripts available through PubMed Central, a service of the National Library of Medicine. Here, massage therapists will find an absolute goldmine at their fingertips. However, to navigate through the volumes of information, a little understanding of how the departments make their information available is necessary.
MedlinePlus and PubMed are the National Library of Medicine's databases of references to more than 16 million articles published in 5,200 biomedical journals. Most of the articles you will find listed in PubMed (www.pubmed.gov) are written for health professionals. Many of the articles are short summaries (abstracts) and some of them have links to the full article. These tend to be quite technical from a medical/clinical perspective and thus, may not be the best choice for providing information to your client. However, they are helpful if you like to dig deep into the subject. Some NIH departments do offer printable handouts suitable for your clients as well as references in your office.
For the massage professional, one department in particular is very helpful. That is the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) (www.niams.nih.gov). Once at that site, you can search by topic. They offer information in a format called "Fast Facts," which is about four pages long and covers just the highlights of a health topic. They also have "Handout on Health"; these tend to be longer (some as long as 50 pages) and much more detailed with many of them offering anatomical illustrations. Most topics are available online, some include audio presentations, but some topics are only available by ordering the text directly from the NIH. There is an online order form for Handout on Health publications. There is no cost to order information and you can even order multiple copies for health fairs and such. Some information comes as an information packet. (Carpal tunnel syndrome is one example.)
Many of the NIAMS publications are government publications. They are in the public domain and not subject to copyright restrictions. You may make as many copies of these as you wish without permission. Please credit NIAMS as the source.
Let's take a detailed look at how to search and what you might find there. First go to the NIH home page, www.nih.gov. Once there, look for the search box in the upper right corner, and type in "Fast Facts." This will bring up a series of topics that appear as their own Web address. Scroll through to find topics of interest. Fast Facts are easy to read publications for the general public. Examples found there: bursitis and tendonitis, back pain, sports injuries, fibromalygia, sprains and strains, healthy joints for a lifetime, plus over 1,300 more! Many are PDF files that can be saved on your computer for later access.
On the same Web site, you can type in that same search box "Handout on Health." Similar to the Fast Facts layout, you will get a list of topics that appear with their own specific Web page address. If you plan on printing any of these, be prepared to print a booklet. They are long with much more detail and some even include self care recommendations. Many topics are duplicated in the Fast Facts and Handout on Health formats, it just depends on how much information you want.
Another helpful site from the National Library of Medicine is www.medlineplus.gov. MedlinePlus offers easy to understand medical information in everyday language. Here I found interactive tutorials published by the Patient Education Institute. You can even ask permission to link to the tutorials. This could be especially useful if you have your own Web site. They offer over 165 tutorials and I was thrilled to see "massage therapy" included. When you go to the home page of MedlinePlus, look for "Interactive Tutorials" on the right-hand side. Click there to find the list and to view the presentations. These are especially helpful for clients with no medical background. The beauty is that you have something to offer your clients, it is free for you to use and it adds a professional advantage for your business. Searching for topics in MedlinePlus offers additional sites other than the NIH. For example, you may find information sheets from the Mayo Clinic, the Cleveland Clinic, the CDC, as well as associations like the Arthritis Foundation.
All in all, I have to give the NIH two thumbs up for their Web sites and ease of access to the public. It's a good place to go for reliable information, and for us to see what our government dollars are going to in medical research. By the way, the NIH also has the National Center for Complementary and Alternative Medicine (NCCAM); here you will find information of herbs, acupuncture, aromatherapy, massage, Reiki and a whole lot more. Visit www.nccam.nih.gov for more information. An interesting fact: This department has been in existence for 10 years while the NIH can trace its roots back to 1887.
Our clients look to us for information and advice. Often they are asking us questions outside our scope of practice. Even if we know the answer, we should never offer advice that may be perceived as medical advice. Having valuable information at your fingertips allows you to direct them to credible sources and/or offer handouts in your office. Be sure not to attach any personal information to the handout and leave it as originally published.
Stay Cool. Be Happy.
Click here for previous articles by Rita Woods, LMT.
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