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Practicing with Authenticity
To extrapolate from the above quote, patients love healthcare providers they can trust. One way to earn the trust of your patients is by practicing with authenticity. What does that mean, exactly?
Patient-Centered Care vs. Payer Restrictions: Your Ethical Obligation
Do you have an ethical obligation to evaluate your patients, make a diagnosis and provide evidence-based, patient-centered health care, irrelevant to the payer restrictions?
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 1
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.
Practice Policy (Gone Bad): The Sign
Every once in a while, you see something and think to yourself, That's a really bad idea. Case in point: I went to see my medical doctor the other day. Just after being "roomed," as they say, the nurse checked my vital signs. Then she left.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 2
In the last issue of Acupuncture Today, the first part of this article introduced the topic of trauma and resilience, and their relationship to the autonomic nervous system response and the concept of the spirit being grounded in the body, and suggested the importance of mindfulness as a tool for healing.
The New Age of Communication
In the age of technology, everyone, including the patient, is seeking faster, easier ways to communicate. With a wealth of social media, blogs, websites and videos, we are constantly barraged with information – to the point of overload.
A Chiropractor's Guide to Yoga
"Doctor, can I continue to do yoga while undergoing your care?" "Is it OK for me to go back to yoga while I'm getting my back treated?" "It is safe to start my yoga classes again after my neck pain improves?"
Surprising Reasons for Orthotic Efficacy
Clinical outcome studies show orthotics are effective in the management of a wide range of injuries, including plantar fasciitis, Achilles tendinitis and patellofemoral pain syndrome.
An Acupuncturist's View of Medicinal Marijuana
The use of cannabis for medical purposes is very controversial. Use as a panacea by physicians uninitiated to the proper application of herbal medicine, as well as an excuse for recreational use have greatly confused the issue.
Getting a YES: An Effective Strategy for Overcoming Patient Objections
Patients make more excuses for declining care from an acupuncturist than perhaps any other type of doctor. Various reasons hold them back from making a commitment to care.
More Chiropractors Required
An intriguing study published in the Journal of the American Board of Family Medicine examines how "chiropractic care affects use of primary care physician (PCP) services."
Help: A Need at Every Level
One of the great gifts of training in acupuncture is the ability to take good care of oneself. I recently had a bout of frozen shoulder — an inflammatory syndrome which can be debilitatingly painful and take years to resolve.
Modernization of Chinese Medicine
Language – written, spoken, signed, or otherwise is learned as a means to express our individualized perceptions about the world around us. Language is designed to communicate our personal experiences.
The Zen Art of "One Point"
We were always told in our Zen Shiatsu training (by Japanese and Japanese American instructors) that our ultimate aim was to to find that "One Point." To be so focused we could touch just one point to transform Qi throughout a client's body.
Do Some Good and Grow Your Business with Cause Marketing
Cause marketing is truly one of the best ways that you can promote your services as a acupuncture professional. Cause marketing refers to a type of marketing where a business partners with a non-profit organization to help bring awareness to a charitable cause.
Nuts Reduce Risk of Heart Disease, Cancer and Other Health Problems
Several recent studies suggest regular consumption of nuts may provide a significant degree of protection against certain types of cancer, heart disease, possibly type 2 diabetes and some neurodegenerative diseases.
Harvard Health References Flawed AHA Position Paper
In its special health report, "Stroke: Diagnosing, Treating, and Recovering From a 'Brain Attack,'" Harvard Health Publications includes information from the American Heart Association's 2014 position statement on cervical manipulation and cervical dissection – a statement the American Chiropractic Association emphasized in a letter to Harvard Health mixes "scientific facts with half-truths."
The Food Conversation: Nutrition and Your Practice
It's morning and your first patient rolls in with a triple espresso steaming in one hand and a frazzled, desperate look in her eye. "You gotta help me, doc, I am constipated unless I drink one of these, and I am exhausted and anxious all the time."
Oriental Medicine on the World Stage
"Let me win. But if I cannot win, let me be brave in the attempt." This simple, yet powerful statement was lived out time and time again by so many of the athletes from around the world during the Special Olympics World Games in Los Angeles.
The Short Leg Dilemma
When evaluating a new patient, it is common to note a relative shortening of one leg to the other. Some patients will even tell you they have one, and then pull out the store-bought heel lift they read about online.
Improving Communication Between AOM and Biomedical Providers
How comfortable do you feel talking to Western medical providers? If you are like me, you may not feel as comfortable as you would like. Some of my interactions with MD's haven't been the fruitful steps toward integrative medicine for which I had hoped.
Dorsiflexion Dysfunction: Evaluation & Manipulation Techniques
Almost every condition from the foot to the hip can be attributed to the inability to dorsiflex the ankle mortice and other joints that participate in dorsiflexion. Let's start by understanding normal versus abnormal dorsiflexion.
Fish Oil: A Key Component of Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Fertility and Poly-Unsaturated Fatty Acids
Starting or expanding one's family is a major milestone. It's something that more and more people seek out health care advice and support for.
Change Lives by Supporting Chiropractic Research: Are You In?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fund-raising campaign to support chiropractic research.
What's Chiropractic Research Worth to You?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fundraising campaign to support chiropractic research.
December, 2009, Vol. 9, Issue 12
By Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President
In January 2001, the first edition of Massage Today was released, and my first Speaking of Pathologies column was in the inaugural issue.It was an introduction to a new concept: readers could send me their interesting questions and challenges around pathology topics, and I would pull together some information for responses that might benefit the rest of the profession. Since that time I have written more than 50 columns on topics ranging from herpes simplex to bariatric surgery to Ehlers-Danlos syndrome. Most of the time, my articles were stimulated by your input; sometimes I had no direction from readers and simply pursued my own line of interest; this led to a series on neurological conditions including ALS (Lou Gehrig's disease), Parkinson's disease, cerebral palsy and spinal cord injuries, about which I'm still getting letters several years later, and to a lively discussion about student clinics that established great connections with massage educators around the country.
I have saved every edition of Massage Today since the first one. As I look through our recent history, I see headline after headline tracking legislative issues; massage outreach programs to underserved groups; controversies between our trade organizations; reports on educational and political meetings that influence our professions; and, more and more, articles about the science of massage and how it can be applied in the context of clients who live with imperfect health.
This is the long way around of saying that the time has come for me to step aside. My own career is about to make a major shift. Between this and other commitments, along with the fact that Massage Today is now packed with the kind of content that used to be hard to come by, means that this is one obligation that I can let go. I do it with some reluctance. Massage Today has been very good to me, providing a venue through which I have been able to communicate with thousands of colleagues, and I feel a sense of loyalty to it and to the people who work there. However, as we all know, there is a point where our commitments can become overwhelming and our ability to fulfill them can become compromised. Rather than see that happen, I am happy and proud to leave at a time that I know information about massage and bodywork in the context of disease is more accessible than ever before, and that readers who want to find information or guidance about specific conditions won't be left without resources.
When I started as a pathology writer, I would sometimes do internet searches for "Massage and XX," filling in the name of some disorder or condition. Often, there were no results. Just as often, I would find an advertisement for a practitioner who worked with that disease but no information specifically on the science of massage in that context.
Nowadays the options are so much broader! General information about diseases is still available through the old stand-bys (Mayo.com, WebMD.com, CDC.gov and branches of the NIH are some of my favorites), but we have arrived at a point where we can raise the bar to include academic-level research specifically about massage and bodywork. I have three resources that I feel are especially useful in this context, and I would love for readers to keep these for future reference:
The International Journal of Therapeutic Massage and Bodywork (www.ijtmb.org): This is the academic, peer-reviewed publication of the Massage Therapy Foundation. It is published electronically every quarter and is completely free. The IJTMB recently celebrated its first birthday. Because it is just getting started, its archives are not yet deep but I would love for readers to start here in their search for information.
Google Scholar (www.googlescholar.com): This is an easy-to-use resource for gathering technical content while weeding out the majority of websites that are selling products in the guise of offering information.
Pubmed (www.pubmed.gov): This is run by the government and gathers academic articles about health care from all over the world. My last Pubmed search of "massage therapy" yielded more than 9,000 articles in which massage was studied as primary or comparative intervention. The problem with Pubmed is that while the abstracts of most articles are available, the full text of each may be harder to access unless, like articles in the IJTMB, they are made available through an open-source publisher.
Several other great sources for information exist, and I encourage practitioners to explore them and share them with others. Perhaps the most important point to stress is that what it takes to gather value from this information is patience, persistence and possibly a good medical dictionary. My own background and training is emphatically not in the sciences. If a theatre major from a small liberal-arts college can make sense of a Pubmed article, so can every person reading this column.
Massage Therapy Foundation
Which leads to my next point: one reason I am leaving Massage Today as a regular columnist is to serve as president of the Massage Therapy Foundation, starting in March 2010. Massage Today has been tremendously supportive of the MTF, so most readers are probably familiar with the basic idea. The Massage Therapy Foundation is a nonprofit organization that has been created to advance the massage therapy profession through education, community service and research. We accomplish these goals in many ways, but we rely on donations so that we can fund research projects, help massage therapists set up outreach projects for underserved populations, publish the IJTMB, host research conferences (the party is in May 2010 in Seattle at the Highlighting Massage Therapy Research in Complementary and Integrative Medicine conference!), sponsor student and practitioner case report contests, and send educators out to teach principles of research literacy to massage school faculty all over the country. We do this because the future of the massage therapy profession is in research.
Credible, well-designed research that yields clear information about how massage affects human function allows us to build bridges with the rest of the health care community. It allows us to market massage as a self-care strategy rather than an occasional luxury. It supports massage therapy with qualified practitioners as a safe, cost-effective and powerful health care intervention. Not every massage therapist will become a researcher, but we all need to develop some basic skills so that we can find research, interpret it and apply it to our practices. I hope every reader here will use the Massage Therapy Foundation (www.massagetherapyfoundation.org) to help with those goals, and I further hope that every Massage Today reader will consider making an annual donation to the Foundation to help pay for those services.
Writing a reader-led column has richly fed me as a writer and an educator. As I scan my list of articles, I have distinct memories of interactions with some readers:
These questions and experiences, so generously shared by our colleagues, have opened conversations that I hope have benefitted everyone who read the columns they inspired. Those conversations aren't over, but they have to take place in a different setting now.
It has been my honor and my privilege to work with all of you here. Please rest assured that the other Massage Today columnists will, with great talent and skill, seamlessly fill the small hole I leave. Thanks for all of your support over the years, and please know you have my very best wishes. Many thanks and many blessings.
Editor's note: While Ruth Werner says farewell as a columnist, she will not be far from your readership. Ruth will be part of an exciting new online format with Massage Today. Stay tuned!
Click here for previous articles by Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President.
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