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Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
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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