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The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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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