resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Treating the Lower Pelvis (Pt. 2): Midline Structures and Fascia
My previous article [October 2016 issue] outlined evaluation and treatment of pelvic issues involving the sacrotuberous ligament and the pubic symphysis. Now let's discuss two case studies that illustrate how to address additional problematic areas of the pelvis.
Latest Cassidy Study on Stroke Risk Published
The latest study to investigate whether a unique association between chiropractic manipulation and risk of cervical artery dissection / stroke exists has yielded similar encouraging findings, with the authors noting "no excess risk of carotid artery stroke after chiropractic care" and no significant risk difference between patients receiving care from a DC or a primary care medical provider.
The Large Intestine Official
The large intestine (AKA colon) is the great eliminator, or as J.R. Worsley called it, "The Drainer of the Dregs." Dregs are defined as the remnants of liquid with its sediment left in a container, or the basest, least valuable portion of anything.
Getting Unstuck: Healing From Trauma With TCM, Qigong & Movement
We all come into this world vulnerable, with seeds to grow into our strength. Some of us — through a combination of good fortune (i.e., family and culture we are born into, constitutional inheritance, or ability to learn) grow with minimal interruption from traumatic injuries and experiences.
Correcting Rib Dysfunction: Improve Patients' Pain, Posture and Breathing
As chiropractors, we tend to focus on the spine, and rightly so. Many problems our patients face can be corrected by manipulating the correct spinal level.
Reader Beware: Consider the Source
The aftermath of last year's presidential elections brought a running conversation on the role played by "fake news" that was largely presented via social media.
AOM Residency at NUNM
Imagine you're a recent acupuncture graduate, worried about making enough income as you forge your new career and seek more in-depth training in a particular treatment style.
Advancing the "Whole Organ" Spine Model
Historically, the human spine has been organized by body region utilizing specific anatomical landmarks and transition zones.
VF Works / DMX Works Epilogue: Almost Two Decades Later, the Lawsuits Continue
An article in the March 8, 1999 edition of Dynamic Chiropractic examined whether then-VF Works / Nu-Best Franchising was selling its franchises illegally to doctors of chiropractic.
House Calls With Dad
My father was a chiropractor and he did house calls. On Wednesday nights, while my mother attended the weekly women's meeting at the Odd Fellows and Rebekahs hall in our small town, dad loaded up the portable adjusting table, fired up the Pontiac and drove off to treat a few patients in their homes. I went with him.
Paperwork Done Wrong, Done Right
I was visiting a doctor's office recently and a member of his staff brought a stack of forms to his private office and laid them on the doctor's desk. She informed him he needed to complete the forms for patients and a few third parties.
The Acupuncture Channel System (Part 2)
The primary channels (main channels) are introduced in chapter 10 of the Ling Shu, these channels are referenced in many chapters throughout the Su Wen and the Ling Shu. The primary channels have become the main channel system used in TCM.
Waist Circumference: A Conversation Starter
New estimates suggest more than two-thirds of Americans are either overweight or obese. The medical significance of this statistic is astounding.
Helping Patients With Parkinson's Disease
Parkinson's disease (PD), a long-term degenerative disorder of the central nervous system that mainly affects motor function, has a slow onset over time.
TCM & the Caregiving Population: Treatment Considerations & Our Vital Role
Informal caregiving is increasingly a reality for many Americans who find themselves providing unpaid care for a loved one or a family member with a long-term, terminal, or chronic illness.
ICA Goes on the Vaccine Offensive
Have you watched the vaccination documentary, "Vaxxed: From Cover-Up to Catastrophe," by Andrew Wakefield MD, director, and Del Bigtree, producer? This is the documentary Robert DeNiro was pressured to remove from his Tribeca Film Festival.
Gather & Grow
I recently attended a faculty seminar held by one of the acupuncture schools. There was a facilitator who led us through some very interesting experiences. The attendees were a diverse group with varying opinions.
Chiropractic in Texas Is Under Attack
The profession of chiropractic faces an unprecedented challenge in Texas, an attack that is more aggressive, sustained and dangerous than anything previously seen. The medical lobby has launched a coordinated, multi-front assault.
Near-Infrared Therapy for Diabetic Neuropathy
The pain experienced by people with diabetes is a symptom of diabetic neuropathy. The impact on quality of life is significant. Pain makes walking difficult, sleep troublesome, and eventually contributes to a decrease in social interaction.
Spiritual Initiation: Opening Your Higher Healing Abilities
People drawn to the field of acupuncture and Oriental Medicine tend to be those who march to the beat of a different drummer.
A Brief History of Acupuncture and Oriental Medicine Doctoral Programs
A doctorate in acupuncture and Oriental medicine has been a goal of the profession since its beginnings in the late 1970s. At that time, however, the maturity of the educational institutions and the regulatory environment made it a goal with only a distant completion date.
News in Brief
The American Association of Acupuncture and Oriental Medicine (AAAOM) board members recently met with the Korean Customs Service, which is similar to the FDA, to discuss herbal safety and importation issues.
March, 2010, Vol. 10, Issue 03
Massage Tables Are Like Elegant Desserts
By Angie Patrick
It's true, massage tables really are like elegant desserts. The best ones have the perfect balance of sumptuous and delicious layers. Go enjoy a delicious gourmet dinner. Chances are the dessert tray will be filled with items sporting layer after layer of sheer decadence. More layers really equals more luxury and more indulgence.
However, this is where the similarities with your massage table end. I have seen some therapists who will place a sheet over a table and call it complete. This can leave a client shivering and feeling more than a little exposed. I have also witnessed other therapists create the equivalent to the Leaning Tower of Pisa in an effort to make the table more comfortable. This often results in the client fussing with the table covers and struggling to keep them in place while trying to roll over, or even worse, the coverings sliding to the floor completely when the client gets off the table due to ill fitting or inappropriate coverings not created for use on a massage table.
How do you know when enough is enough? How can you be sure you have not crossed the line between cocooning comfort and overcompensation for an uncomfortable table? Often, these lines can be blurred. Let's look at some of the regularly used table coverings in order of their layering on the table, and then you can utilize the information provided to pick and choose which would be appropriate for your specific applications.
Table warmers come in many different forms. Some are washable while others are not. Some are suited for treatments where they might come in contact with water and others are not made to withstand moisture. Before you choose, decide whether or not you plan to practice treatments that require the warmer to be water-proof. For instance, if your plan is to offer herbal wraps, you will most likely opt for the water-proof option for safety's sake. If your plan doesn't include treatments utilizing moisture and free-flowing water, then a regular fabric table warmer will work fine. In all cases, check to be sure the warmer has an auto-off feature. This alleviates the age old worry in the middle of the night as you sit straight up in bed, "Did I unplug the table warmer?"
Some models can be programmed to work continuously for up to 99 minutes, and then power down. This is a great feature, and one I personally prefer. It takes the guesswork out of whether or not the warmer will remain on for the full treatment. Given the average massage is 60 to 90 minutes, it should cover most treatments. The trick is remembering to reset it between clients so it does not power down in the middle of your massage. These typically are washable on the gentle cycle, although it is preferable to hang them to dry to better prevent the warming filaments from breaking.
Ideas for Added Padding
Fleece likely is the most popular and widely utilized plush covering. This covering provides additional cushion and a degree of comfort that a sheet on bare vinyl will not provide. Look for fleece with elastic corner holds or a fitted cover to secure it to the table. You have a couple of choices in the type of fleece you utilize. Some people only want wool fleece pads. Although these are very warm and cozy, they cannot be machine washed and some clients might have allergies to wool, which won't necessarily be disclosed in the intake form. I prefer the synthetic fleece because it offers greater flexibility in washing. It can be machine washed and dried in the dryer on fluff or air dry without heat. I would suggest a therapist have a few sets of fleece so they can be changed out between clients on a busy day. Now they are more affordable than ever before, ranging from $25 to $110 depending on the material you choose.
Another popular option for added comfort is memory foam covered in vinyl. This is a fantastic way to soften a hard table or elongate the life of one that is beginning to show wear on the padding. It usually is 2 to 3 inches thick and is made of visco-elastic material which reacts to body heat, conforming to the contours of the body. These, when covered with vinyl, are easily cleaned and offer a very comfortable foundation for your client. While not inexpensive, they can truly provide a luxurious feel to your table and extend the usefulness of a table in the beginning stages of wear, allowing an additional pocket of time before you must invest in a new table.
Choosing the Right Sheets
Once your warmer and choice of pad are in place, affix your fitted sheet to the table. The next layer is your top sheet. Please be sure the sheet sets you buy are appropriate for a professional setting. I have seen the occasional therapist use cartoon-character sheets fitting a twin bed on their professional massage table. The intent is to be cute and quirky, but the reality is you come off looking ill-prepared, childish and difficult to be taken seriously. Purchasing sheets appropriate for your practice is fundamental in being considered a professional. Be sure your sheets are in good repair, not stained and do not reek of old oil. This is more than a wee bit off putting, and can ruin the whole massage experience, no matter how expertly executed.
Your choice in sheet material is one that could require some additional thought. Although we all want an attractive and inviting table, being pretty may not be enough. Look for fabrics that are durable and can withstand repeated usage and laundering. Here are a few examples of the most commonly chosen sheet types, and reasons why they may or may not be a fit for your needs.
Poly Cotton: These are a blend of cotton content and polyester. These sheets are thinner and great in warmer climates. They resist wrinkling, although they are not wrinkle-free. There is little shrinkage, and they usually hold up well during laundering.
Muslin: Very thin fabric, does not offer much coverage for client modesty. These sheets might work well when used in wraps. Not a favorite among most therapists for everyday use on their massage table.
Cotton: Natural fiber, flat-spun fiber finish, and soft to the skin. For client modesty, look for sheets with 300-350 thread count. These are a bit thicker and offer greater coverage. Buy sheets a bit larger than your table to allow for inevitable shrinkage. These will launder well although they will wrinkle substantially if left in the dryer unattended after drying.
Flannel: A tried and true staple in any therapist arsenal. This is a natural cotton fiber that has been spun to allow fibers to be "unruly" and then brushed to allow fibers to loosen and become lofty. These sheets offer superb coverage and long wear. The more they are washed, the softer they become. Flannel is not gauged in thread count, but it is rated by weight per square meter. For durable flannel that will wear well, look for flannel with weight of 150 g per square meter or greater. These weights will launder well but will wrinkle if left in a basket after washing. Again, be sure to buy sheets large enough to accommodate shrinkage.
Bamboo: A new fiber in the massage-sheet arena. This fiber is incredibly soft to the touch. It feels almost silky and can provide a very luxurious feel to your table. It is also a nice "trendy" component to say you are using greener products. Even though there are several positive reasons to choose bamboo, it also has a few setbacks. It can be price-prohibitive in many cases, and it often can have substantial shrinkage and wrinkling if laundered in any way other than described on the packaging. It also is still somewhat fragile in its longevity, allowing the stitching holes to stretch and become somewhat unsightly. If you have the budget, time and opportunity to truly care for these sheets, they might be a good fit. If you are looking for a workhorse, you might decide to opt for another material.
In all sheets, you will want to be sure the pocket is deep enough to accommodate the table warmer, and fleece or memory foam pad, as well as the table. In the top sheet, you likely will wish to find something measuring 59 to 65 inches wide and 80 to 90 inches long. Not only will this allow nicely for any shrinkage, it will continue to provide adequate coverage for the client following laundering. This is why most household sheets for twin beds do not always offer a perfect fit.
The Proper Blanket
There are many schools of thought in regards to blanket materials. Again, it is driven by your needs and usage. I will provide you with the most common offerings, although there are many more on the market than I can list here.
Cotton Thermal: Likely the most widely used blanket in massage. It is loosely woven, thicker yarn cotton that will remain breathable while retaining warmth. It is prone to shrinkage and does have a tendency to become snagged. These are affordable and come in an array of designer colors.
Fleece: Softness is the hallmark of this fabric. It harkens to days when we were children and all things we snuggled with were fluffy and soft. It evokes an instant relaxation response and is widely used in the industry. It will launder well, although it is prone to shed in the first few washes. Most will not have appreciable shrinkage. These will also wrinkle, but not much.
Bamboo: This fabric makes a lovely blanket; offering softness and luxury to any table. This is not a very durable fiber so handling and laundering of the blanket must be done with care. It is prone to pilling, so it should be handled with greater care. It will also shrink if dried in a heat setting. Tumbling on low heat or no heat is preferred to extend the life of the blanket.
Down Comforter/Duvet: Incredibly lush and totally cocooning. It's downside is the expense and the upkeep of the duvet covers between clients. For a similar feel without the expense, look for down alternative comforters. These can also alleviate the allergy reaction to down.
Making Your Table a Sanctuary
Many therapists have different ideas about the way they would like their table to look and feel to the client before they climb on. Some would opt for a clean, luxurious spa feel with a crisp, white duvet covering a plush, down comforter. Others may prefer a world-traveler look, complete with colorful saris from India or Pakistan accompanied by a decorative pillow of silk or satin. Still others may opt for a more ethereal feel, with thin gossamer fabrics covering their table, lending it a cloudlike quality.
I have seen tables with flower petals scattered on them, or simply dressed with a bundle of freshly cut rosemary sprigs tied with a piece of raffia placed in the center of the table. I have seen the table scattered with chakra stones, as well as beautiful bowls of water with a Beta Fish swimming in it on the floor beneath the headrest for a lovely view while face down. Any one of these ideas can evoke a serene feeling of calm and relaxation. The truth is, there are no real wrong ideas when it comes to the decorative part of the table. Just, as in all things, present a professional appearance.
I hope these bits of information will be able to assist you in the decision of what to use on your table. The possibilities are truly limitless, and we have only scratched the surface here. There are more beautiful massage linens coming into the market every day and there are many great suppliers bringing these to the forefront. Enjoy the search, but always remember to present yourself, your practice and the supplies you use professionally.
Click here for previous articles by Angie Patrick.
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