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.
April, 2010, Vol. 10, Issue 04
By David Razo
"Despite having cancer, I have not suddenly become superhuman. I am not obligated to act more positive or happier than I actually feel just because I have cancer." -- Cary Vera-Garcia1
The quote above, excerpted from an online article, made me think of the many challenges cancer patients confront daily: fear, embarrassment, anger, depression, loneliness, pain, sadness, terror and anxiety, to name just a few.In fact, referring to these emotions and feelings as mere "challenges" almost seems to minimize this terrifying ordeal because the experience goes much deeper; it rattles one's foundation.
An increasing number of cancer patients are seeking massage therapy to facilitate improved health and well being; however, when administering massage treatment to oncology patients, there is one especially important hands-on consideration: no deep or vigorous touch is to be administered.
The internal landscape of an oncology patient is under continuous dynamic change that can cause the soft tissues to shift into a very fragile state. Oncology massage is gentle work, which is enough to foster a therapeutic need. There are three recommended therapeutic contacts in oncology massage:
The first level of contact is the lightest contact. The surface of the hands move broadly across the recipient's body, maintaining constant contact but never applying any level of pressure. This type of contact is commonly referred to as therapeutic touch or healing touch. This is the only contact suitable for hand placement over cancer sites.
The second level of contact is referred to as "lotioning" or neural stroking. It also is applied broadly but with very low contact. Pressure should be just enough to ensure that lotion is absorbed into the skin. The neural stroke is applied in a slow, rhythmic pace to sedate the nervous system.
The final level of contact engages with the flesh and soft tissues. In this contact, the hand is "soft." The palm of the hand and finger pads gently rest on the recipient's skin, or over the clothing or sheet. The "avocado test" is a useful method for determining the level of appropriate touch. If you are an avocado lover like I am, you know how important it is to find the right avocado. The "ripe" sticker may help you narrow your selection, but it is still necessary to test several. When you test an avocado, you place your hand around it and depress the surface very gently; you don't want to squeeze too hard, though, or you'll pierce the skin. Use the avocado test as a gauge when massaging oncology patients.
Oncology massage, unlike many other massage modalities, is a not a series of techniques or applied protocols. Rather, it is the practitioner's ability to recognize and work within clinically established guidelines and then make the bodywork adjustments required to accommodate any positioning, pressure, pace or site considerations that might apply. These positioning, pressure or site considerations are different for each person, and often change for patients from week to week.
As surgeon Bernie Siegel notes, "Massage therapy is not contraindicated in cancer patients; massaging a tumor is, but there is a great deal more to a person than their tumor."2
David Razo has practiced massage therapy and bodywork for more than 10 years, specializing in myofascia and pain management. He currently works with a medical doctor in private practice.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.