resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The X Factor in Clinical Research: The Patient
It was the great baseball legend, former New York Yankees catcher Yogi Berra – he of countless aphorisms, each with a mind-bending twist – who once declared, "You can observe a lot by watching."
To The Finish Line With the Help of TCM
When acupuncturist Eddy De Smedt pursued a career in Traditional Chinese Medicine, he knew he wanted to make a difference.
Lime Jello on Morphine
Taste is in the eyes... actually the mouth... of the beholder. My food preferences have changed, lightening from the food of my youth. My parents loved heavy eastern European cuisine and I loved it as a child. Now I enjoy leaner, healthier whole foods.
Simple Ways To Find True Happiness
Patients in our clinics are always seeking happiness. As their health advocate, we need to ensure we inform them that in order to find happiness, they have to make sure to identify what makes them happy in the first place.
5 Ways to Occupy Occupational Health
Despite the progress that has been made to better protect workers, occupational health and safety remains a priority area for many national governmental organizations due to the widespread problem of occupationally related morbidity and mortality.
Web Marketing: Content Is King
Google's sweeping updates to its search algorithms over the past few years have brought a paradigm shift in how you can optimize your chiropractic website to gain maximum marketing leverage.
Saying No to Medicine
An interesting article recently appeared in Men's Journal titled "When to Say No to Your Doctor." The article begins with the summary statement above and effectively arms readers with information that will help them "take more responsibility for your own health care, because you can't be sure anyone else is.
Talking to Patients About Healthy Aging
I've noticed that a particular category of patients seems to make up more and more of my practice – they work out, but still experience lots of degenerative joint disease (DJD) issues.
The Heart Protector
On the physical level, the Pericardium is a double-layered sac of fibrous tissue that envelops the Heart. The space between the layers is filled with serous fluid that protects the Heart from external shock or trauma and lubricates to allow for normal Heart movement.
Managing Today's Fertility Patient
I recently received an email from one of my fertility patients: "Got my lab results back. FSH is 11, AMH is 0.7. My doctor said these numbers aren't good. I guess I'm infertile. Just as a thought. Just set up an appointment to speak with an adoption agency."
Managing Patient Expectations About Acupuncture
Last year, I attended the Pacific Symposium in San Diego for the first time in six or seven years. It was the 25th anniversary of this event, and on one evening there was a panel discussion with the title; "What is Qi?."
Help Patients Achieve Optimal Vitamin D Levels
Much research has been done on vitamin D levels and their impact on health; optimal levels have been correlated with a reduced risk of developing numerous conditions.
Pulse Diagnosis: What We Know
I am still finding pearls of wisdom from the books and papers that I inherited from my pulse diagnosis mentor Jim Ramholz.
Blaming the Gluteus Medius, Overlooking the Deltoid
The gluteus medius (Gmed) is commonly written about, strengthened and blamed for many conditions, and rightfully so. After all, the Gmed plays a role in pelvic stability, hip motor control and lower-quarter dynamic movements.
AOMA Strengthens Leadership Team
AOMA Graduate School of Integrative Medicine, a leading college of acupuncture & herbal medicine, announced the appointment of Donna LaPoint Hurta, MBA as the new VP of Finance & Operations this Fall.
The Wonders of Light Therapy: An Interview with Wes Burwell
I first met Wes Burwell in 2011 when he was teaching a class on light. Since then, every time I hear him speak, his understanding of the benefits, function and capacity of light has evolved.
Healing With TCM at San Quentin State Prison
For the prisoners at San Quentin State Prison, life-sentences are the reality of every day life. It is not often that prisoners get the opportunity to use alternative medicine to deal with common ailments they encounter behind bars such as, depression, anxiety and pain.
The Tao of Gender
If you think gender is as simple as having a new client check off the "male" or "female" box on your intake form, we hope this article will expand your understanding and thus the reach of your health care.
Calcium Helps Prevent Colorectal Cancer
Over the past 25 to 30 years, studies have suggested calcium may confer protection against colorectal cancer.
Jingei Diagnosis: An Effective and Powerful Diagnostic
I graduated from the Kotatama Institute under the direction of Drs. Masahilo and Katsuharu Nakazono in 1984. As a student, I was exposed to the practice of most of the various theories and modalites of Oriental Medicine.
Understanding and Identifying Pediatric Growth-Plate Fractures
In general, fractures in children heal well with little intervention as long as the alignment is good. Fractures involving the growth plate, however, are a different issue. In fact, growth-plate injuries are the primary reason for the subspecialty of pediatric orthopedics.
Transparency and Accountability: Q&A With the CCE
Every profession needs an organization dedicated to upholding the quality and integrity of its degree programs and educational institutions.
June, 2010, Vol. 10, Issue 06
Cesarean Scar Massage
By Elaine Stillerman, LMT
Scar massage, regardless of the scar's location or how long it has been there, is a technique to reduce scar tissue and improve skin elasticity. It is a progressive treatment and if too much force is applied too quickly, the colloid gel within the connective tissue responds with increased resistance.On the other hand, if not enough pressure is used the treatment will have little effect on the scar tissue.
Scars are formed from connective tissue, particularly collagenous fibers, that provide support but limited elasticity. When the repair reaction is excessive, a keloid scar results. These unsightly scars are dimensional, raised, often irregularly shaped, and contain more water and soluble collagen than normal scars. All massage directly on keloid formations must be avoided, but work can be done all around it.
The goals of any scar massage are to render the scar stable, manage the development of scar tissue, keep the connective tissue as pliable and flexible as possible by reducing adhesions between soft tissue layers, reduce discoloration and itching, reduce the scar to normal skin levels, eliminate fibrosis and myofascial stress patterns, and encourage an emotional connection with the site of the trauma.
During the first few weeks of recovery after a Cesarean (or any surgery), a gentle vibration over the bandage is adequate enough to reduce some of the lymph congestion within the surrounding tissue and ease some of the discomfort the new mother is feeling. (If the new mom notices any change to the scar, however, such as bleeding or oozing, she should contact her care provider and avoid touching the area.)
Any incision causes trauma and edema to the surrounding tissue with accompanying emotional issues. A cesarean incision (or hysterectomy) can harbor a wide range of emotions because of its location on the vulnerable front of the body, its reproductive relationship, and its link to a woman's image of herself as a woman and a mother. With that in mind, practitioners must proceed respectfully and at the client's pace when massaging the scar.
I had a student in one of my classes who fainted and had a seizure after massaging a small scar on her hand. The scar was a result of a ganglion cyst surgery she had when she was a young child and this was the first time she ever worked the area. She later recalled thinking that the doctor was going to remove her hand, and the memory of that childhood fear caused her to faint.
Since the goal is to restore elasticity, use very little lubrication to allow the tissue to stretch. If you glide over the skin's surface, wipe off the excess lubrication. When the incision has healed and the client signals that she is ready for the work, scar massage can begin. Instruct her on the steps she can take to massage the scar herself.
If your client feels uncomfortable at any time, stop what you are doing until she is ready to continue. A wonderful healing lubrication after the treatment is done is made of equal parts of tinctures of calendula, St. John's wort, comfrey, and arnica mixed in Shea butter.
Click here for previous articles by Elaine Stillerman, LMT.
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