resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Optimism = Compassion = Trust
A randomized clinical trial recently published online in JAMA Oncology examined how patients viewed their doctor based upon how the practitioner presented bad news to the patient.
Functional Hip Impingement (Part 1)
Every time I sit down to write an article, I realize how much more there is to know about musculoskeletal pain. I also learn something new every time. (I want to give special thanks to Lucy Whyte Ferguson for assisting with this article.)
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.
Term Limits: What's in a Word?
It was the French historian and philosopher Voltaire who once declared the Holy Roman Empire was neither holy nor Roman nor an empire.
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.
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."
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!
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.
Turning a Blind Eye to History – and Reality
The American Medical Association is taking the Supreme Court's Feb. 25, 2015 decision exactly as it always does – by turning a blind eye to history, legal precedent and reality.
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.
Low Back Pain in Professional Golf: A Common Muscular Relationship
Every sport creates its own unique demands on the body. Some sports require such a myriad of body positions that assessing pathology is often difficult and unpredictable.
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.
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.
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.
A View From the ER
The University of Western States has inked an innovative agreement with local nonprofit health system Legacy Health whereby UWS sports-medicine fellows can experience observational clinical rotations in emergency-room settings within the Legacy system.
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.
Talking to Patients About Lumbar Facet Denervation (Medial Branch Neurotomy)
Lumbar facet denervation, more appropriately termed medial branch neurotomy (MBN), is a procedure that may be considered when patients suffer from recalcitrant non-radicular axial back and/or leg pain.
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.
A House Divided?
The American Chiropractic Association's House of Delegates voted on 30 resolutions at its annual business meeting in Washington D.C., but two in particular took immediate center stage due to their controversial nature.
Applying the Thin Skull Principle
The "thin skull" principle, also known as the "you take your victim as you find them" principle, is a legal principle that can be summed up by the following statement.
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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