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Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
After two treatments for back pain, a patient presents for a third
session complaining of rapid breathing and wheezing that is made worse
during cold weather.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
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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