resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
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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