resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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 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.
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.
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.
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.
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."
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.
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.
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.
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.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
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.
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.
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.
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
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.
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.
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.
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.
July, 2010, Vol. 10, Issue 07
TMJ: Self-Care for Your Masseter
By Judith DeLany, LMT
Today, as many people try to get more done in the day than the minutes allow, you might discover that you are clenching your teeth, even during the daytime. This is a common reaction to stressful situations, and even more common when the stress is unrelenting and the pressures of time management unyielding.Many of us clench our teeth without being aware of it and very often have tight temporomandibular joint (TMJ) muscles, without necessarily displaying any overt symptoms.
Location and Function
The temporomandibular (TM) joints are located just anterior to the opening of each ear and are involved in chewing, talking and displaying a wide range of facial expressions, all of which goes on practically unnoticed. It is rather remarkable that jaw movements occur in most people without any problem, especially considering the incongruent and naturally unstable design of this joint. Temporomandibular dysfunction (TMD) may develop, with symptoms that include headache, in a variety of patterns including: migraine (Fig. 1), toothache (Fig. 2), burning or tingling sensations in the face, tenderness and swelling on the sides of the face, clicking or popping of the jaw, reduced range of motion, ear pain without infection, hearing changes, dizziness, and sinus-type responses.
If caught in the early stages, dysfunction might be avoided by simply becoming aware of habits of clenching and/or grinding of the teeth, especially as associated with stress, and by reducing muscular pressure on the joint and its articular disc.
Spotlight on Masseter
A number of muscles act upon the TM joint. Masseter, capable of exerting hundreds of pounds of pressure, is the most powerful. It is comprised of three layers, stacking upon each other and filling out the region of the lateral cheek. It is involved primarily with chewing, clenching, strong closure of the jaws, and, to some degree, postural positioning and balancing the jaw, particularly when head position changes. It is overworked by habits of daily life, particularly chewing gum, clenching and grinding the teeth, as well as internalizing emotional distress.
Treatment is indicated for masseter when the range of opening of the mouth is restricted or when there is pain or other sensations in areas of the TM joint and trigger point target zones of referral. However, even when no symptoms exist, releasing masseter can immediately produce a feeling of lightness in the face and the resultant feeling of stress relief.
NMT Intraoral Masseter Release
A complete intraoral protocol is part of the Neuromuscular Therapy training for temporomandibular dysfunction. It is strongly recommended that practitioners receive appropriate training before working inside the mouth of clients/patients. However, it is easy to following these steps for a personal experience of releasing your own masseter. After releasing the first side, pause to open and close the mouth and to feel the (sometimes extraordinary) relaxation of the face on the side that has been treated.
Although a glove can be worn for self-application, a thoroughly scrubbed, bare finger is acceptable in one's own mouth. A protective barrier should always be worn when treating someone else. Nitrile or vinyl (full-hand) gloves are better choices than latex, which often causes allergic reaction.
Editor's Note: Proper training of Neuromuscular Therapy should be completed prior to working on a client. As stated in the article, the author is not advocating working inside the client's mouth before proper training. For more information on Neuromuscular Therapy and Judith DeLany go to: www.nmtcenter.com.
Judith DeLany serves as director of NMT Center, writes textbooks for Elsevier Health Sciences, and lectures internationally in the field of neuromuscular therapy. For more information regarding her work, visit www.nmtcenter.com or call toll-free at (866) 571-7942.
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