resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
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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