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Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. 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.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
September, 2010, Vol. 10, Issue 09
The Life of Per Henrik Ling
By Judi Calvert, LMP
In the early 1800s, Peter Henry Ling (also Per Henrik Ling) was perhaps the first to discover what countless others have since learned in the past centuries: massage is critical for healing pain.
Though somewhat controversial, Ling is widely considered the "Father of Massage". Ling's life work was developing a series of gymnastic movements to help relieve chronic pain. Like many massage therapists and body workers today, he used his own experience with pain and injury to create styles and techniques that formed the foundation of his practice and, ultimately, of massage itself.
Ling was born on Nov. 15, 1776 in Smaland, Sweden. His father was a so-called curate, a member of the clergy in charge of the town parish. Ling was a devoted student who spent his days studying with a strict tutor before attending school in the town of Vaxjo.
After he left school, he continued to study while traveling the country. At times he was reduced to poverty, and eventually returned to Smaland, where he passed his theological examinations in 1797. For the next three years, he served as a tutor for several families.
In 1800, he left Sweden to travel internationally. It was a different kind of education for the accomplished scholar, and he was exposed to experiences that helped shape his life. He learned to speak several languages, and even took part in a naval battle as a volunteer on a Danish ship. When chronic pain and financial troubles forced him to return to Sweden, he continued his education by studying the art of fencing.
Ling had a passion for his newfound skill. Yet he realized that, though fencing was a valuable fitness exercise, it alone couldn't heal his body. Despite his youth, he was afflicted by physical problems such as rheumatism and lung disease, and had developed gout in his arm. He began doing a series of passive movements that involved stroking, pressing and kneading the body. Eventually, he noticed that they had a positive effect on his health.
Ling saw potential in these movements, which he called medical gymnastics, and wanted to educate people on his "suitable systematized exercises." He felt that, by performing these movements, the body and the mind would feel whole.
He not only believed that anatomy and physiology were the "necessary basis of gymnastics" but also that the effects the movements produced upon the "body and psychological condition of man" must be studied in great detail. He set out to do just that, and founded the Royal Central Gymnastic Institute in 1813.
Ling truly cared about helping people, and devoted the rest of his life to building on the system he had created. Like therapists, teachers and educators today who have spent many years in the field, he undertook his work because he recognized the value of touch. He never gave up on his values, and was dedicated to undertaking his study "by the most careful and untiring analysis of details."
He was praised for his personal qualities as well. Mathias Roth, one of Ling's students, wrote: "Ling was a man of high moral tone, pious, sincere, honest in all his dealings with his fellow man. His intellectual powers were of a very high order; he loved with the same energy with which he worked, the objects of his home-affections, his friends, the poor, his country, and mankind."
Father of Massage?
Many of the books written during the 1800s pay tribute to Ling as a groundbreaker. But was Peter Ling the Father of Massage, or simply the founder of medical gymnastics? Or was he both? The question lingers as to whether he outright created the techniques or if he gleaned information about these movements from what practitioners in other countries had been doing for centuries.
In Axel V. Grafstrom's 1898 A Text Book of Mechano-Therapy (Massage And Medical Gymnastics), he calls Ling the "father of mechano-therapy," rather than the Father of Massage.
But Nellie Elizabeth Macafee, an RN who wrote Massage: An Elementary Textbook For Nurses in 1920, was unequivocal in her deference to Ling, saying that his genius lay in "systematizing both massage and gymnastics and influencing both physicians and laymen in Sweden and other countries to such an extent that all recent elaborations claim to have as their origin 'The Ling System', if they wish to emphasize their superiority over other methods."
In the 2010 edition of his book, Theory and Practice of Therapeutic Massage, Mark F. Beck wrote, "Per Henrik Ling is known as the father of physical therapy." He continues: "Per Henrick of Sweden developed medical gymnastics later known as the Swedish Movement Cure and the precursor to Swedish Massage."
Indeed, it has been written in several books that Ling enfolded massage into his movements, but that it was only a small part of the overall treatment.
Ling's system addressed the mechanical aspect of movement, provided a curative outlet in the form of medical gymnastics and included passive movements that were later known as massage. And though he devoted his life to his system, he left little written record of it. However, it's clear from what he did write that the manipulations of friction, kneading, stroking, cupping, clapping and others were included within the exercise system known as medical gymnastics, though he did not refer to it as massage or rubbing.
In 1986, Patricia Benjamin, former historian for the American Massage Therapy Association, discovered from translations of Ling's Notations to the General Principles of Gymnastics, that no French terms related to massage were used by Ling or the Royal Central Gymnastic Institute, implying that Ling's movements were not, in fact, intended strictly as massage techniques.
Benjamin found that the French terms effleurage, petrissage, and tapotement, along with friction used by massage therapists today, did not originate with Ling. Instead, they are attributed to Dutch practitioner Johann Georg Mezger (1817-1893). Mezger and his followers organized the manipulations into simpler divisions and labeled them with the French terms.
However, Benjamin wrote that "Ling's medical gymnastic system was the seed of Swedish massage brought to this country in the early nineteenth century."
Though Benjamin's scholarship seems to disprove the idea that Ling was the sole founder of Swedish massage, it's clear that his work laid the foundation for those who came after him. He will be remembered for bringing together many of the techniques we now categorize as Swedish massage, regardless of whether he is considered its founder. He demonstrated that gymnastic movements could be a critical remedy for health problems and was dedicated to helping people in pain.
Ling discussed his life's work on his deathbed until the very last hour, giving instructions to his pupils about the science to which he devoted his life. He died on May 3, 1839. Massage wouldn't be what it is today without his remarkable contributions, and he is a man who should be remembered.
Click here for previous articles by Judi Calvert, LMP.
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