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Footsteps of the Sages: An Apprenticeship with Dr. Kezhan Zhang
When I met Dr. Kezhen Zhang in May 2013, I was his translator and the integrity, creativity, and passion he demonstrated as a practitioner and advocate of the medicine convinced me to travel to Beijing to study with him.
Targeting the Bad Apples in the Bunch
While everyone was focused on the conversion to ICD-10, the Office of Inspector General for Health and Human Services released a new report on chiropractic titled "CMS Should Use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services."
Mechanism: Experimental Approaches to Understanding Acupuncture, Part 1
The clinical benefits of acupuncture are difficult to ignore, but also can be difficult to explain to a Western audience. For nearly 50 years, relentlessly inquisitive scientists and physicians have been working toward a conceptual model to explain acupuncture.
Syncretism: Acupuncture and Public Health in Cuba
"Syncretism" is defined as a union of diverse tenets or practices. On a recent trip to Cuba designed to demonstrate the integration of Traditional Medicine and biomedicine, our group witnessed this union firsthand.
Acupuncture and Oriental Medicine in the West
We know acupuncture and Oriental medicine as the indigenous medicine of East Asia; in particular China, Korea and Japan are the countries of origin of this wonderful healing system.
Born to Energize the Human Spirit: Recollections of Sig Miller
Sig Miller, longtime executive director of the Association of New Jersey Chiropractors (ANJC), passed away on Sept. 17 after a long battle with cancer.
Omega-3 Fish Oil: An Underappreciated Element of Men's Health
As a clinician with many male patients -- and as a man myself -- I am all too aware of the fact that we like to convince ourselves that we are doing great, when that may be the farthest thing from the truth.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 2
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
Diagnose Sprain Injuries in MVA Cases With Dynamic X-Rays (Pt. 1)
Am I the only person to notice hospitals are doing a seemingly insufficient job lately in their initial radiological workup of motor vehicle accident (MVA) victims?
It's Time to Review
It is amazing to see the changes that are occurring in the acupuncture profession. Let's look at some of the news and events that have contributed to this growth and awareness.
F4CP Making a High-Impact Impression
The Foundation for Chiropractic Progress has released details of its 2016 strategy, certain elements of which are already in play. The strategy includes ads, posters and other resources available to all F4CP members.
The Modern Application of Ancient Mei Rong
Chinese Medical Cosmetology (Mei Rong) has a well-documented and venerated history dating back to the Qin (221-206 BC) Dynasty.
Making Sense of an Increasingly Obvious Conclusion
Where's U.S. health care heading? Like it or not, the list of telltale signs is growing to a point that stands out to even the most myopic observer. Consider this list of facts as you look into the future of health care in the United States:
Designing a Fitness Plan (Part 1)
It doesn't matter if you come to my practice for pain relief, weight loss, healthy aging or something else. The formula I talk about for each patient's fitness strategy is pretty much the same.
Chinese Herbs and Pulmonary Fibrosis: A Case Study
"Mary M."* recently celebrated her 90th birthday. Even the former sheriff dropped by to kiss the hand of this diminutive retired teacher, to honor the years she interpreted for him during interviews with Latinas and Latinos.
North Carolina Acupuncture Board Files Dry Needling Lawsuit
In early September, the NCALB filed a complaint against the North Carolina Board of Physical Therapy Examiners over the issue of dry needling, a form of acupuncture that uses solid needles to puncture the skin and muscle tissue to relieve pain.
Your Billing Questions Answered
I hear a lot of the following questions: I am afraid I may doing something illegal. I have heard I cannot have different fees for the same service.
One Size Does Not Fit All: Exercise and Nutrition According to Your Yin/Yang Body Type
There are countless new exercise and nutrition plans out there, emphasizing the latest ground-breaking research and claiming to revolutionize the way we view health.
Dietary Fat and Prostate Cancer: An Important Update
K.M. Di Sebastiano and M. Mourtzakis published a review paper examining the role of dietary fat on prostate cancer development and progression late last year that does a stellar job of summarizing the available data on fat and prostate cancer.
The Concussion-Subluxation Complex
In the Aug. 1, 2014 issue of Dynamic Chiropractic, I reviewed some of the literature demonstrating the role of the chiropractic adjustment in post-concussive care.
Tailor-Made Knee Pain: The Sartorius Muscle
A patient was referred to my office after receiving treatment from various providers with no results. The patient was training for the Olympics as a marathon runner and was unable to run or walk without severe medial knee pain.
Too Many to Remember: Tips to Revive Your Ortho / Neuro Test Skills
When I was at Palmer in the mid-1980s, we were given a set of notes in one of our diagnostic courses. The notes covered approximately 70 orthopedic and neurological tests for various regions of the body.
Pro-Con: Swaddling for Newborns
The practice of swaddling has been used for thousands of years and was popular until the 1700s, when it was slowly abandoned by many cultures that considered it old-fashioned or barbaric.
December, 2010, Vol. 10, Issue 12
Integrating Fitness Into a Massage Therapy Practice
By Ben Benjamin, PhD
Our work as massage therapists helps millions of people. By integrating exercise into their treatment plans, we can take their healing an important step further. All exercise programs should start with a thorough assessment.There are two types of assessments that are important to getting your client well and keeping them that way. The first is an injury assessment, which we have discussed many times in this column. The second is a movement or exercise assessment--and here is where we move into new territory. Very few massage therapists are skilled at assessing movement and prescribing exercise. This is unfortunate because movement assessments can provide valuable information about why your client got injured by identifying predisposing factors. Clients are often in pain because of an underlying weakness, instability, lack of mobility, and a poor understanding of how to move properly.
For example, let's say a client is experiencing low back pain. Normally, a massage therapist would perform soft tissue work around the hips, low back, and perhaps the psoas muscle and send the client on their way feeling a sense of relief. A few days may go by with minimal pain until suddenly the person begins to feel the same symptoms that initially led them to seek treatment. In contrast, if the therapist had the ability to perform an exercise assessment they could design a specific mobilization and stretching program (based on a range-of-motion assessment), teach the client how to execute a proper bend, squat, and/or lunge pattern, then teach them how to condition their body to support the demands of their work and/or sport environment.
Understanding Movement and Functional Anatomy
Understanding movement and functional anatomy will give you greater insight into how to address issues related to repeated injury, neurological dysfunction, inefficient motor control, lack of coordination, and overall weakness. The gift of exercise also has the added value of getting the client actively involved in the healing process.
It's important to figure out which form of exercise is appropriate for the client at the present moment, and which may be appropriate as the person gets stronger. If an exercise is too easy, the client will be bored and not progress. If an exercise is too hard, they will get discouraged and quit. Think of Goldilocks -- only if the program is just right for a client will they overcome the initial challenges and take to the program.
The integration of massage and exercise is important for the long-term health of our clients. So how can you gain enough knowledge about exercise to be able to incorporate it into your practice? The best way is to become certified as a personal trainer. There are a wide variety of certification programs available, and some are more helpful for massage therapists than others. If you'd like specific recommendations, feel free to contact me directly; I'd be happy to help you find one that will work well for you.
It's also important that massage therapists exercise themselves. This profession can be demanding, and if practitioners don't develop very specific kinds of strength and flexibility, they're likely to get injured - especially in their backs, wrists, and hands. There are many strength benchmarks that all massage therapists should meet to ensure success and longevity. With sufficient strength, flexibility, and knowledge of exercise and fitness, we will be better equipped to prevent injuries both in our clients and in ourselves.
Note: In some states, massage therapists are not legally permitted to prescribe exercises - another good reason to become a certified personal trainer.
Click here for more information about Ben Benjamin, PhD.
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