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Communication 101: Please Explain Yourself!
Twice this past week, I overheard conversations about chiropractic. As you can imagine, it is a topic my ears naturally pick up. In both cases, a patient was talking to a friend about their experience with a chiropractor.
Commingling Money: 12 Questions for the ACA About the CHAMP / NCLAF Merger
The American Chiropractic Association recently announced it was merging the National Chiropractic Legal Action Fund and the Chiropractic Health Advocacy and Mobilization Project into a single entity that will support both legal and legislative actions.
Essential Orthopedic Testing: Tests That Involve Standing on One Leg
Since these tests have a common mechanism of performance (standing on one leg), there are differential diagnostic concerns during testing. The tests cannot be completely isolated from each other for performance.
Chiropractic Research in Review
Predicting Pain With Disability in Office Workers; Traction Approaches for Discogenic Cervical Radiculopathy; Intra-Articular Gas Bubbles Following Manipulation; Nonresponsive Chronic Ankle Sprains: Think Tendon Rupture.
The Case for Immunization
As long as I have been a chiropractor, I have seen many in this profession oppose vaccinations. Indeed, it has often been taken as a "given" that to be a principled chiropractor requires a curmudgeon's willingness to hold aloft that banner of opposition.
Managing Today's Fertility Patient
I recently received an email from one of my fertility patients: "Got my lab results back. FSH is 11, AMH is 0.7. My doctor said these numbers aren't good. I guess I'm infertile. Just as a thought. Just set up an appointment to speak with an adoption agency."
CMT & Stroke Risk: Myth vs. Fact
By now, most of you have probably heard that the American Heart Association recently published a statement regarding the association between cervical dissection (CD) and cervical manipulative therapy (CMT).
To The Finish Line With the Help of TCM
When acupuncturist Eddy De Smedt pursued a career in Traditional Chinese Medicine, he knew he wanted to make a difference.
Lime Jello on Morphine
Taste is in the eyes... actually the mouth... of the beholder. My food preferences have changed, lightening from the food of my youth. My parents loved heavy eastern European cuisine and I loved it as a child. Now I enjoy leaner, healthier whole foods.
AOMA Strengthens Leadership Team
AOMA Graduate School of Integrative Medicine, a leading college of acupuncture & herbal medicine, announced the appointment of Donna LaPoint Hurta, MBA as the new VP of Finance & Operations this Fall.
Correcting Pelvic Rotation Around the Long Axis: Adjustment Protocol
The pelvis can be considered a ring that can misalign on the sacrum rotating around the long axis. The following is a description of an adjustment that helps to correct sacroiliac rotation around the long axis.
The Heart Protector
On the physical level, the Pericardium is a double-layered sac of fibrous tissue that envelops the Heart. The space between the layers is filled with serous fluid that protects the Heart from external shock or trauma and lubricates to allow for normal Heart movement.
Dr. George Goodman and His Legacy to Logan University
Those who knew him called him a revered leader, a visionary and one of chiropractic's biggest advocates. George A. Goodman, DC, Logan University's sixth and longest-serving president, passed away on Sept. 9. He was 70 years old.
Simple Ways To Find True Happiness
Patients in our clinics are always seeking happiness. As their health advocate, we need to ensure we inform them that in order to find happiness, they have to make sure to identify what makes them happy in the first place.
Uncle Sam Needs You (Part 2)
Where chiropractic care has been used in the military health services, it has been deemed very successful.
Jingei Diagnosis: An Effective and Powerful Diagnostic
I graduated from the Kotatama Institute under the direction of Drs. Masahilo and Katsuharu Nakazono in 1984. As a student, I was exposed to the practice of most of the various theories and modalites of Oriental Medicine.
Managing Patient Expectations About Acupuncture
Last year, I attended the Pacific Symposium in San Diego for the first time in six or seven years. It was the 25th anniversary of this event, and on one evening there was a panel discussion with the title; "What is Qi?."
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 2)
As mentioned in part 1, using a flexion-distraction table is a great way to unlock this particular fixation. You have found the stuck segment. You have determined whether it is unilateral, midline or bilateral.
The Wonders of Light Therapy: An Interview with Wes Burwell
I first met Wes Burwell in 2011 when he was teaching a class on light. Since then, every time I hear him speak, his understanding of the benefits, function and capacity of light has evolved.
Sports Science: What's in That Drink?
Athletes frequently ask me what the best liquid is to drink during exercise – water or a sports drink? Water provides the necessary hydration, but unfortunately, it lacks the key nutrients to aid in performance and recovery.
The Tao of Gender
If you think gender is as simple as having a new client check off the "male" or "female" box on your intake form, we hope this article will expand your understanding and thus the reach of your health care.
Healing With TCM at San Quentin State Prison
For the prisoners at San Quentin State Prison, life-sentences are the reality of every day life. It is not often that prisoners get the opportunity to use alternative medicine to deal with common ailments they encounter behind bars such as, depression, anxiety and pain.
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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