resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
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.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
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.
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.
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.
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.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
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.
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.
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.
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?
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.
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 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.
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.
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.
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.
December, 2010, Vol. 10, Issue 12
What About My Brain?
Staying Mentally Fit
By Sharon Puszko, PhD, LMT
Being a massage therapist, I am aware of how my body sometimes feels, in terms of muscle soreness, fatigue, illness or general aches and pains, since all of these symptoms can affect my ability to work.Recently, after an extended period of traveling in which I became quite sleep deprived, I began to focus on the other aspects of our health: the mental component of it. After all, without our brain functioning properly, none of our muscles would function properly, either. Information on keeping our brain healthy has increased dramatically over the past 10 years, as advances in medical equipment have helped scientists learn more about how this mysterious organ works. Recent research has demonstrated that one's exercise, diet, sleep, and career can impact the health of one's brain. There is also growing consensus in the medical community that certain choices about exercise and diet can impact the likelihood of being challenged with memory problems and Alzheimer's disease.
Sleep On It
A study headed up by Matthew Walker, PhD, director of the Sleep and Neuroimaging Lab at the University of California, Berkeley, examined how sleep, specifically, REM (rapid eye movement) sleep, impacts our ability to read emotions in other people's faces. In the study, recently reported in Time magazine, 36 adult volunteers were asked to interpret the facial expressions of people in photographs, following either a 60-minute nap, 90-minute nap or no nap at all. Participants who had reached REM sleep (when vivid dreaming mostly occur) during their nap were better able to identify expressions of positive emotions like happiness in other people than participants who did not achieve REM sleep or did not nap at all. In fact, those volunteers who did not experience REM sleep, were more sensitive to negative expressions such as anger and fear.
According to Walker, dreaming (REM sleep) allows the brain to sift through that day's events, process any negative emotion attached to them, then strip it away from the memories: "(REM sleep) tries to ameliorate the sharp emotional chips and dents that life gives you along the way." Walker continues, "Sleep not only rights the wrong of prolonged wakefulness but, at a neurocognitive level, it moves you beyond where you were before you took a nap."1
So, what does all this mean to you? Our success as massage therapists largely depends on our ability to perceive and connect with our client's emotional state during a massage. If a client does not feel a "connection" with his therapist, he is less likely to benefit from the massage, and less likely to return to that therapist. Likewise, the more connection a client feels with his therapist, the more likely he is to become a repeat client, and the more likely he is to recommend massage to someone else. Therefore, going to bed one hour earlier, or taking a quick nap during the day really can have an impact on the success of your business.
We all know the importance of exercise for maintaining a healthy weight and healthy heart, increasing the longevity of life and improving the quality of sleep. It now appears that exercise also effects the brain, in particular the regions that relate to Alzheimer's. In August 2010, the University of Illinois at Urbana-Champaign published findings from research led by Dr. Art Kramer at the Beckman Institute for Advanced Science and Technology. The research team was interested in examining the effect of exercise on neural connectivity between regions of the brain that function together in a kind of "network". For example, the default mode network (DMN) is responsible for people passively engaging with their environment, such as day-dreaming. The DMN and other similar networks seem to lose activity with age, and Kramer's research has shown that the brains of people with Alzheimer's, schizophrenia, and older adults struggle to control the DMN. This study demonstrated that just moderate exercise (40 minutes a day, three times per week), can increase connectivity in the DMN, which aids with planning, strategizing and multitasking.2
It is beginning to seem like the benefits of exercise are endless! While some are vigilant about exercising regularly, others are easily bored by it. For those of you who aren't fans of working out in the traditional manner, there are plenty alternative activities that will not only exercise your body, but ALSO your brain! The following are some great activities (found in a recent article "Everyday Ways to Stay Sharp"):
To Read or Not to Read?
That is the question. There seems to be good reason our educators thrust British Literature upon us in high school. We have known for a long time that reading keeps the brain active and encourages good writing skills. However, we now know that reading Shakespeare has a particular effect on the brain that goes beyond the normal benefits. New studies link Shakespeare's linguistic technique known as "functional shift" (e.g. using a noun to serve as a verb) with positive brain stimulation. This process causes a sudden peak in brain activity and forces the brain to work differently in order to fully understand what Shakespeare is trying to say.
According to Philip Davis, an English professor at the University of Liverpool, "The brain reacts to reading a phrase such as 'he godded me' from the tragedy of Coriolanus, in a similar way to putting a jigsaw puzzle together. If it is easy to see which pieces slot together you become bored of the game, but if the pieces don't appear to fit, when we know they should, the brain becomes excited."4
With that information in mind, I would recommend inquiring at your public library about any Shakespeare book clubs. If you have the financial means, and a community college nearby, you could consider taking a literature class on Shakespeare. OMG, there is so much I can do to work on my brain! There are many more things one can do to keep the brain healthy and active: switch hands when writing or play sports, do crossword puzzles, eat well, journal, and just play.
We have just recently begun to understand the relationship between our external environment and its effect on the brain. It is an exciting area of study, especially when thinking about the connection between wellness and brain function. I look forward to learning more about the link between massage and brain function, and the possibilities it will lead to in our profession.
Sharon Puszko is the owner/director/educator for Day-Break Geriatric Massage Institute. She may be contacted at
or through her Web site: www.daybreak-massage.com.
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