resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
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.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
February, 2011, Vol. 11, Issue 02
NMT: Two Versions Defined
By Leon Chaitow, ND, DO
When I was studying osteopathy and naturopathy in London in the late 1950s, I was taught neuromuscular technique (NMT) as part of our soft-tissue assessment and treatment course. The version of NMT that I learned had been developed in the 1930s by my father's cousin Stanley Lief, ND, DC, assisted by his cousin (my uncle), Boris Chaitow, ND, DC.Lief had modified a traditional Asian technique, taught by a Dr. Varma, an Ayurvedic physician working in Paris. It may be of peripheral interest to know that among the people who contacted Varma at that time was Ida Rolf; although, whether she incorporated any of his work into hers is not known.
Varma believed that his manual treatment method (he called "Prana-therapy") was capable of identifying and treating local areas of obstruction to the free flow of energy, using finger or thumb strokes and pressure.
In contrast, Lief used modifications of Varma's approach - which he called NMT - to assess and treat soft-tissue dysfunction, preparing joints for mobilisation or manipulation. And this is why we were taught NMT in our training at the then British College of Naturopathy and Osteopathy (now, the British College of Osteopathic Medicine).
At the time of my training,the early work of Janet Travell was available and we began to speak of trigger points as one of our targets in NMT assessment and treatment.
Simultaneously, the work of Raymond Nimmo, DC, was becoming more widely known. Nimmo had worked in parallel with Travell (and subsequently, David Simons) in describing localised soft-tissue changes that could generate local and distant pain. His terminology was different to Travell's, as were his treatment methods (which he called "Receptor Tonus Technique"). He came to England to teach briefly in the early 1960s and I was privileged to attend his classes.
Lief's (European) NMT incorporated this knowledge into a superbly effective soft-tissue assessment and treatment protocol, usually directed at Lief's original objective of mobilising soft tissues prior to joint mobilisation as well as for locating and deactivating trigger points. The delicacy of the finger or thumb strokes used in Lief's NMT allows for extremely fine work to be performed involving intelligent contacts that do not overwhelm restrictions, but insinuate ("melting") their way into them, teasing and releasing, rather than aggressively forcing change.
In the United States, neuromuscular therapy evolved in a direction that was far more focused on myofascial pain in general (influenced by Travell, Simons and Nimmo), and trigger points in particular.
The modalities used in American NMT comprise soft-tissue methods developed by practitioners of massage therapy, osteopathy, chiropractic, physical therapy, manual medicine, naturopathic medicine, and others. These include methods such as effluerage (gliding strokes), trigger point release (compressive force), myofascial release, muscle energy technique, positional release, cranial manipulation and others.
Both forms of NMT utilise standard orthopedic assessment approaches, as well as their own individual methods of assessment. Additionally, both forms of NMT incorporate moving and stationary pressures to tissues in both assessment and treatment modes, using variable pressures to achieve objectives, including inhibitory (ischemic) compression, cross-fibre friction, gliding and stretching methods.
NMT's Broad Perspective
Despite its predominently physical/biomechanical approach to treatment of pain and dysfunction, American NMT has broad objectives. For example, in conditions involving pain and dysfunction, attention is given to adaptation demands resulting from a wide variety of influences, including:
Note: While therapists using NMT techniques aim to take account of biochemical and/or psychosocial features, such as those listed - insofar as they may impact on the condition of the individuals consulting them - there is no suggestion that NMT is appropriate in treating these.
Two Versions Combined
In the mid-90's, in an attempt to marry these transatlantic NMT cousins, Judith (Walker) DeLany and I decided to put together a textbook. Four years later, Volume 1 (Upper Body) of our textbook Clinical Applications of Neuromuscular Techniques (Churchill Livingstone 2000) appeared, with Volume 2 (Lower Body) arriving in 2002. A revised and expanded second edition of Volume 1 appeared in 2008, while the revised Volume 2 will be published in mid-2011.
Also published in 2000 (and republished in its 3rd edition in 2010) was my book, Modern Neuromuscular Techniques, which evaluates and describes Lief's NMT alongside the modalities used in American NMT - incorporating a chapter on this by Judith DeLany. The rationale for writing this book (Modern NMT) was that there was a need for a more compact description, since the combined Clinical Applications texts run well over 1,000 pages. For more on NMT, see other resources listed below.
Click here for more information about Leon Chaitow, ND, DO.
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