resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
March, 2011, Vol. 11, Issue 03
Powders, Oils and Liniments
By Judi Calvert, LMP
Today, massage therapists have a wide variety of great mediums they can purchase thanks to the Internet, massage warehouses, massage school stores and convention booths. But have we therapists ever stopped to think about what past practitioners - "operators" as they were called - used for massage mediums?
Some of the oldest mediums used by the experts of the time (doctors, nurses and operators) included such items as hog fat, lard, olive oil, alcohol, cloths, talc powder, rice powder, vaseline, glycerin, lanolin, arnica oil, coconut oil, cocoa butter and natural mineral water - just to name a few.
For decades, powders in the form of cornstarch and talc were a popular medium for massage. Some authorities believe talcum was the original "Egyptian dust", named by ancient and medieval writers as an after-bath treatment used in many countries around the world. The oldest chemists and perfumeries in the United States produced Caswell-Massey talcum products to use for massage and in the bath. They are still available today.
Dr. Fehr's compound talcum, a "hygienic dermal powder" was said to be good for skin problems, as a tooth powder, or for dressing bandages. This product was primarily advertised to pharmacists and doctors. Dr. George Knapp Abbott, author of Technique of Hydrotherapy and Swedish Massage (1912), taught: "the talcum rub is useful where oil is objectionable, as in warm weather, or where there is a tendency to free perspiration after treatment. It dries rather than softens the skin. It is also useful for hives, and should be given after a prolonged cool bath. The procedure is the same as with the oil rub."
So what are the advantages of using powder over ointments?
Dr. Max Bohm of Germany wrote in his book Massage: Its Principles and Technique (1913)that powder is conducive to cleanliness and that it "makes very deep kneading possible and improves the masseur's sense of touch."
Bohm explained: "On this account it is better for the masseur who is learning to use powder at first. Generally, the preference is given to light smooth talcum powder instead of grainy powder, for instance, rice powder. Rubbing is sufficient for the removal of powder."
Mary V. Lace was a teacher who received part of her massage training with Dr. James Mennell. In her 1936 book, Massage and Medical Gymnastics, she tells us that "powder or other lubricants should be used as sparingly as possible on account of their tendency to block the pores of the skin. Powder must not be sprinkled all over the patient or on the bed or floor."
If a nurse was not present, it was the job of the "masseuse" to dry the treated limb if the patient could not do it him or herself. If there were any folds in the skin, then starch powder or zinc oxide was applied. Lace taught that French chalk, starch powder or mixtures of the two with boracic or zinc should be used on the patients.
In Europe, sometime in the 1950s, the wide use of powders died out.
The healing power of oil has been used since ancient times. For curative purposes "rubbing of some sort has been going on," wrote massage historian Robert Calvert. Each country used different oils to help ease people's pain.
The Bible has several passages that refer to oils. Psalms refers to the "oil of gladness" and "oil to make the face shine." In Proverbs, oil is the "ointment and perfume to delight the heart."
In his 1913 book, Massage, Manual Treatment, Remedial Movements, Douglas Graham wrote about the famed physician Galen, who lived from A.D. 130 to A.D. 200. Graham deemed him the "most learned physician and the most accomplished man of his age, whose authority in medical matters was regarded in Europe as almost supreme for a thousand years." Graham continued: "[Galen] recommended friction in a great number of diseases, generally as auxiliary to other means. ...It is proper by moderate rubbing with a linen cloth to warm the whole body beforehand, and then rub with oil."
A practitioner needed to warm the skin and expand the pores before applying the oil, believed Galen. He taught that the skin should turn red first, and then to rub the oil in with bare hands.
In Greco-Roman times, oils were applied externally in massage treatments to help people with the pains of daily life. In Calvert's book The History of Massage, he wrote: "In the centuries after the fall of the Roman empire little was written about massage and even less about the mediums used for massage."
However, there have been many books written by doctors and nurses from 1885 to the present about the use of oils in Swedish massage.
In Kurre W. Ostrom's 1918 book, Massage and the Original Swedish Movements, he talks about which massage mediums to use to avoid abrasions when working on people. They used "white vaseline, glycerin, lanolin, lard, olive oil, arnica oil, (in sprains or distortions), belladonna ointment (in neuritis) - the two latter only when recommended by physicians." Ostrom did caution operators "not to use too much glycerin, as it tends to irritate the skin."
He added: "In America coconut oil or cocoa butter has been freely used. Pure cold creams are one of the best lubricants and almost always at hand in every home." Ostrom believed that melted cocoa butter was also useful; however, vaseline became too sticky after a few massage strokes, and lard was only good to use if it was fresh.
Lace, the 1930s massage teacher, used olive oil to treat scars and very dry skin. If babies were poorly nourished, had rickets or had atrophied limbs, the olive oil would soften the skin and aid the subcutaneous tissues. The oil would also help build the skin's nutrition, she believed.
In his book The Massage Operator, Dr. P. Puderbach gives various recipes for specific massage treatments.
A pain-killing massage oil that he found very useful was a mixture of: 25 grams of pure alcohol, 25 grams camphor, 10 grams menthol, and 50 grams olive oil. He would then apply the oil to sore spots. If the patient was in extreme pain, then he would add 50 grams of chloroform to the mixture.
Puderbach's book also includes a recipe by Dr. S. Asada to treat croup. It prescribes applying kerosene oil to the throat while also swallowing a teaspoon of the oil.
During the 19th century, traveling doctors and salesmen began to sell their famous liniments to people in pain. They claimed that these medicinal remedies, which had a lot of alcohol in them, could cure any problem. So if you had neuralgia, headache, sciatica, a cold, or nausea, they wanted you to spend your hard-earned money on these liniments. Dr. Kennedy's rheumatic liniment was one of the first liniments used by massage practitioners. There was no label of ingredients on these bottles.
Another pre-Civil War liniment that was produced out of Boston was Minard's liniment. It was advertised for use in the hospital, in the home, camp and training quarters. Some other liniments include Pen-O-Lin, Tigerhead Antiseptic Liniment and Mother's Friend. And let's not forget Ben-Gay ointment for sore muscles, which was invented in 1898.
Experts long ago used many mediums that by today's standards we would never think of putting on a client. But it's through their trial and error that has contributed to where we are today.
Click here for previous articles by Judi Calvert, LMP.
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