resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
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.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.