resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Telecommuting and Technology: Ergonomic and Worker's Comp Considerations
As our world becomes more and more reliant on technology, equipment becomes more dependable and we become increasingly more comfortable with e-mail, the fax machine, the Internet and the smartphone, it is becoming easier and easier to work away from the office.
The Pallof Press for Core Stability Evaluation
Many people become injured because of instability, weakness and poor neural-sequencing patterns in the core. Lack of bracing and support from the inner core cylinder during coronal and transverse movements makes the body vulnerable to compensation injuries.
Peer Points: Stories of Practice Success
When patients go see Arizona-based acupuncturist Jing Liu, it is to get top care from an practitioner well versed in all aspects of Traditional Chinese Medicine.
Repeating Bone-Density Tests
The U.S. Preventive Services Task Force recommends that women older than age 65 undergo bone-density testing. However, organizations in general have not stated when repeat bone-density testing should be done.
Medical Payola (Part 2)
Not only has Medtronic made billions selling expensive screws and hardware for highly controversial spine fusions, but a Senate investigation also found Medtronic felt compelled to write and edit medical journal articles attributed to outside physicians that downplayed the risks of the company's best-selling bone graft, Infuse.
News in Brief
Cancer Treatment Centers of America Continues Support of Chiropractic; ACBOH Announces 2013 Practical, Written Exam Dates; PCORI Approves Funding for Research on Spinal Stenosis; Macquarie University to Cease Offering Chiropractic Program.
Wisconsin Exam in the Spotlight
You've passed your national boards with flying colors, including Part IV, the practical examination, at a combined cost of more than $3,000.
Energy is a hot commodity. Society pays dearly for it and for the expertise of those who know how to cultivate it.
Spinal-Cord Injuries: Saying No to Steroids
With steroids, epidural and otherwise, in the news lately for their overuse when treating back pain (and their danger when tainted by fungal meningitis), it was high time for a policy change, and we've got one, from the Congress of Neurological Surgeons and the American Association of Neurological Surgeons.
Covering Chiropractic as a Profession, Not a Single Service
Recently Dynamic Chiropractic published a front-page article about various state essential health benefits and referred to Oregon and four other states not currently providing chiropractic as a covered benefit.
The Spirits of the Points: The Gall Bladder Official
The Gall Bladder is known as The Official of Decision Making and Judgment. In any given day, this Official makes countless decisions – conscious and unconscious, which influence every aspect of our being.
Calcium Supplements and Mortality
When the National Institutes of Health's AARP Diet and Health Study reported that men who took calcium supplements had a higher risk of dying from cardiovascular disease compared those who didn't, it was the third large cohort in six months with alarming findings regarding calcium supplements.
Herbal Medicine: Go Mainstream
When it comes to practicing herbal medicine in a mainstream setting, there are a number of important points to understand when it comes to prescribing formulas. Some important questions to ask are - what method of prescribing and dispensing is most effective in this setting?
In a previous column, I discussed the history and definition of evidence-based practice (EBP), and expressed concerns with how the concept has been narrowly construed by some academics and payers.
Let's face it – patient evaluation takes time. Unless you are really into the diagnostic evaluation game, you probably have found the formal exam protocol tedious if not downright annoying.
Chiropractic Research: A Moral Issue
This year I've had the opportunity to go to three great chiropractic research conferences; the ACC-RAC, the Fédération Internationale de Chiropratique du Sport (FICS) Congress and the World Federation of Chiropractic Congress.
Exercises for Back Pain: Low-Compression Training Program
This program is intended for two groups of people: 1) those who want to engage in resistance exercises for the major regions of their body without developing back pain in the process; and 2) those who already have back pain and want to do resistance exercises, but consistently re-irritate their back when trying to do so.
History Repeating Itself in Wisconsin?
Thirteen years ago, the Wisconsin Chiropractic Association (WCA) "agreed to settle Federal Trade Commission allegations that [the association] orchestrated a conspiracy among WCA members to increase prices for chiropractic services and to boycott third-party payers to obtain higher reimbursement rates."
You are What You Eat Part II: Integrative Protocols
In the previous installment of this article I discussed important ideas concerning gastrointestinal health and foundational ideas from TCM, which can provide key insights into creating effective protocols for healing the gut.
Helping Infertility Patients with the Spirit Essence
As many of you know, when it comes to treating infertility, we are dealing with a patient population that is, generally speaking, in emotional turmoil. These patients often experience fear, anxiety, despair, hopelessness, grief and anger.
Happenings in Our Evolving Profession
Good things seem to be happening for our profession and recent developments show we are all on board. Talking about being on board, this September The Veterans Express-Purple Heart Tour is expected to make its way out of the station.
Economics of Complementary/Integrative Care
Although this column doesn't usually feature a book review, we're going outside of our usual public health format to discuss a new book written by Patricia Herman ND, PhD.
Helping Patients Through Pregnancy Loss
There is a lot of focus in the acupuncture world on fertility and helping women get pregnant. It's exhilarating to hear the news that a patient is expecting a baby. The other side of that is pregnancy loss. That includes abortion, miscarriage or stillbirth.
Business Building: What's Your Strategy?
I know some in our profession love to debate about whether or not spinal curvatures change as a result of our chiropractic adjustment, but I have a question that hits a little more close to the belt than that: Are chiropractors capable of change?
There Are No Secrets: Treating Complicated Conditions with TCM
Including standardized extra points, there are just over 400 acupuncture points on the body. You get 400 and I get 400 - same. Yet, time and time again treatment protocols are coveted as if they were some secret formula only intended for the right and privileged.
June, 2011, Vol. 11, Issue 06
Are we all on the same playing field?
By James Waslaski
I just returned from attending an incredible seminar sponsored by Performance Health. Manual therapy participants included industry leaders and pioneers from the fields of Chiropractic, Physical Therapy, Occupational Therapy, Athletic Training, and Massage.Many of the participants had multiple certifications, such as chiropractors that also had degrees in physical therapy and personal training That was followed the very next week by teaching a seminar in Drogheda Ireland, just outside Dublin, to an international group of manual therapists.
The awesome thing is that most of the people, from both groups, left their titles and egos aside, to learn and share manual therapy techniques that would benefit all of our patients. Presentations were designed to bridge the gap within the manual therapy profession, for the best interest of every client that walks though our door suffering from a musculoskeletal problem.
So this article has been written to not only help bridge the gap between all manual therapists in the health care system, but bridge the gap and give respect to all advanced disciplines in the massage industry.
This year we are releasing a book with Pearson Publishing to share the work that has positively changed the lives of thousands of patients throughout the world with musculoskeletal pain. Therapeutic work that blends multiple advanced massage therapy modalities, with other manual therapy disciplines. We avoided the word medical massage in the title, because we felt a need to honor other great advanced modalities that have an amazing effect in eliminating complicated medical conditions including: Posturology, Myoskeletal Alignment, Visceral Manipulation, Lymphatic Drainage, Cranial Sacral Therapy, Structural Integration, Anatomy Trains, Myofascial Release, Neuromuscular Therapy, Energetic Therapy, and this list goes on.
We realized that although the term medical massage is one of the biggest buzz words in the massage industry, it is also one of the most controversial words in our industry. Some industry leaders would tell you we are not doing medical massage unless the client we are treating is referred by a physician. That would mean that the majority of the clients that recovered from complicated musculoskeletal medical conditions from my work in the past 20 years did not get medical massage. At least one state has told their therapists they cannot call what they do medical massage unless they are certified in neuromuscular therapy. I love neuromuscular therapy, but there are a whole lot of medical conditions that respond better to other modalities. What good can we do if the medical client has a visceral, lymphatic, and/or cranial problem if we limit our work to just one modality?
So, to respect the many great advanced disciplines in the massage therapy industry, we chose to call our new text book Clinical Massage: A Structural Approach to Pain Management. Throughout, it stresses the importance of combining science, with presence in therapy, intention, and intuition. We also talk about the importance of knowing when to refer certain clients to therapists in other modalities, and to medical practitioners in other disciplines. Since I have received advanced training over the years in many other modalities such as Functional Assessment, Posturology, Myoskeletal Alignment, etc., I realize the importance of blending multiple modalities and multiple disciplines to better treat the wide array of medical conditions we see in our offices and clinics.
I also found out that the more we know, the more we realize we don't know. We need to align with leaders in the manual therapy industry for the best interest of each client. We also need to combine eastern and western philosophies of medicine. Clinically based practitioners need to stop putting down energy healing, just because of their lack of knowledge, or insufficient training in that particular area. There is a lot of scientific proof out there in regard to our negative thoughts and negative energy creating pain, disease, and illness all the way to the level of the DNA.
It really bothers me when I hear a massage therapist say things like "What does the doctor or physical therapist know?" Or that energy work is "woo woo stuff." It is time we all put our egos aside, and work together in the best interest of the clients we serve.
In summary let me share a medical condition we see with our clients. Let's look at a client that presents with thoracic outlet or adhesive capsulitis (frozen shoulder). Is that a neck problem, a shoulder problem, compensation from a true leg length discrepancy problem, or an emotional problem? Will it benefit more from manipulative therapy, posturology, massage, or energy work? What muscle groups are pulling bones onto nerves and blood vessels? Will the client benefit more from a flexibility program or a strengthening program? Should we work on balancing the muscle groups of the neck and shoulder first, or release the fascial adhesions in the joint capsule? What modality or discipline will have the greatest effect on resolving the clinical symptoms? Can the client completely recover if they just get treated with manipulative therapy, and not have the muscles in the neck and shoulder balanced out? Is there an emotional component to this condition that could benefit from energy work?
The training with Performance Health, and the six day training in Ireland, focused on function, form, balance and movement. Assessment and clinical reasoning was important. Blending of disciplines was important. It was also crystal clear that each manual therapist had to teach the client better postural awareness and proper ergonomics. The client needed to get involved in a self care program to help themselves.
I have always encouraged therapists to constantly blend multiple massage modalities and manual therapy disciplines. Even just in the area of Orthopedic Massage, Whitney Lowe and I have decided to blend our uniquely complimentary certification programs in Orthopedic Massage, to raise the bar, and make a Master Level Orthopedic Massage Certification available. It will still be just considered one branch of the medical massage umbrella. It scares me knowing our industry is moving towards an advanced certification in massage. I wonder which advanced manual therapy disciplines will make it into the exam. Maybe we should back up a bit and first come to agreement on what medical massage is?
The time has come that manual therapists need to be on the same page when treating clients with complicated clinical conditions. I believe if we took all the incredible healing modalities in the massage or manual therapy profession and put them in one big toolbox, we would revolutionize medicine.
For now, let’s work together in the manual therapy profession, without turf wars. Stop criticizing other medical practitioners and start sharing the brilliant modalities they got in medical or PT school for the best interest of clients who have been given no hope for pain-free living.
Artwork furnished by Pearson Publishing from the book Clinical Massage Therapy: A Structural Approach to Pain Management.
Click here for more information about James Waslaski.
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