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Functional Impingement of the Hip (Part 2): Rehab Exercises
I find functionally impinged hips that don't move properly on so many of my patients. (See part 1 of this article for a description of the condition.)
PCOM Granted Regional Accreditation
Pacific College of Oriental Medicine (PCOM) recently announce it has received regional accreditation from the Western Association of Schools and Colleges (WASC). This achievement reflects five years of hard work on the part of faculty, staff, and students.
The Tide is Rising in the Acupuncture Profession
Former President Ronald Regan said, "When the tide rises all boats float." The tide is rising for the acupuncture profession. Many forces outside the profession are helping the tides to rise.
5 Simple Steps to Create an Effective Marketing Calendar
In the educational experience of most healthcare practitioners, business and marketing are overlooked topics.
If Your Pro-Chiropractic Governor Resigned, Would You Be Prepared?
John Kitzhaber, MD, recently re-elected to a historic fourth term as Oregon governor, has resigned among alleged ethics violations by his fiancée' and first lady, Cylvia Hayes. I developed a personal friendship with John and consider him a good friend.
Make Every Day Mother's Day
May is a special month for many reasons. After a long, harsh winter, spring is at last in full swing. Memorial Day helps us honor those who have fought and fallen in the name of freedom.
Trouble in the Wellness Waters?
Call me old-fashioned, paranoid or just old, but I do remember graduating from chiropractic college in the late '70s in the midst of the Wilk v AMA lawsuit.
Talking to Patients About Medial Branch Neurotomy (Part 2)
Even when lumbar facet denervation (medial branch neurotomy) is successful, relief is rarely complete or permanent. Smuck, et al., reviewed 16 articles and found the average duration of >50 percent pain relief for an initial procedure was nine months.
5 Tips for Using Pinterest to Market Your Practice
Pinterest is a very popular, but often under-utilized, social media platform where people can bookmark, or "pin," fun and interesting things from all across the internet.
Medicine is Clumsy, Don't You Be
All medical systems have clumsiness in them. If the technique isn't, the practitioner is. Everyone in every form of medicine is striving to improve. That is why we call it practice.
News in Brief
Dr. Frank Nicchi Receives Award at ACC-RAC; Sherman College Expands International Influence.
The Challenges of Integrating Eastern and Western Medicine
My Masters thesis was titled, "The Challenges of Integrating Eastern and Western Medicine," which highlighted several reasons why it is hard for these two worlds to mix.
How Much Do You Know About the Benefits of Birds Nest?
Edible bird's nest is the nest made by the Swiftlet bird of Southeast Asia that is usually prepared as a soup and prized in Chinese culture as a healthful delicacy.
Marijuana, Apathy and Chinese Medicine, Part 1
This article was written in response to the unheeded acceptance of marijuana as a harmless substance that potentially does good when used for the medical relief of pain.
Integrating Art with Clinical Practice for Patients with PTSD: The Artemis Project
Are you restricted by those one-on-one clinic dynamics? Why not join colleagues and clients in experimental group settings? Three of us volunteered to do just that in Austin on behalf of women veteranss from all branches of the service.
Animal Acupuncture: A Case Study in the Treatment of Traumatic Injury in the Equine
The rise of animal acupuncture in the U.S. began in the early 1970's as a result of the work by members of the National Acupuncture Association in Westwood, Calif.
Applauding a Legacy of Leadership
Founding Palmer West President, John Miller, DC, HCD (Hon.), FICA (Hon.), a 1954 graduate of Palmer College of Chiropractic, passed away March 8, 2015 at age 83.
The Acupuncturist's Problem
I want share with you some observations and insights into what seems to be the most common problem my colleagues in the acupuncture profession struggles with. If you also struggle with this problem, I hope you get a valuable "aha" moment from reading this.
Teach Your Patients About External Healing Applications
Since the skin is the body's largest organ, and is able to respond to both internal and external stimulations, communicate sensations to the brain, protect the body, breathe and even excrete toxins, it can be an excellent source of healing.
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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