resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. 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.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
August, 2011, Vol. 11, Issue 08
Pediatric Massage Makes a Difference
By Tina Allen, LMT, CPMMT, CPMT, CIMT
When I began my massage career, one of the first populations I started working with were those affected by HIV/AIDS. A majority of my clients were infected adults, but there were children, too; babies born with HIV/AIDS and others infected in a variety of ways.It was always an amazing opportunity to provide nurturing touch for a young child, but it became so much more when you realized that the child was not receiving this care outside of their home because people were scared to touch them.
One of my special experiences was having the opportunity to work with Cristina. Unknowingly, during the early 1980s, the HIV virus was passed from Cristina's father to her mother. Soon after, her mother became pregnant. Her father learned he had full-blown AIDS and only months to live when Cristina was just two years old. A round of tests revealed her mother also harbored the deadly virus, and that her new baby had been born positive as well.
Days before her third birthday, Cristina's father succumbed to the virus. AIDS still carried a deeply negative connotation, and talking about it was taboo. Her mom was advised to blame her father's death on a heart attack &mdash and keep their new reality hidden. Cristina remained unaware of her HIV diagnosis until she was nine years old. Her mom believed she was too young to understand and wanted her to just be a kid. It didn't take long for Cristina to notice something was different. She was always visiting doctors, taking more and more medications and her mom was deeply overprotective. One day she blurted out, "What's wrong with me?" That's when Cristina learned of their fate and took hold of a secret life.
After learning the truth, she riddled her doctors with questions, theories and proposals. She became involved with one of the first Los Angeles pediatric AIDS support groups, where she not only learned about friendship and love but also loss and death. Over half of the young "group" members eventually lost their battles with HIV. Living in a world hardened by negative stigma and fear, they chose to remain undisclosed to the majority of friends and family, creating a double life. As just one of 20 babies to be identified with HIV in the Los Angeles area, she was battered by enormous amounts of medical observation, testing and treatment. However, while this kept her alive, it failed to provide what Cristina needed to heal.
Untouchable. This is one of the first words that haunt infants and children affected by HIV/AIDS. In today's day and age, this seems unfathomable, especially when their life is complicated by such a diagnosis that cuddling and nurturing seem so appropriate. For children with HIV/AIDS, a lot of the touch they experience is medically administered pokes and prods. Necessary, possibly, but wouldn't a hug do some good, too? Unfortunately, for many infants and children living with AIDS, they also live with a stigma that hands-off becomes a part of their day-to-day life experience. Misconception and confusion surrounds the diagnosis. Many still believe you can contract AIDS via touch – you cannot.
The stigma surrounding the diagnosis itself can impart many negative effects on the mind and body. Unfortunately, one of the first reactions of friends and family to a diagnosis of HIV is a reluctance to touch the person. People living with this disease are often viewed by some as "untouchable" members of society, furthering feelings of isolation and depression.
When you read the statistics, it is even more appalling to consider children are not receiving touch simply due to their diagnosis. According to 2009 statistics, the World Health Organization (WHO) believes there are approximately 2.5 million children worldwide living with HIV/AIDS.
Receiving massage and nurturing touch may not only provide many physical benefits, but due to the stigma associated with the diagnosis, many great psychological benefits to a child as well. Pediatric massage can often improve their quality of life, ease anxiety and tension, increase ability to sleep more soundly and increase the production of hormones which improve their mood.
In one study published in the International Journal of Neuroscience, HIV-positive adolescents who received massage therapy felt less anxious, less depressed and demonstrated enhanced immune function. In addition, the HIV disease progression markers CD4/CD8 ratio and CD4 number increased for the massage group.
Massage has also been shown to increase white blood cells, decrease stress hormones (Cortisol), activate natural killer cells and decrease body discomforts including muscle spasms, cramps, edema and inflammation.
For babies born to mothers who are HIV-positive, the evidence has demonstrated that massaged babies showed superior performance on almost every Brazelton newborn marker on the Neonatal Behavioral Assessment Scale (NBAS) and had a greater daily weight gain. This was quite a contrast compared to the control group who actually showed a decline in their performance.
I spoke to Cristina about writing this story, and was touched that not only would she allow me to share her story, but she also wished to contribute in her own words what massage meant to her. I feel honored to have had the opportunity to know Cristina and her family, share intimate moments and keep her secret safe.
Tina Allen (founder, Liddle Kidz Foundation) and her healing touch came into my life at a time when I needed it the most. In 1986, during the height of the AIDS scare, my family learned we were HIV positive. At the time, my mom and I were one of the early mother-to-child HIV cases in Los Angeles County. After the death of my dad to AIDS in 1987, doctors and specialists gave my mom and I an optimistic 2 years to live. Fortunately, with the introduction of anti-retroviral medication and aggressive medical treatment paired with a strong desire to prevail and enjoy life &mdash my mom and I found ourselves celebrating each new birthday year.
And while I had "made-it" to high school, I struggled with the emotional burden of balancing a double life. Fearful of prejudice and being ostracized in our community, my mom and I selected to only disclose our HIV status to our immediate family and closest friends. And so, I grew up with a "secret"&mdash a secret that was too costly to share with my peers.
Tina entered our lives with empathy and understanding, at a time when my mom and I felt enormous anxiety and anguish. As a volunteer massage therapist, she provided me with a one-hour massage every week. She quickly became a stationary figure in my life; Tina was someone to turn to when I wasn't feeling well, someone to trust with our story, someone who cared and listened, and someone who always offered a healing touch.
My weekly massages with her gave me a chance to let all the weight and gravity of the disease &mdash our secret, our mortality, our health &mdash melt away. Lying on the massage table soothed by the warm, tender touch, I was finally able to relax &mdash finally able to be at peace. I looked forward to each and every session &mdash always so grateful to have my mind and body mended.
So often I would fall fast asleep or find myself in a mellow, yet almost energized coziness directly after each massage. I felt rejuvenated and restored to take on tomorrow's hardships. Having a massage always made me feel healthier and stronger. In fact, during this phase in my life, my body began to improve physically. My CD4-T cells were increasing, my weight was stable and I was sick less often. I finally felt and looked good.
More importantly, Tina was a friend and a mentor. We talked about my worries and fears, or the challenges I was facing at school. She listened to the stories about my friends who had fallen ill to the disease and were no longer here. And she always offered a supportive smile every time I talked about my dreams and the future. Of course, one of the biggest stresses came at 16 years old. Fearful of dating and having to deal with disclosing my HIV status, I opted to remain a wallflower at school. However, I failed to factor in a boy named Chris.
When everything was uncertain, I knew I could trust in my massage time to allow me time to think and breath. This hour provided me some clarity as I deliberated what to say to Chris and when to say it. A few months into our relationship I finally worked up the courage to disclose my status to Chris &mdash nine years later, he is still by my side and remains HIV negative.
I know first-hand how powerful and healing the touch of massage truly is. Tina's warm and soothing touch, paired with her compassionate and addictive energy offered a holistic approach to health that only enriched and complemented my medical treatment. Without this, I question how "healthy" in mind, body and soul I would truly be.
It's likely I would probably be here as a result of the medications and treatment, but I credit being happy and at peace, feeling strong and able to massage. Pediatric massage nurtures the body, mind, and soul and gives children regardless of circumstance the golden opportunity to relax and connect with their body.
Today, Cristina is a vibrant young woman who is taking on the world. Since she was 10 years old, she has been providing advocacy support to many HIV/AIDS organizations throughout the United States. Currently she is an ambassador to the Elizabeth Glaser Pediatrics HIV/AIDS Foundation and just returned from speaking at the White House for the Women & Girls HIV/AIDS National Conference. She and Chris are happy, healthy and loving life.
It is important to remember a diagnosis is a diagnosis and doesn't define the person. Especially, when it comes to a diagnosis that causes such a "hands-off" stigma, pediatric massage therapy may be just the nurturing care that a child with AIDS needs to improve their body, mind and spirit.
As Cristina says, "Massage helped me find my bearings and remember my dreams!"
Click here for more information about Tina Allen, LMT, CPMMT, CPMT, CIMT.
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