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How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
November, 2011, Vol. 11, Issue 11
Body Mechanics: Back to Basics
By Teresa M. Matthews, LMT, CPT
Have you ever played softball or baseball? Have you ever heard a coach tell a young player the proper way to field a ground ball? If the young player does not continue with the fundamentals of fielding a ground ball properly, they might not make it in years to come as a ball player.At first, it might not be easy to get into the right body position, but the player needs to repeat the body mechanics to perform well. We are not much different from that ball player.
Many authors have written massage texts and other books about proper body mechanics for massage therapists. They are our coaches! Getting the basic fundamentals of a proper stance and application of the stroke will allow massage professionals to work smarter, not harder, while avoiding occupational injury, stress and burnout. The term body mechanics is used to describe the optimal alignment of our body for free-flowing movement. Ease and efficiency of movement will protect us from unnecessary stress and pain. Work-related injury is a major reason why bodyworkers drop out of the massage industry. I have seen bodywork professionals develop bad habits in their treatment room over years of practice and find themselves injured or even retiring.
As a general rule, your fingertips or first knuckle should reach the top of the table when your arms are hanging at your sides. If your table is a little short, you want to widen your stance. A bad choice is to bend at the waist and develop low back fatigue. A table that is too tall will cause you to use upper muscle strength. We do not want to muscle our strokes.
When clients ask for more pressure, it is more about the application of the force and using the least amount of physical effort, without poking and jabbing. The joints need to be stacked and stable. Instead of leaning at the waist and reaching forward, let your hips bring your hands through the stroke. I find that being low in your stance allows the stroke to be at the proper angle and the depth applied without muscling it.
What You Can Do
Using your body in the most efficient way might mean that we have to strengthen our legs and core. Having a solid base, our body mechanics will take the stress off our back and arms. Two of the most common stances are the horse stance and the lunge position. Using these stances, the power and balance comes from the legs and core. The horse stance can be strengthened by performing a wall squat. The lunge position can be strengthened by doing, that's right, a lunge. For core strength, I suggest a plank. This is an isometric exercise holding a push up position.
The Position of Your Feet and Head Does Matter
Your feet should face the same direction of force being applied to the body. Low back pain will result if your foot is externally or internally rotated, such that your pelvis rotates. Your head should not drop to look down at your work, as you will experience neck, shoulder and low back tension. If your torso is twisted, you could feel muscle ache, fatigue, shoulder or low back pain. You will also want to keep your shoulders square in your stance to avoid twisting your back.
Keeping a straight back and neutral neck helps you avoid injury. Many therapists bend over a lot during their massages and use their strength to apply pressure to their clients. If you're using good body mechanics, your pressure doesn't come from your strength, it should come from your body weight. If you're bending at the elbows, your strength is coming from the wrong place. Changing old habits can be difficult, but as you improve your body mechanics, you'll notice that you'll feel less fatigue while you work. Using good posture will help you have a long massage career ahead of you.
Appropriate body mechanics must be maintained to provide adequate pressure throughout the massage. A massage professional using proper body mechanics should be able to effectively provide 15-30 massage sessions a week without excessive fatigue or pain. Take appropriate action now so you can have the long career you desire.
Teresa M. Matthews, fitness expert and world champion athlete, has 30 years experience in the fitness industry. She is the president and founder of Health, Wellness & Fitness Professionals, Inc. and is the owner of Arlington School of Massage and Personal Training in Jacksonville, Fla. She is a sports massage instructor for the Florida State Massage Therapy Association and was awarded the FSMTA 2009 Sports Massage Therapist of the Year award. Teresa travels the country teaching self care and wellness classes. Contact her by e-mail at
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