resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
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
with questions or comments.
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.