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Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
December, 2011, Vol. 11, Issue 12
The Importance of Sleep
By Sharon Puszko, PhD, LMT
Let's be honest, when was the last time you heard someone say, "I got such a good night's sleep. I feel so energetic and refreshed!"? In my opinion, we should not even need to tell each other we are tired.I believe we have reached the point where being tired is considered normal. When we consider the implications of this fact, we should all be frightened. Missing a couple of hours of sleep here and there throughout the month is nothing to worry about, as long as we make up those hours in the future.
What is happening, and what is cause for alarm, is what researchers call "chronic sleep restriction" or "chronic partial sleep deprivation." These terms refer to people consistently getting less than seven hours of sleep per night, and people suffering from sleep disorders such as sleep apnea or insomnia. The fact that these conditions have become so normal is what makes it hard for people to recognize that sleep may be impacting their lives in a negative way. According to the Institute of Medicine, 50-70 million Americans suffer from a sleep disorder. There also is a relationship between long-term cumulative effects of sleep deprivation and increased risk for hypertension, diabetes, obesity, depression, heart attack and stroke. Especially for practitioners who devote their careers to the wellness of others, it is important to educate yourself on the role sleep plays on your physical and emotional well-being.
Sleep scientists could agree that children might have it right when it comes to the typical response to bedtime: "Why do we have to go to bed? I don't want to go to sleep." The truth is, no one can explain why we need sleep and what exactly sleep does to us. We know that it is necessary for people to function - a human being can go longer without food than it can without sleep - but research has yet to explain exactly what the purpose of sleep is. The field of sleep research is relatively new but even in the short time it has been around it has proven that without sleep, we suffer physically, emotionally and mentally. Some recent studies are shedding new light on what the brain might be doing while we are sleeping. Unlike previous assumptions that sleep is a time for the brain to rest and recover, it appears that the brain is very much active during sleep.
A small group of neuroscientists have been researching the effect of sleep on learning and memory in both animals and humans. Their findings support the theory that sleep plays an important role in helping someone remember new information, from learning new words to mastering a back flip. An article in The New York Times discusses how REM sleep (rapid eye movement), also known as "deep sleep," seems to improve pattern recognition, and the memorization of facts.
On the flip side of this is what scientists are learning about stage two sleep, which usually occurs as people are coming out of deep sleep early in the morning. Dr. Carlyle Smith of Trent University in Canada has found a strong association between improved learning of motor skills and the amount of stage two sleep a person gets. For example, musicians struggling with a particular piece of music performed it better when they were allowed uninterrupted stage two sleep (not waking up earlier than normal). Based on these findings, Dr. Smith believes it is more beneficial to stay up late practicing and sleep in the following morning, when trying to learn motor skills; which, unfortunately, contradicts the training schedule of most sports programs that have athletes rising early to practice.
As massage therapists, this means that when taking continuing education courses or practicing on clients for your licensure exam, you will better remember techniques if you practice in the evening and get a good night's rest the following day, rather than if you were to get up early to start practicing. Likewise, if you have a client who is a musician, designer or athlete that mentions they are struggling with a gross or fine motor skill, sharing this information with them might help them out.
Now that we are beginning to understand the role sleep might play in learning and memory, what can we do about it if we are sleep deprived? I think the first step is to try and get more sleep in your life, whether that is sleeping more at night or adding a nap. I know it is hard with our hectic schedules to guarantee seven to eight hours of sleep a night, but it is truly worth it. Not only will it help your capacity to learn, but it will also diminish your risk for obesity, diabetes, high blood pressure and depression, among other things. It will also improve your technique and give you more energy to see more clients or do something fun during the day. On its website, The National Sleep Foundation has a "white paper" on the ten best things one can do to improve sleep. I have combined and paraphrased these tips for you below. Please feel free to consult the website for all ten tips, as well as any more information you are interested in regarding sleep and sleep disorders. I hope you find this information as useful as I did. Sweet Dreams!
Maintain A Regular Schedule
If you struggle with falling asleep at night or getting up in the morning, one of the most beneficial changes you can make is to wake up at a consistent time every day, regardless of what day it is. Sleeping-in on days off is one of the worst things one can do to help with sleep issues. Our sleep-wake cycle is regulated by a "circadian clock" in our brain and the body's need to balance both sleep time and awake time. A regular waking time in the morning strengthens the circadian function and can help with sleep onset at night.
Create A Sleep-Conducive Environment
One of the most universal indicators for alertness is the presence of light. Adjustments in light have an immediate effect on circadian rhythms, so diminishing the amount of light around you at bedtime naturally induces a more sleepy state. Design your sleep environment to establish the conditions you need for sleep - cool, quiet, dark, comfortable and free of interruptions. Use your bedroom for only sleep and sex. The stimulating effects of TVs and computers in the bedroom hinder sleepiness. Make sure you have a mattress and pillows that are comfortable. If you have a sleeping partner whose sleep needs differ from yours, work together to create an environment that is as conducive as possible to your differing needs. Consider using blackout curtains, eye shades, ear plugs, "white noise," humidifiers, fans and other devices.
Avoid Alcohol, Nicotine, Caffeine And Eating Close To Bedtime
Contrary to popular belief, alcohol actually disrupts your natural sleep patterns. Nicotine and caffeine are both stimulants, which means they make you feel alert. Obviously, this does not help when trying to fall asleep, so refrain from nicotine and caffeine use three to five hours before bedtime. People who are especially sensitive to caffeine can feel the effects for 12 hours after ingesting it, so if you are one of those people, beware of caffeine! Eating and drinking close to bedtime can cause excessive nightime urination, which disrupts sleep. It can also cause heartburn, gas or physical discomfort, so it is best not to eat a substantial amount of food within two hours of going to sleep.
Sharon Puszko is the owner/director/educator for Day-Break Geriatric Massage Institute. She may be contacted at
or through her Web site: www.daybreak-massage.com.
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