resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
Specialized Pro-Resolving Mediators: 21st Century Inflammation Fighters
Specialized pro-resolving mediators, or SPMs, are a portion of the omega-3 fatty-acid spectrum that have been shown to have a powerful effect on reducing inflammation.
Identify & Adjust the Apex Posterior Sacrum
Low back pain involving an apex posterior sacrum (+θX-axis misalignment) typically presents with signs of lumbosacral joint impingement or facet syndrome.
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.
An Alarming Lack of Accountability
Accountability seems to be a lost quality today. The simple act of taking responsibility and doing the right thing just doesn't happen as often as it should. Maybe it is the litigious nature of our society.
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.
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.
Let's Streamline Your Front Desk
Your front office can be your greatest source of efficiency or a constant bottleneck. Increasing the productivity of this area without sacrificing the quality of patient interaction can be a little tricky.
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?
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.
F4CP Launches New Social Media Campaign
The Foundation for Chiropractic Progress has launched a new service to help member doctors: a social media campaign called "Accelerator."
Excited to Share the Science of Chiropractic: An Interview With Dr. Heidi Haavik
Dr. Heidi Haavik has become known in the circle of chiropractic researchers as not only a rising star, but also one willing to do research that can have a major impact in the scientific world and how chiropractic is perceived.
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.
Day in the Life of an Advanced-Practice DC
Can you tell us a little about your background in the profession? Why did you want to become a DC? I studied at Boston University from 1968-1972 as a pre-med student majoring in biology.
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.
Misconceptions & Opportunities With Medicare
As I speak around the country on how to properly document Medicare patient encounters, I get questions regarding opting out of Medicare. There are many misconceptions about opting out of Medicare, including just what it means to opt out.
Designing a Fitness Plan (Part 4): Blending Pain Relief With Healthy Aging
Pain relief is still the No. 1 reason patients come to my office. However, most of my patients have other goals as well, such as: "I want to lose 10 to 20 pounds"; "I feel old and want to slow down the aging process"; "My doctor says I am becoming a diabetic and need to exercise"; or "I'm tired and want more energy."
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.
News in Brief
Northwestern Student Honored for Addressing Concussions Head-On; Northwestern Announces New CFO; Life U. to Provide Unique Opportunity.
How Many of Your Patients Have Sarcopenia?
Figure 1 demonstrates the typical appearance of sarcopenia in the paravertebral muscles. Have you considered evaluating your patients for this problem? Sarcopenia is the progressive loss of skeletal muscle mass and function that affects the older population.
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.
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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