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A Chinese Medicine Story: An Interview with Mazin Al-Khafaji
Mazin Al-Khafaji's work has interested me for years. In February 2014, we invited him for the second time to speak at the Southwest Symposium in Austin, Texas.
9 Common Causes of Thyroid Imbalance and How You Can Help
How you sleep, how easily you wake up, and how much energy and stamina you have during the day are directly related to levels of the thyroid hormones.
CCE Finally Takes a "Baby Step" Toward Reform
During a 16-month period from October 2010 to February 2012, I devoted four separate columns to the heavy-handed attempt by the Council on Chiropractic Education to radically change the chiropractic profession through the accreditation process.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
A Vibrating Capsule for Constipation? Relevance to Your Chiropractic Practice
The relationship between gastrointestinal (GI) complaints and back pain is not typically written about or discussed.
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
Pain Underfoot: Metatarsalgia
Foot pain can interfere significantly with normal activities and severely limit participation in sports. Metatarsalgia is foot pain involving the metatarsal bones in the forefoot – the complaint of pain on the bottom of the ball of the foot.
MPA Media Wins 7 Publishing Awards
MPA Media, publisher of Dynamic Chiropractic and DC Practice Insights, among other titles, has been recognized for editorial and design excellence with an unprecedented seven publishing awards by the American Society of Business Publication Editors (ASBPE), the nation's largest organization for business-to-business publications.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
Waking Up the Gluteus Maximus
In previous articles in this series, we expounded on the importance of the gluteus maximus (GM) in athletic performance and protecting the knee from injury. We also know there is a link between iliotibial band syndrome and GM weakness.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
Chiropractic Research in Review
Chiropractic Treatment of Lateral Epicondylitis; Cost / Benefit Analysis: Different Doses of SMT for Low Back Pain; Imaging for Occult Rib and Costal Cartilage Fractures; Treating Neck Pain: Thoracic Thrust Manipulation vs. Non-Thrust Mobilization.
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
Don't Turn a 2 Into a 10
The Wong-Baker FACES Pain Rating Scale1 is so useful because it can be used by almost anyone. Patients can use the numbers associated with the faces depicted on the scale or select the face that demonstrates their current level of pain from 0-10.
News in Brief
National Chiropractic Health Month: Be Proactive; Collegiate Roundup: Academic Appointments at Parker, Logan.
Why Young People Need Chiropractic Now More Than Ever
According to a recent study published in BMC Musculoskeletal Disorders, "It is now widely acknowledged that neck pain (NP), mid back pain (MBP), and low back pain (LBP) (spinal pain) start early in life and that the lifetime prevalence increases rapidly during adolescence to reach adult levels at the age of 18."
January, 2012, Vol. 12, Issue 01
Massage Therapy Reduces Pain for Patients in a Postoperative Thoracic Surgery Care Setting
By Massage Therapy Foundation Contributor
What's new in research? We at the Massage Therapy Foundation always want to know! This month's review sponsored by the Foundation is an informative study examining the efficacy and feasibility of using massage therapy within a postoperative thoracic surgery setting at Mayo Clinic in Rochester, Minnesota.
General thoracic surgery is provided to patients for a spectrum of diseases and conditions, "varying from malignancies of the lungs, esophagus, mediastinum, and chest wall to benign conditions of these same anatomical areas. The surgical procedures encompass either resection-type procedures, such as pulmonary lobectomy or esophagectomy, or reconstructive operations, such as bronchoplasty or antireflux procedures." Patients face considerable challenges with pain and discomfort after undergoing thoracic surgery. This pain is often long-term if it is not managed effectively in the postoperative stage.
Massage therapy has gained support as an effective intervention to improve patient experiences during hospitalization, particularly for pain reduction. While previous studies have identified benefits of massage, none have evaluated its use in reducing pain for thoracic surgery patients. According to Bauer and his colleagues, certain medical strategies have been developed to reduce pain and discomfort for patients undergoing thoracic surgery, however, many patients still suffer from pain and discomfort in the postoperative setting. These authors hypothesized that the patients who received massage therapy would benefit by having their post-surgical pain and discomfort managed. To test this hypothesis, they evaluated patients' reports of pain before and after massage treatments received in a thoracic surgery practice.
Bauer and colleagues used a descriptive pre-post measure evaluation design with a standard numeric pain rating scale. Patients who received massage reported pain scores on a scale of zero to 10; zero being no pain, and 10 being the worst possible pain. These scores were recorded before and after massage and throughout recovery. Descriptive comments provided by patients and staff also were recorded and analyzed.
Two massage therapists provided treatments. Each massage included 20 minutes of hands-on massage on the areas requested by the patient, typically the back, neck and shoulders, and sometimes the hands and feet. Patients were positioned to comfort; positioning depended on patient's comfort level and mobility. Therapists did not massage near surgical wounds. The two therapists in the study used several techniques and modalities including Swedish massage, craniosacral therapy, myofascial release, reflexology and diaphragmatic breathing. Depth and pressure of massage was light to moderate.
This study included a sample of 194 patients, with 160 completing the study. Patient characteristics were similar among the patients who provided responses, with an average age of 61 years and an equal number of males and females. Most patients received one individualized massage during their hospital stay (mean 1.2 massages), but 19 patients had two massages, and eight patients received three massages.
Study findings suggest "patients receiving massage therapy had significantly decreased pain scores after massage (p <= .001), and patients' comments were very favorable. Patients and staff were highly satisfied with having massage therapy available, and no major barriers to implementing massage therapy were identified." Only one patient out of the 160 receiving the massage reported a subjective negative experience. Patient responses after receiving a massage included: "I feel I can breathe again;" "That was wonderful, I can move my neck;" and "Before massage treatment pain was radiating, after treatment pain has completely stopped radiating." Staff comments related to massage therapy included: "The patients love it! They want another one;" "Once they try a massage they can't believe the difference. The pain is still there but they feel they can work with it;" and "Massage calms them."
The compelling findings of this pilot study indicate massage therapy is an effective intervention for helping patients deal with pain. Bauer and colleagues provide both subjective descriptions and objective measures of the benefits of massage therapy for thoracic surgical patients for pain management. Pain scores improved, and patient and staff comments were positive. Further, this study demonstrated the feasibility of integrating massage therapy into a high-volume thoracic surgical practice. Authors suggest, "Massage therapy in the hospital setting needs to be focused on individual patient symptoms, and then the therapy is individualized based on these symptoms, medical status, and positioning tolerance." Bauer and colleagues also suggest their findings warrant further research, particularly to determine optimal frequency, duration, and timing of treatment.
So, what do these findings mean for the massage profession and massage therapists? Postoperative massage therapy might have a significant role in pain management and the healing experience for patients recovering from thoracic surgery. Further, massage treatments can be integrated into hospital settings to facilitate pain symptom management. This research, and the growing knowledge base about the use of massage therapy in the clinical setting, is steadily growing. This work and others like it, published in the International Journal of Therapeutic Massage and Bodywork provide excellent references for the evidence-based practice of massage therapy in clinical and non-clinical settings.
Original research study source: www.ijtmb.org/index.php/ijtmb/article/view/100/168.
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