resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
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.
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.
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.
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.
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.
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.
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.
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
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?
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.
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 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.
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.
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.
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.
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.
January, 2012, Vol. 12, Issue 01
Freeing the Heart
By Dale G. Alexander, LMT, MA, PhD
The central question is, what can we do as massage therapists to stem the tide of cardiovascular disease? Heart disease is a progression that expresses itself in many forms, lowering the quality of life for millions and is the cause of death for a citizen in this country every 60 seconds.1
My premise and clinical experience suggests that we can literally create more space for the heart within the thorax. This is achieved by increasing the suppleness and length of the soft tissues both within the chest and those of the outer wall, enhancing the mobility of the thoracic joints, and by reducing the pressure within the cavity itself.
The heart expands and contracts to send blood out over approximately 60,000 miles of vessels.2 By creating more room for the heart to expand, potentiates its capacity for gathering together and pushing more blood. The quantity of blood and the strength of the push during the contraction phase are both assisted by reducing the resistance to the heart's expansion phase. Something this simple can make a significant contribution.
Our touch, when guided by intention, perception and knowledge can truly make a difference.
In the book, The China Study, the author cites a study of autopsies done during the Korean War that identified that all of the 22-year-old young men in the study showed the beginning signs of moderate to severe heart disease.3 A rather chilling reference for us to consider that the progression of heart disease actually can begin this young. Yet, it offers us an anchor point in our awareness that most of our clients would benefit from our attention to "freeing the heart."
Let's begin with a method for quickly assessing the tension and pressure of the chest.
With your next 10 clients:
With each palpation, memorize the quality of the resistance to your palpations. The reason for assessing 10 people is to develop a continuum for your kinesthetic memory. It's a random sampling. You might want to do this same thing with an infant, a child, a teen, various adults and, people in your life that are over 60 years old to further develop your kinesthetic awareness to establish a continuum of what healthy distensibility of the thorax feels like.
It's been my repeated experience that resistance to compression, pliability, and distensibility, just beneath the breast area between ribs 5 and 6, is the most significant tip-off that the heart is unable to expand to its fullest capacity. This becomes even more significant if either side of the diaphragm muscle resists lateral excursion.
As our profession has so many different technique orientations, my intention in this series will be to outline the most critical perceptual, kinesthetic and anatomical reference points that my clinical experience has demonstrated to be effective in "freeing the heart."
One of my galvanizing experiences that prompts me to write this series is the feedback from a client in his 80's that his cardiologist had "never seen a left ventricle" that had been enlarged for 30 years shrink back to its normal size. The client has been seeing me on a regular basis since his mid-70's. None of us can promise or even assert with confidence that such functional changes will happen, but my clinical experience suggests it is possible.
Click here for more information about Dale G. Alexander, LMT, MA, PhD.
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