resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Immunizations by Colorado DCs: Really?
You probably didn't hear about it, but back on Nov. 21, 2013, the Board of Directors of the Colorado Chiropractic Association (CCA) adopted "immunization authority" for Colorado DCs as its No. 2 legislative goal.
By the Numbers: 3 Common Financial Mistakes With Major Consequences
Warren Buffett is on record for sharing the hidden art of becoming wealthy and making it simple enough for anyone to grasp.
Why You Should Include the Single-Leg Stance Test in Every Patient Assessment
The single-leg stance (SLS) test, also known as the single-limb stance test, unipedal stance test or one-legged stance / balance test, is often used in the geriatric population to assess static postural and balance control.
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.
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 History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
Remembering Clarence Gonstead and 50 Years of the Gonstead Clinic
Dr. Clarence Selmer Gonstead (1898-1978) took chiropractic practice from back-alley bone setting to an understandable biomechanical science. His life was dedicated to clinical competency.
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.
Fibromyalgia: Put the Pain in Its Place
While some fibromyalgia patients respond favorably to regular chiropractic care, others experience minimal relief. Unfortunately, many of these patients must rely on pharmacological management to relieve their constant pain.
Physical Exam 101: The Hands
I am sure you are familiar with the old adage: "When the only tool in your toolbox is a hammer, everything starts to look like a nail."
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!
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.
The Science of Stretching
In 1986, Rob DeCastella set a course record by running the Boston Marathon in 2:07:51, just 39 seconds off the world record.
Knee Pain From the Kinetic Chain
As practitioners of manual medicine, chiropractors often treat patients suffering from knee pain.
Curbing Label Overwhelm
For the average consumer, reading a food package can be overwhelming: natural, organic, non-GMO, gluten free, free range ... you get the picture.
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.
Vaccines and Chiropractic: Evidence-Based Medicine or Medical Dogma?
Right or wrong, the chiropractic profession has historically been against vaccinations. However, a growing trend within the profession is seeking to reverse this position.
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.
Coding for the Subluxation: ICD-9 vs. ICD-10
When I attended chiropractic school, I was taught that chiropractors approach health care differently than the traditional medical establishment.
February, 2012, Vol. 12, Issue 02
Giving a Big Thumbs Up for Healthy Thumbs
By Judith DeLany, LMT
The thumb is one of the most practical and necessary implements of the body. It is the first self-comforting tool to be used, often seen thrust into the mouth of a fetus in the womb. Throughout life, the thumb is constantly used without conscious thought, making it easy to forget just how vital the thumb is in daily life. That is, until it is injured.
Imagine holding a glass of water without a thumb, or pulling up your pants, writing with a pencil or using a paintbrush. Although those who are thumb-challenged can usually improvise, one can readily experience the difficulties by simply duct-taping the thumbs to the palms for a day.
The thumb pad is richly endowed with sensory receptors and is associated with more brain receptors for receiving information than most other body parts. This makes the thumb a particularly useful palpation tool. While articles abound excluding the use of the thumb in massage, this article offers insights as to how to protect the thumb in order to use it for a lifetime.
Anatomy of the Thumb
The osteo-articular column of the thumb is comprised of five bones – scaphoid, trapezium, first metacarpal and two phalanges. The four joints within the column allow for flexion–extension, abduction–adduction, rotation and circumduction of the thumb. Only a ball and socket joint offers more range than the saddle joint of the thumb, which permits angular motion in almost any plane. Because the thumb is attached more proximally than the fingers, it also offers the hand an inherent architectural advantage, particularly in grasping, opposition and apposition.
In contrast to its profound mobility, the thumb can also be used as a solid structure for compression of myofascial tissues. As a solo instrument, the columnar thumb can statically compress muscle fibers into underlying tissues. In conjunction with the other digits (particularly the index and ring fingers), it can be used to grasp the tissues and to apply pincer compression (like a C-clamp), flat compression (like a clothes pin) and manipulation (the international hand signal for money). Each of these techniques offers ample opportunity to assess the tissues and also a standing opportunity for injury, repetitive strain and subsequent dysfunction of the thumb joints.
While the thumb is undoubtedly a useful tool in massage therapy, it can be misused and abused by poor mechanical habits. Gliding strokes applied with thumbs placed side-by-side (ulnar surfaces touching) project pressure through the osteo-articular column and onto the joint surfaces in a manner that is protective of the ligaments. However, gliding strokes applied with the thumbs touching tip-to-tip produce valgus forces on the thumb joints and can lead to a slow, insidious stretching of the thumb's ulnar ligaments.
Skier's thumb (also known as gamekeeper's thumb) develops due to a sprain or strain of the (usually strong) ulnar collateral ligament of the metacarpophalangeal joint. This may result in instability and weakness of the thumb, painful joints and, ultimately, arthritis and joint deterioration. This type of injury can happen abruptly, such as when falling onto the outstretched hand (particularly if gripping something, like a ski pole), or it can occur over time due to chronic repetitive stretching of the ligament, as occurs with poor biomechanics when performing massage.
Following an abrupt injury, the thumb may swell and be bruised, however, sometimes pain may not occur until a day or two later, or even over a period of weeks. When ligaments are torn, surgical repair may be necessary or treatment might consist of splinting or casting and rest. Exercises might be required to regain range of motion, although it may take weeks or even months for complete range and strength to be restored. This type of injury is usually more tangible than the similar results that occur with a repetitive overstretching of the ligaments through poor habits of use. Nevertheless, their outcomes may be similar, with painful loss of function being the ultimate consequence.
Besides sprains associated with falls and poor thumb mechanics, thumb dysfunction can also stem from hitting with clenched fist, bowling (which can also produce neural damage to the digital nerve from the edge of the hole of the ball) and chronic strains associated with excessive use when texting and playing video games. The following tips may be useful in preventing injury.
Judith DeLany serves as director of NMT Center, writes textbooks for Elsevier Health Sciences, and lectures internationally in the field of neuromuscular therapy. For more information regarding her work, visit www.nmtcenter.com or call toll-free at (866) 571-7942.
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