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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.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
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.
Knee Pain From the Kinetic Chain
As practitioners of manual medicine, chiropractors often treat patients suffering from knee pain.
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!
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."
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.
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.
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.
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.
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.
Are You a Bad Chiropractic Patient?
My father was a great DC. In fact, as you might expect, he was the doctor of chiropractic I measured all other doctors against. Sadly, he died at age 61 when I was in my early 30s.
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.
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.
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.
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.
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.
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.
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.
February, 2012, Vol. 12, Issue 02
A Massage Protocol for Peripheral Neuropathy
By Rita Woods, LMT
My last article in the October 2011 issue focused on diabetic peripheral neuropathy and I want to stress the importance of reviewing that information before proceeding on to this protocol. This protocol is only successful when you have full client participation and when you understand the clinical significance and importance of this potentially devastating condition.
Under treating or failing to engage the client in their own treatment can render this protocol useless. This is a protocol that requires 100% participation and commitment from the therapist and client.
While my focus has been on diabetic peripheral neuropathy, is important to note that this protocol also works for chemotherapy-induced peripheral neuropathy (CIPN). Some chemotherapy agents cause peripheral neuropathy that is so disturbing and painful to the patient that they consider stopping their chemotherapy treatment. Because that is not a viable option, oncologists will sometimes adapt the chemotherapy treatment in hopes of lessening or preventing the neuropathy.
Let's revisit some pathophysiology of peripheral neuropathy as stated in my first article, "distal circulation is compromised and the blood vessels themselves become occluded beginning with the small capillaries. Unable to supply the surrounding tissue and nerves with nutrients and oxygen the resulting oxidative debt ... causes nerves to malfunction sending signals to the brain of pain, tingling, burning and numbness." And now let's recall one of the chief benefits of massage: increased circulation.
This peripheral neuropathy massage protocol can be painful to the client so care must be taken to work to the client's tolerance in each session. That being said, however, it's important to bear in mind that the ultimate goal is to gradually increase pressure so that eventually you are working tissue "to the bone." Naturally, this is a process. It may be that in the first few sessions all you can do is touch their feet. Remember, you're looking at a long-term relationship with the client so don't rush as the process can take months, depending on the severity of the neuropathy and the cooperation of your client.
Daily, detailed self-care is essential in order to improve or reverse the tissue damaged caused by peripheral neuropathy. The suggested client homework is as follows: Spend 15 minutes each day on each foot. Lightly massage both feet as deeply as you can without causing pain.
Perform full range of motion exercises at your ankles. A fun way to do this is to "write out" the alphabet using your ankle joints and toes. Grasp each toe at the tip in massage and squeeze as deeply as you can without causing pain. Work the entire toe from the tip to the base on both feet.
Deeply stroke the skin of both feet moving in an upward direction toward your knee. Next squeeze and massage all of the tissue of your feet starting between the toes, include the front and back surfaces of your feet. Squeeze, press and massage the entire foot as deeply as you can without causing pain.
Stroke the skin of both feet from your toes to your knees once again moving in the direction towards the knees. Massage the calves then repeat the range of motion exercises at your ankles.
Whenever possible, throughout the day, take off your shoes and rub your feet on the floor, bend and wiggle your toes, roll a tennis ball under the sole of your bare feet, perform your range of motion exercises and massage her feet deeply.
Sixty-minute massage therapy sessions should be performed by a massage therapist once a week for the duration of the symptoms along with the client "homework" outlined above. Remember that infrequent, non-detailed therapy is ineffective and the main goal is consistent, daily, deep work.
For therapists who are also reflexologists, this protocol can be a nice addition to your service. For anyone interested in learning a detailed reflexology protocol that lends itself well to this peripheral neuropathy work, contact me about for more information. You'll find that combining these two therapies is a formula for success.
Editor's Note: For additional information, see Step-By-Step Massage Therapy Protocols for Common Conditions by Charlotte Michael Versagi with contributions by Rita D. Woods. Published by Lippincott Williams & Wilkins, 2011. To find this book and more on medical protocols, visit www.darienlourde.com.
Click here for more information about Rita Woods, LMT.
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