resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
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 previous articles by Rita Woods, LMT.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.