resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
February, 2012, Vol. 12, Issue 02
Freeing the Heart, Part 2: Equalizing the Pressure
By Dale G. Alexander, LMT, MA, PhD
Cardiovascular disease does not happen overnight. It is a progression that evolves over decades and genetic pre-disposition can accelerate this progression dramatically. That is why we read of so many people in the obituary column dying between the ages of 45 and 65 which is the prime demographic age range of so many of our clients.What is rarely considered is how these progressions toward cardiovascular disease figure into chronic somatic profiles that clients present to us every day and can dramatically affect their quality of life.
Two core principles of the Inside-Out Paradigm assert that the body's two imperatives are to allocate resources (oxygen and nutrition) as equitably as possible to all body tissues and to distribute the strains of physical and emotional stresses across as broad an area as possible. The allocation function is carried out by the blood vessels while the body's intricate reflex arc system governs the distribution of strain thesis. It is my premise that all forms of therapeutic massage and bodywork can positively influence these dynamic relationships.
The names that are given to cardiovascular problems are many and varied. The basic categories concern the heart itself and blood vessels. These terms include: heart attack, stroke, angina pectoris, atherosclerosis, arteriosclerosis and high blood pressure; all pathological progressions are labeled as diseases. I will explore other heart progressions that relate to disruptions in its electric rhythmic activity, infections and congenital pre-dispositions in a separate article.1
In order to de-mystify some of these terms, let's review the contrasting definitions of arteriosclerosis and atherosclerosis since even pronouncing them tangles my tongue. According to the Mayo Clinic, healthy arteries are flexible, strong and elastic. Over time, however, too much pressure in your arteries can make the walls thick and stiff and sometimes restricting blood flow to your organs and tissues. This process is called arteriosclerosis, or hardening of the arteries. Atherosclerosis is a specific type of arteriosclerosis. Atherosclerosis refers to the buildup of fats in and on your artery walls (plaques), which can restrict blood flow. These plaques can also burst, causing a blood clot which can either affect your heart causing a heart attack or, if it reaches the brain, may provoke a stroke.1
Functionally then, the term that I propose which makes the most sense to our orientation as massage therapists is "endothelial health."2 This relates to understanding what happens along the internal walls of arteries as a result of increased pressure and the accumulation of calcium and fatty deposits along their inner vascular tubes. Constant high blood pressure hardens and stiffens the arterial walls and makes them more likely to sluff off plaques. Again, it's a progression of deterioration. Pressure is like the Goldilocks fable... too hard, then, too soft, and finally, ah, just right! Instead of seeing pressure as the enemy, let's resolve to learn how we might assist the body to equalize its internal pressure(s) "between" the body's three great cavities and "within its 60,000 miles of blood vessels."3
In 1987, Dr. Jean Pierre Barral DO, inspired my understanding that the pressure within the thoracic cage needs to be "less" than the pressure of the cranial cavity and within the abdominal-pelvic cavity in order for circulation to maintain a normal homeostatic flow of fluids back to the heart.4 With this perspective, our goal as massage therapists is to increase the pliability of the chest wall, especially around the space of the heart, and to also ease the tensions throughout the thoracic cavity. Let's add two steps to the proposed screening protocol from my last article. First, lift the client's head, memorize its weight. Next, palpate the tension of the abdominal wall.
At the end of any bodywork session, not only do we want the chest to become more distensible, we would also like the head to weigh less and the tension of the abdominal wall to ease. All three markers are reliable indicators in my clinical experience that the pressure between the cavities has equalized to some degree.
Let's review one "inside-out" technique that can jump-start the easing of thoracic pressure. Its effectiveness relies on the loosely organized areolar connective tissue along the posterior margin of the diaphragm muscle. Standing on the right side of your supine client, posteriorly contact the opposite side of the spinous processes, beginning at C7, with your upper hand and placing the palm of your lower hand just below the anterior costal arch. Softly anchor C7 with finger tips in contact with the opposite side of the vertebra then stretch the abdominal tissue inferior and medial toward the belly button. Feel for the connectedness between your hands. Your intention is to stretch the internal tissues within the chest so that at the interface of the diaphragm, the downward and medial stretch gaps the loose connective tissues allowing the thoracic pressure to flow from an area of greater concentration to one with a lower concentration. A diffusion gradient is being manually produced. This same procedure can be repeated along each vertebra from C7 - T12. Yes, do both sides.
This approach is not the whole enchilada, but it consistently primes the pump between the thorax and the abdominal-pelvic cavities. And, this technique allows for a two for one potential effect. This same long lever stretching while anchoring each vertebra creates a potential rocker effect to the vertebral/rib complex which is theorized to hydrate and contribute to mobilizing the posterior thoracic spine. Therefore, is my premise that the progression toward all forms of cardiovascular disease is a backstory lurking behind many chronic somatic problems. It is also my assertion that as massage therapists we can make a real difference in the quality of life for our clients as we aspire to comprehend how the human body really works.
Click here for more information about Dale G. Alexander, LMT, MA, PhD.
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