resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
March, 2012, Vol. 12, Issue 03
Singing Out Stress: A Massage Therapist's View of Singing
By Stephanie Heidemann, LMT, BA
In a nutshell, being authentic is about being entirely relaxed in the seat of who you are. Much of the world is in a constant state of frenzy, and this affects us. The amount of stimulation is overwhelming to try and filter through and keep a grasp on your sanity. Amidst all the noise, how can you unwind and uncover your authentic self?
What is Authentic Voicework?
It starts off with a calling...a longing to be heard or acknowledge a part of you that has remained hidden. Voicework is a series of tools that embraces and gently lifts a person from stress, tension, fear, grief and inhibition. Some of these tools can be but are not limited to breath work, stretching, sighing, toning, harmonizing and vocal improvisation. The intention is to peel away any anxiety or stress around the "authentic" self. As we metaphorically "open up and sing ah," singing takes us out of the mind and centers us in the heart. And, if there is any work to be done there, singing gently and lovingly massages the heart open.
Nowadays, our society suffers from an epidemic of stress. It is our job as healers to keep inspiring new ways of releasing stress, easing tension, soothing anxiety and fear. We are the mothers of this world. Unwinding fascia with myofascial release or trigger point therapy are miraculous treatments. But the knots (aka, "stress") just keep coming, don't they? We are providing a great service to the world by helping others to cope with and ease the burdens of stress on the body. I believe that we can find more ways of preventing it.
As a singer and performer for 15 years, I have something new to offer in terms of stress relief and prevention. My mentor was New York Metropolitan Opera Mezzo, Brenda Boozer, who began each of our lessons with checking the position of the feet to support the proper alignment of the body and breath, a unique practice among voice teachers. Due to this integration of voice and body, this notion of the voice as an extension of the body as one became my motto. Obviously, there is something to be said about considering the voice, as an extension of body-mind-spirit, in assessing the condition of a client. Acupuncturists look into properties of the voice in assessment of their patient's condition. If bodyworkers can treat the body, than why not include the voice in the client's healing process?
As I have massaged client after client with neck and jaw tension, I have noticed an epidemic of clients managing a storm of internal pressure. The head, neck and jaw seem to "cork" this bottled-up pressure. As neuromuscular law poses, tension rises. To me, singing would be an obvious choice as a means of popping the lid off of this rising internal pressure, and allow the steam of tension to be released from the body.
While breathing through tension is crucial to an effective release, vocalizing only takes it further. As a suggestion to LMTs, next time you are doing some neck or TMJ work, ask your client to sigh with a sound "in front of the sigh." It helps to bring the mind and body together and is a way of "dropping" the tension. Like you would ask a client to "drop their arm" while applying range of motion, sighing is a way of dropping tension around the whole upper chest and sinking breath down into the belly.
How it Works
When the voice has been shut down for very long periods of time (sometimes decades), and is finally struck (as in, a chord) or soothed with humming and sighing sounds, the client may feel an immediate rush of emotion. The process of opening the voice takes you back to the time when you last felt that freedom in the voice, when it became obstructed or inhibited and why. Clients may initially feel the grief which initially caused the blockage. Creative catharsis cleans out the cobwebs, opens the energy flow in the throat area/voice, bringing more of a sense of freedom to the individual. Voicework can bring one to an open state of awareness, acknowledging that an energetic blockage of sorts exists, and attends to it.
What Happens in a Session
Sessions begin with simple stretching and breathing exercises, grounding the connection into the body. Simple vocal warm-ups follow, drawing from classical voice techniques. Face and jaw stretches open the lining of the vocal tract, opens the breath, and draws awareness to the body as instrument. Singing games foster a place for fun exploration, bringing out the child-like essence. Improvisation is used for cutting new ground, building self trust, without harmful criticism and judgment. Much like how a massage client must learn how to relax on the table, it is a learning process to explore without self-judgment. As we vocalize, we willingly bring our selves closer to the borders of our inhibitions. When we begin to sing authentically, the heart immediately responds by melting its stiff body armor and setting it free.
Like massage, the benefits of voicework are endless, depending largely on the client's willingness to surrender and open. Among the benefits are stress release, energy revitalization, quieting the body and mind, emotional release, awareness building, deep inner listening, thinking "outside the box," intuition building, and soothing pain or trauma. A Voicework session can feel like you have just spent hours in a meditative state. Voicework helps to reset and center your life in a more authentic place, bringing you up to speed with your most cutting-edge self. It is about becoming centered, grounded in the seat of authenticity and letting the voice be a medium to this state of being. Unraveling your true nature reveals a higher perception, and ability to respond without feeling threatened. Once some of these inhibitions are worked out, they won't come back. Consider it a permanent shift.
As the quality of your inner state of being becomes centered and grounded, your voice mirrors your internal sphere to the external world. Beautiful things can happen. Your state of awareness becomes more transparent. The tone of your voice carries and transmits your energy. Gathering people together to sing from authentic vocal expression is an oasis of pure grace, which can bring others to that inner authentic place of peace and healing, too.
Stephanie Heidemann, LMT, BA, Expressive Arts Therapy, is a seasoned massage therapist, was an IMG-Artist (NY), and is a singer/voice coach. She teaches Authentic Voicework nationally and has spoken at conferences internationally. She brings her expertise as a healing and bodywork therapist to the realm of voicework; and now offers continuing education to massage therapists nationwide. For more information, visit www.authenticvoicework.com.
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