resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
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.
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
April, 2012, Vol. 12, Issue 04
Dissection: The Ultimate Educational Experience
By David Kent, LMT, NCTMB
Have you ever wondered what the tissues look like under your patient's scars? Or how these tissues were affected by a knee or hip joint replacement? Have you ever wondered what an artery filled with plaque looks like or how easy or difficult it is to break a piece of plaque off the arterial wall during a massage? What does the inside of the chest cavity look like after the sternum has been cut in half and the chest has been spread apart for bypass surgery? Or the wrist that has experienced a carpel tunnel release procedure?
Would it be helpful for you to see and touch cancerous tissues? How valuable would it be to see, touch and compare the same muscle, such as a bicep or trapezius, on multiple specimens of different body types and genders at the same time? Are you curious about how the gastrocnemius and soleus muscle tendons merge to form the Achilles tendon? Or the relationship between the sciatic nerve and the piriformis muscle? Would you like to see how close a surgeon gets to the spinal cord during a laminectomy? Graduates of a full body dissection seminar have seen and touched the body, and dissected each layer, to know the answers to these and many more questions. The knowledge graduates gain and the refinements they make to their palpation skills is immediately applicable. Graduates say the experience transformed their treatment style and approach on many levels. A full body dissection is a rare educational opportunity that allows you to see and touch the structures that form (anatomy) the human body and understand how they function (physiology). The experience fundamentally changes your understanding of the human body.
If you find human anatomy dissection exhibits such as Body Worlds or BODIES fascinating, then you will feel comfortable in the dissection lab. I have been teaching dissection at the University of South Florida, College of Medicine, in Tampa since 1993. One third of the students in each dissection seminar are prior graduates of the program; many have attended five to eight times. The seminars were initially designed for massage therapists, however, over the years students have included a variety of health care professions from Acupuncture Physicians that want to refine their needle placement and depth, to physical therapists, nutritionists and others that want to learn more about the human body.
Each seminar begins with a tribute to honor the exquisite souls who bequeathed (donated) their bodies to science. We hold a dedication to our "Silent Teachers" for the privilege of being their students. We commit to embrace the valuable knowledge they are about to teach us and to apply that knowledge to the benefit of our patients.
Next we palpate the boney landmarks and inspect the cadavers for scars and surgical incisions. Even when we identify a surgical site, we don't know the nature of the surgery until we look inside the body (Photo 2). Signs of coronary bypass surgery might be easy to identify, but until we start the dissection, we don't really know what the scar indicates. One thing you will realize quickly is that you don't have to be a doctor to spot pathology. As we dissect through the layers of the body we uncover: joint fusions, pleural adhesions, aneurysms, hernias, cirrhosis of the liver, heart bypass, pacemakers and much more. These insights bring a whole new awareness about the effects of disease on the body. This new level of understanding causes students to judge contraindications and treat patients with even more care and sensitivity. Another interesting part of the dissection process is identifying anomalies (Photo 3). Over the years, students have identified a cadaver missing an upper trapezius on one side, another had a levator scapula with accessory rib attachments, a third had muscles missing areas of fiber in the leg that were filled with fat, just to name a few.
Dissection allows students to better understand the effects of various surgical procedures. For example, during bypass surgery, the great saphenous vein is removed from the lower extremity. This is what causes the long scar on the medial side of a patient's thigh and leg. During a dissection seminar, you learn exactly what structure was removed and how deep it was embedded in the thigh and leg. You see how it was reattached and used for the coronary bypass surgery. You know exactly what tissues and systems of the body were affected during the operation and how the tissues healed. The dissection process allows you to see through both the doctor's eyes and the patient's body at the same time, giving you greater clarity and insight into treating your patients.
The percentage of health care providers who perform a human dissection during the course of their education is relatively low. Taking part in a dissection creates a special bond, or level of respect, among its participants in the medical community. Graduates report a new level of confidence personally and professionally after dissecting every structure of the body, layer by layer, from skin to bone (Photo 4). The ability to go into a dissection lab to see and touch the structures that form the human body is a rare experience. Initially students enter the dissection lab simply to gain a better understanding of the human body. However, they are all amazed at the positive impact their new knowledge had on every area of their life.
Click here for more information about David Kent, LMT, NCTMB.
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