Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
Patient Retention Techniques
When talking about techniques to grow your business, we tend to focus on the "large" aspect of the patient base, that is, on strategies to attract new patients. However, it is important to remember that "loyal" is equally, if not more, important.
Peaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
Online Marketing Basics: Website Creation
The various online marketing options make it a challenge, especially when all you want to do is help your patients feel better. With such a broad topic, I'm going to share some basics you should know about website creation.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
June, 2012, Vol. 12, Issue 06
Recent Research Provides Evidence of How Massage Therapy Heals
By Massage Therapy Foundation Contributor
Contributed by Jolie Haun and Derek Austin
Why does massage make sore muscles feel better? How does massage promote healing? What are the biological mechanisms of massage therapy? These are questions that clients, patients, practitioners and researchers ask all around the world and have been considered since the days of Hippocrates.Massage is a therapeutic modality commonly used to reduce muscular pain and promote rehabilitation. However exactly how massage affects cellular function remains unknown. Yet, still today, as massage therapy continues to remain a popular healing method and a clinically therapeutic modality, science seeks to understand the biological mechanisms by which massage therapy creates therapeutic effects.
The Massage Therapy Foundation is always on the hunt for new research to provide evidence about the bio-mechanisms of massage – inspiring the review of a study by Crane and colleagues published in Science Translational Medicine.
Musculoskeletal problems impact daily function and quality of life, so it is important to validate treatments such as massage therapy, to demonstrate the bio-mechanisms of massage therapy in promoting recovery, while reducing inflammation and muscular pain. The increase in physician and chiropractic referrals for massage for musculoskeletal injuries indicates a shift in practice toward the use of massage therapy as a complementary modality to conventional care. As massage gains popularity as an adjunctive therapy, it must be validated as a clinically effective treatment that can be medically billed for and reimbursed in the healthcare setting. Validation of the biological mechanisms of massage is the fundamental basis for advancing the science and practice of massage therapy.
Crane and colleagues seek to contribute to the field of science through innovative research which used methods that provide data, at a bio-molecular level, that describes the effects massage therapy has on muscular-skeletal tissue. The aim of this study was to investigate the pain relieving effects of massage therapy with a sample of 11 men. Each participant was asked to exercise to the point of exhaustion to create exercise-induced muscle damage to their thighs. Immediately following the exercise, participants recovered for 10 minutes. Massage oil was lightly applied by a registered massage therapist to both quadriceps while the participant lay in the supine position. To assess the effects of massage, the research team administered either massage treatment or no treatment to the quadriceps of each participant; such that, one leg was randomized to receive the massage treatment for 10 minutes. The treatment included the use of three types of soft tissue manipulations: (1) two minutes of effleurage, using moderate pressure at the beginning and end of the treatment; (2) three minutes of petrissage; and (3) three minutes of slow muscle stripping. After massage, the subjects rested for 10 minutes. Unique to this study, muscle biopsies were acquired from the participants’ quadriceps (vastus lateralis) at three time-points: before treatment (also known as baseline), right after massage treatment, and after a 2.5-hour recovery period.
Findings indicated massage therapy reduced inflammation through production of inflammatory cytokines; and promoted mitochondrial biogenesis, promoting enhanced recovery. However, findings did not support the popular notion that massage therapy clears lactic acid from muscle tissue; nor did glycogen levels change. In scientific terms, Crane and colleagues suggest the massage treatment.
Activated the mechanotransduction signaling pathways focal adhesion kinase (FAK) and extracellular signal–regulated kinase 1/2 (ERK1/2), potentiated mitochondrial biogenesis signaling [nuclear peroxisome proliferator–activated receptor g coactivator 1a (PGC-1a)], and mitigated the rise in nuclear factor kB (NFkB) (p65) nuclear accumulation…despite having no effect on muscle metabolites (glycogen, lactate), massage attenuated the production of the inflammatory cytokines tumor necrosis factor–a (TNF-a) and interleukin-6 (IL-6) and reduced heat shock protein 27 (HSP27) phosphorylation, thereby mitigating cellular stress resulting from myofiber injury.
These study findings provide evidence that manipulative therapies may be justifiable in medical practice. According to Crane and colleagues, the effects of massage are akin to the same mechanism as conventional drugs, such as non-steroidal anti-inflammatory drugs (NSAIDs). Findings such as these, are the basis for providing patients and clients the option of massage therapy opposed to conventional drug-based therapies (e.g. NSAIDS).
Though these study findings provide much promise for advancing the science and practice of massage therapy, some study limitations that should be noted. The study sample size was small, involving only 11 males. A larger sample size using females and males would provide more power and rigor to data findings. Another limitation of this design is that it was impossible to blind the therapists and the patients to the treatments, however the research team was blinded to which leg received treatment; this was known only to the massage therapists. Though these study limitations cannot be denied, the strengths of this study outweigh limitations. The use of biopsied tissue data is a rare case in massage therapy research, but has proven critical in gaining insights to the biological mechanisms of this muscular-skeletal based adjunctive therapy. It is recommended that future research investigate additional post-translational signaling pathways influenced by massage therapy.
Crane and colleagues have provided much needed data about the biological mechanisms of how massage therapy promotes healing. If you practice massage to treat sore, tired muscles you can refer patients and clients to resources such as this article to support massage therapy as an evidence-based practice. The next time someone asks how massage therapy works, you can highlight these findings which suggest massage therapy effects inflammation and enhanced mitochondrial biogenesis; and dispel beliefs about milking muscles of lactic acid.
If you are interested in learning more about the evidence supporting the use of massage therapy in clinical practice with different populations, you can review the Massage Therapy Foundation article archives, read accepted abstracts or search Pub Med for massage therapy studies.
For more information about the Massage Therapy Foundation, visit www.massagetherapyfoundation.org.
Click here for more information about Massage Therapy Foundation Contributor.
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