resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Dry Needling is Acupuncture: But What of Education? What of Public Safety?
One of my patients told me recently, that their physical therapist used a "dry needle" and that it wasn't acupuncture. Apparently, physical therapists (PT) are taught to tell their patients that "only acupuncturists practice acupuncture."
Maintaining Professional Boundaries in a Facebook World: Social Media Guidelines for DCs
A few months ago, I received an unexpected message on my Facebook account: "Hi Doc, do you remember me? I'm so happy to find you here on Facebook. It's been years since I have seen you and I'm glad to reconnect with you.
Three Essential Herbal Products For Your First-Aid Kit
There are three Chinese patent medicines that belong in everyone's first aid kit. All three are for topical application, and all three provide extraordinary benefits unavailable from any domestic over-the-counter.
We Get Letters & E-Mail
The "Great Opportunity" for Chiropractic: Expanded Scope of Practice; The SOAP Note: An Effective Tool for Documentation; Treating Patients Goes Beyond Following Established Protocol.
If you visit the website of the JAMA and search on the word chiropractic, more than 200 results appear. If you sort that list chronologically and look at the oldest entry, you will find "Medical News" that includes the following.
Protein and Weight Loss
Recently I was asked by the staff at Dynamic Chiropractic to referee some of their water-cooler discussions regarding nutrition. Topping their list was this one about protein and weight loss: "Why is protein important for weight loss and how much should I eat?"
A Solution for the Primary Care Crisis?
A white paper generated by the ACCAHC Primary Care Project and UCLA Center for Health Policy Research Senior Research Scientist, Michael Goldstein, PhD, addresses a clear oversight noted in recent workforce analyses designed to assess the nation's primary care needs.
It's About the Word
The new patient was already a fan of chiropractic. "I liked the guy a lot," he said of the previous DC he had consulted. "But he is on the other side of town, and I just can't get there after work. So he sent me to you, since you're his buddy."
Pre-Conception Wellness: What Do Your Patients Need to Know?
Deciding to have a baby is one of the most important decisions a woman will ever make. But how many women are really prepared for a healthy pregnancy?
Beauty is Averageness
After seeing Kim Kardashian's face all over the Internet -and my inbox- following her posting on getting facial acupuncture, I recalled the work of Michael Cunningham who was at the University of Louisville when I was doing my doctoral work.
News in Brief
In Remembrance: A Moment of Silence for Robin McKenzie (1931-2013); DC Re-Elected to Co-Chair AMA Code Review Board; WFC Celebrates 25 Years.
Becoming a Concussion Expert in Your Community: What You Need to Know (Part 2)
What makes an individual an expert in concussions? Obtaining education about concussions and treating concussed patients are two factors that lead to expertise.
Study: Acupuncture for Acute Low Back Pain More Effective Than Drugs
New research by Korean doctors of Oriental Medicine suggested that an acupuncture method could reduce acute lower back pain faster and more effectively than conventional drug injections.
The Physiology of Anger
Most of us recognize and have felt anger at some point in our lives. Anger can be seen as a natural response to some kind of pain, whether emotional or physical.
Extraordinary Vessels and Emotional Healing
In addition to the 12 primary Organ-related meridians in the body, there are other energy circulation channels that have been mapped out by Traditional Chinese Medicine. Probably the most significant of these are called the Eight Extraordinary (or Extra) Vessels.
Weight Training: Are Cheat Reps Worth It?
While resting between exercises at the gym recently, a young lifter asked me for a spot on a set of barbell bench presses. The bar was loaded with a moderately heavy amount of weight that at first glance appeared to be too heavy for his frame.
Healing the Qi: The Boston Marathon Bombing
On Monday, April 15 2013, locals and visitors from around the globe gathered for the world's largest marathon in the city of Boston. With 23,000 participating in the race and many more on the sidelines, the marathon represents a Boston institution.
10 Life Lessons That Will Change the Way You Practice
"What would you do if you knew you couldn't fail?" I have posed this question for years to groups I've spoken to across the country and around the world.
The Monkey on Your Back
Many practitioners run their clinic without any extra help—at least initially. I've always been pretty good at multi-tasking. Having nine kids taught me how to wear multiple hats and juggle a lot of responsibilities. Running a clinic is similar.
Keeping Up With Western Medicine Advancements: The Amazing World of Imaging Studies
When patients with neuromuscular problems come to you for treatment there is usually a lot you can do for them to improve their mobility or reduce their pain, whether it is a middle age woman with a frozen shoulder.
Lateral Femoral Cutaneous Nerve Entrapments
The lateral femoral cutaneous nerve arises from the 2nd and 3rd lumbar nerves. It is formed in the psoas muscle and emerges from its lateral border to cross the iliacus muscle and exit the pelvis.
Treating Rib Joints to Protect Thoracic Stability
It is an exciting world that awaits us when we go to work every day. We deal with all types of people who present with varying health conditions we can (hopefully) help alleviate.
Obesity is a Shen Problem
The expressions "obese" and "obesity" are not pejorative terms. They are scientific terms, determined solely by the Body Mass Index scale, which combines a person's height and weight in a mathematical formula. A number of 30 and above denotes "obesity."
Chiropractic Care for Veterans: Serving Those Who Served (Pt. 2)
To what extent do you think the role of chiropractors in the VA can serve as a model for greater chiropractic integration elsewhere in the American health care system? That's a very important question.
A Medication Primer for Alternative Health Care Practitioners (Part 2)
Morphine is arguably the greatest drug of all time, at least in the sense that it is so powerful in relieving pain.
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.
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