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Too Many to Remember: Tips to Revive Your Ortho / Neuro Test Skills
When I was at Palmer in the mid-1980s, we were given a set of notes in one of our diagnostic courses. The notes covered approximately 70 orthopedic and neurological tests for various regions of the body.
The Modern Application of Ancient Mei Rong
Chinese Medical Cosmetology (Mei Rong) has a well-documented and venerated history dating back to the Qin (221-206 BC) Dynasty.
Making Sense of an Increasingly Obvious Conclusion
Where's U.S. health care heading? Like it or not, the list of telltale signs is growing to a point that stands out to even the most myopic observer. Consider this list of facts as you look into the future of health care in the United States:
Diagnose Sprain Injuries in MVA Cases With Dynamic X-Rays (Pt. 1)
Am I the only person to notice hospitals are doing a seemingly insufficient job lately in their initial radiological workup of motor vehicle accident (MVA) victims?
Which Way is the Energy Going? Are You Burning Yourself Out?
One of the simple methods that I use to define Yin/Yang theory to patients is to ask the question, "Which way is your energy going?"
Born to Energize the Human Spirit: Recollections of Sig Miller
Sig Miller, longtime executive director of the Association of New Jersey Chiropractors (ANJC), passed away on Sept. 17 after a long battle with cancer.
Designing a Fitness Plan (Part 1)
It doesn't matter if you come to my practice for pain relief, weight loss, healthy aging or something else. The formula I talk about for each patient's fitness strategy is pretty much the same.
Pro-Con: Swaddling for Newborns
The practice of swaddling has been used for thousands of years and was popular until the 1700s, when it was slowly abandoned by many cultures that considered it old-fashioned or barbaric.
Tailor-Made Knee Pain: The Sartorius Muscle
A patient was referred to my office after receiving treatment from various providers with no results. The patient was training for the Olympics as a marathon runner and was unable to run or walk without severe medial knee pain.
Syncretism: Acupuncture and Public Health in Cuba
"Syncretism" is defined as a union of diverse tenets or practices. On a recent trip to Cuba designed to demonstrate the integration of Traditional Medicine and biomedicine, our group witnessed this union firsthand.
Footsteps of the Sages: An Apprenticeship with Dr. Kezhan Zhang
When I met Dr. Kezhen Zhang in May 2013, I was his translator and the integrity, creativity, and passion he demonstrated as a practitioner and advocate of the medicine convinced me to travel to Beijing to study with him.
Dietary Fat and Prostate Cancer: An Important Update
K.M. Di Sebastiano and M. Mourtzakis published a review paper examining the role of dietary fat on prostate cancer development and progression late last year that does a stellar job of summarizing the available data on fat and prostate cancer.
The Concussion-Subluxation Complex
In the Aug. 1, 2014 issue of Dynamic Chiropractic, I reviewed some of the literature demonstrating the role of the chiropractic adjustment in post-concussive care.
Targeting the Bad Apples in the Bunch
While everyone was focused on the conversion to ICD-10, the Office of Inspector General for Health and Human Services released a new report on chiropractic titled "CMS Should Use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services."
It's Time to Review
It is amazing to see the changes that are occurring in the acupuncture profession. Let's look at some of the news and events that have contributed to this growth and awareness.
Your Billing Questions Answered
I hear a lot of the following questions: I am afraid I may doing something illegal. I have heard I cannot have different fees for the same service.
Chinese Herbs and Pulmonary Fibrosis: A Case Study
"Mary M."* recently celebrated her 90th birthday. Even the former sheriff dropped by to kiss the hand of this diminutive retired teacher, to honor the years she interpreted for him during interviews with Latinas and Latinos.
Mechanism: Experimental Approaches to Understanding Acupuncture, Part 1
The clinical benefits of acupuncture are difficult to ignore, but also can be difficult to explain to a Western audience. For nearly 50 years, relentlessly inquisitive scientists and physicians have been working toward a conceptual model to explain acupuncture.
North Carolina Acupuncture Board Files Dry Needling Lawsuit
In early September, the NCALB filed a complaint against the North Carolina Board of Physical Therapy Examiners over the issue of dry needling, a form of acupuncture that uses solid needles to puncture the skin and muscle tissue to relieve pain.
Omega-3 Fish Oil: An Underappreciated Element of Men's Health
As a clinician with many male patients -- and as a man myself -- I am all too aware of the fact that we like to convince ourselves that we are doing great, when that may be the farthest thing from the truth.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 2
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
One Size Does Not Fit All: Exercise and Nutrition According to Your Yin/Yang Body Type
There are countless new exercise and nutrition plans out there, emphasizing the latest ground-breaking research and claiming to revolutionize the way we view health.
F4CP Making a High-Impact Impression
The Foundation for Chiropractic Progress has released details of its 2016 strategy, certain elements of which are already in play. The strategy includes ads, posters and other resources available to all F4CP members.
July, 2012, Vol. 12, Issue 07
Before Your Client Arrives, Catch Your Breath
By Teresa M. Matthews, LMT, CPT
The room temperature is ideal. The table height is optimal. The music is just the right genre and volume. The linens are clean, crisp and perfectly prepared. The lighting is soft and natural.The barely-perceptible essential fragrance rests upon a gentle current of fresh air. All stands ready for your client's arrival. Now, what do you do? Please ... catch your breath!
Both literally and figuratively, the best thing you could do for yourself and your client right now, is to take a moment (or two) and just breathe. I mean, RIGHT NOW, while you are reading this, become aware of your diaphragm and consciously direct your next breath deep into your abdomen. Feel better? Of course you do. Need me to remind you to breathe? Of course not, but don't you feel just a little more calm and centered? This is the beauty of the act of breathing.
The process of respiration is thought by many cultures, both Eastern and Western, as the essence of being. Look at the word itself: re - spiration. The root is from the Latin spiritus which means both "breath" and "spirit." Many other Indo-European languages use one word to describe both as well. For example, in Sanskrit, prana; Hebrew ruach; and Greek. Is there deeper meaning in deeper breathing? Perhaps, so let's explore.
A rhythmic process of expansion and contraction and the only bodily function we do both involuntarily and voluntarily, it is the bridge between the two components of the autonomic nervous system (ANS), the sympathetic and parasympathetic. As such, we can consciously use our breathing to influence the involuntary processes of our heart rate therefore aiding circulation, blood pressure, digestion, as well as other bodily functions. Consider the physiological responses our bodies have to stressors of any type or intensity; heart rate rises, we perspire, our musculature tenses and our breathing becomes rapid and shallow. "Flight or fight," right?
If this process continues over a long period of time, the sympathetic system becomes over-stimulated which could result in conditions such as high blood pressure, oxygen deprivation, inflammation and muscle pain, to name a few. By mindfully controlling our breathing, we can mitigate and in fact, reverse these negative effects. Just as chronic stress can lead to restrictions in the connective and muscular tissues in the thorax (and resultant decrease in the range of motion (ROM) of the chest wall, regular breathing exercises can gently address these restrictions, strengthen the musculature and increase ROM. Obviously, this is true for our clients as well as ourselves. Learning and using proper breathing techniques will lead to optimizing physical and emotional health in both the short and long term for practitioners and others.
Perhaps the first and most important consideration should be efficiency in breath control. This is best illustrated in the distinction between "chest breathing" and abdominal or diaphragmatic breathing. Chest breathing is inefficient because the greatest amount of blood flow occurs in the lower lobes of the lungs. The more oxygen in, the greater the transfer and better circulation of blood-borne nutrients to all of the tissues. The key here is conscious and controlled.
Rapid, shallow breathing or worse yet, unconsciously holding one's breath are obvious and profound health challenges. The good news is you can train yourself to become a "belly breather" and with regular practice will be doing so all of the time, even in sleep. Adapted from the audio book Breathing: The Master Key to Self Healing, by Andrew Weil, MD., the following exercise can be used for relaxation whenever and wherever you fell the need.
The 4-7-8 (or Relaxing Breath) Exercise
This is one breath. Now inhale again and repeat the cycle three more times for a total of four breaths. This exercise is a natural tranquilizer for the nervous system. It may seem subtle when you first try it but gains in power with repetition and practice. A small disclaimer here: This information is intended for your self-care. If prescriptive exercise is out of scope for massage therapists in your jurisdiction, consider bringing these exercises into your beautifully designed and executed treatment room as part of the session, not as any type of prescription. Breath-work can be seamlessly integrated into any modality. The benefits can be felt immediately and can hardly be overstated. So go ahead, take a moment and catch your breath. Stay healthy and enjoy!
Teresa M. Matthews, fitness expert and world champion athlete, has 30 years experience in the fitness industry. She is the president and founder of Health, Wellness & Fitness Professionals, Inc. and is the owner of Arlington School of Massage and Personal Training in Jacksonville, Fla. She is a sports massage instructor for the Florida State Massage Therapy Association and was awarded the FSMTA 2009 Sports Massage Therapist of the Year award. Teresa travels the country teaching self care and wellness classes. Contact her by e-mail at
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