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Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
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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