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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.
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.
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.
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.
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.
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.
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 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.
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
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.
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'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.
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.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
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
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.
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."
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.
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.
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.
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.
July, 2012, Vol. 12, Issue 07
Massage Therapy Reduces Hand Pain
By Massage Therapy Foundation Contributor
Contributed by April Neufeld, BS, LMT; Sandra K. Anderson, BA, LMT, ABT; Karen T. Boulanger, PhD, CMT
Research on the effects of massage therapy for various conditions is increasing. The Massage Therapy Foundation is invested in reviewing research on how massage therapy affects these conditions, especially those that are musculoskeletal.As noted in the June article, "Recent Research Provides Evidence of How Massage Therapy Heals" by Jolie Haun, "musculoskeletal problems impact daily function and quality of life, so it is important to validate..." massage therapy treatments. Complementary Therapies in Clinical Practice has published a study conducted at the University of Miami School of Medicine in which Tiffany Field and colleagues examined how massage therapy affects hand pain.
The researchers recruited 46 participants from the medical school who complained of hand pain regardless of the cause, such as arthritis or carpal tunnel syndrome. Most noted that their hand pain was related to computer use. The participants averaged 50 years of age, were of middle socioeconomic status, and were Hispanic, Caucasian and African-American. They were randomly assigned to the massage therapy group or the control group.
The massage therapy group received 15 minutes of hand massage from a massage therapist once a week for four weeks. The hand massage procedure included four techniques: stroking, milking, friction and skin rolling. They were also taught home massage, although this procedure was not described. Both massage and control participants completed assessments before and after their first and last sessions. Assessments included pain (0-10 Visual Analog Scale), grip strength, the State Anxiety Inventory, depression (the Profile of Mood States) and the Sleep Disturbances Scale. The control group received no massage but was given the hand massage instructions after the final assessment.
After four weeks of treatment, Field and colleagues reported that the massage group had decreased pain, increased grip strength, decreased anxiety and decreased depression. The researchers concluded, "These findings are consistent with data on massage therapy with pain syndromes and especially with results from our carpal tunnel syndrome study in which pain was also decreased and grip strength increased by massage therapy. The psychological changes following hand massage in the present study, including the reduction in depressed mood and anxiety are indications of relaxation effects."
This is excellent news for massage therapy practitioners because it helps us understand that patients may feel significant benefits even after treatments as short as 15 minutes in length. Nonetheless, this paper had its limitations, mostly focused on the lack of detail provided. Field and colleagues reported, "Moderate pressure appears to be critical for these effects," and "Other studies on hand massage also suggest the importance of pressure." However, there are no indications in this study as to if and how pressure was measured. Methods for measuring pressure should have been included or reasons should have been given for not measuring the moderate pressure outlined in the procedures description.
The researchers listed the use of four different techniques: stroking, milking, friction and skin rolling. But in order for a practitioner to duplicate the results in clinical practice, the details of the massage procedure should have included: how many times each technique is repeated, amount of pressure used, duration of each technique and order of technique application. However, Field and colleagues did make a point to describe the hand position of the practitioner and the position of the subject's arm for each technique; this detail is missing from many research studies on massage therapy. Another example of poor procedural description involves the control group. What did the participants in control group do for the 15 minutes between the before and after assessments? We need to be able to evaluate exactly to what massage therapy is being compared.
A third example of needed detail involves the explanation of the procedure of home hand massage that was taught to the participants. The study only states, "They [the participants] were also taught the hand massage." Specificity regarding the method of instruction, including detailed descriptions of the self-massage and recommended duration, are needed to evaluate the internal validity of the study. Additionally, the authors stated, "The participants were asked to keep a record of their massaging themselves daily and were called on a weekly basis to check on their ability to schedule daily sessions." However, whether the self-massage was performed correctly and consistently was not reported. A future study comparing the effects of massage vs. massage plus home self-massage, would help us to understand any added benefit of having our clients perform self-care.
We agree with the research implication that, "Further research is needed to explore [the] potential mechanisms [of massage therapy]." Studies like these do help support the work that individual massage therapists perform daily with their clients. Practitioners who want more information on the mechanisms of massage therapy and successful treatment methods can go to the list of commonly used PubMed search terms on the Massage Therapy Foundation website.
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