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resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
Online Marketing Basics: Google Ranking, Part 1
We all know there is so much opportunity with online marketing. And, let's face it, if you don't have a presence online with a website and social media, you are probably not where you want to be.
Medicine as Metaphor
The practice of medicine is both an art and a science. We study and learn the system so that when the time comes to apply it, there is a greater possibility of successfully helping others.
Colon Health and TCM
I still remember many years ago, the loud "Yuck" from my wife at the time when we were together watching the Chinese movie "Last Emperor."
Abdominal Acupuncture for Eye Healing: The Sacred Turtle and Ba Gua Map
Our ideas about western medicine have shifted in recent decades, while the public is asking more from health care providers.
Adding Microneedling to Your Clinic for Results and Profit
Microneedling has taken the beauty world by storm over the last 10 years. Under the names dermaroller, microneedling or skin needling you will see these treatments listed in the services of nearly every fashionable beauty salon and day spa in the country.
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.
Can Acupuncture Treat Knee Pain?
Recently, an article in the Journal of the American Medical Association concluded that, "neither laser nor needle acupuncture conferred benefit over sham for pain or function" among older chronic knee pain patients.
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.
Melatonin: A Promising Natural Agent in the Prevention of ALS
A number of years ago, experimental studies suggested melatonin could block key steps in the development of Alzheimer's disease, primarily by acting as a brain antioxidant and inhibiting the build-up of beta-amyloid plaque in the brain.
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.
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!
The Roots of TCM in Depression Treatment
In traditional Chinese medicine, there is historical precedent for the treatment of so-called "Shen" (Heart-Mind) disorder, or disorder/dysregulation of the spirit, which is also considered as distinct but not separate from the cognitive function of the brain.
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.
The Art of Creating a Healing Space
I always advise my graduates to examine their group practice or treatment rooms with fresh eyes after they leave my CE workshops. I tell them, "Ask yourselves - is your space qi filled, welcoming and healing? Or is it cold and clinical?"
The Source-Luo Point Combination, Part 3
Dr. Nguyen Nghi (NVN) was born in Vietnam and is one of the most important scholars, writers, teachers and practitioners of modern time. Many of his theories and applications are the source of modern teachers from Europe and the United States.
The Integrative Medicine Puzzle: Putting the Pieces Together
The conversation is changing in the broader healthcare community with patients actually moving the discussion toward more integrative topics. Patients today want to know their options.
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.
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.
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.
Exploring and Learning from the Gift of Life
I'm grateful to have had the opportunity to teach cadaver dissection classes and workshops with Stephen Cina at the New England School of Acupuncture over the past seven years, first through the Sports Medicine Acupuncture Program and later as a NESA elective course.
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.
August, 2012, Vol. 12, Issue 08
Lymphatic Self Care: Boosting Your Body's Ability to Heal Itself
By Eileen Laird, LMBT, LTC
As massage therapists, we spend our days caring for others and often arrive home too tired to take care of ourselves. What if there was a simple self-care protocol that you could do in 15 minutes, while you lay in bed at night, one that was relaxing as well as healing? Lymph drainage is just such a therapy.The majority of lymph nodes are located on the front of the body, making them easy to reach. It's gentle work, so it doesn't strain over-tired hands and you can cleanse the main lymph nodes in just 15 minutes, which is plausible at the end of a long workday. The results are relaxation, detoxification and healing on many levels. I use this self-care sequence myself and have taught it to both clients and colleagues.
The Effects of Lymph Drainage
By manually stimulating the lymphatic system, you:
So how do these broad changes specifically affect the body? The most famous application for lymph drainage is its effectiveness in treating edema and lymphedema. However, this therapy is profoundly effective for supporting our health overall. The Chikly Health Institute lists more than 100 indications for lymph drainage, from relieving pain to regulating digestion to treating skin conditions. "The curriculum has evolved, since we started," says Dr. Bruno Chikly. "We have seen over 10,000 students and have developed both a lymphedema and non-lymphedema certification." Their training includes applications for organs, joints, trigger points and fascial restrictions.
Isabelle Mender, a massage therapist in Eugene, Ore., gives herself a lymphatic boost seasonally. "During hay fever season, I usually treat myself twice a day. The treatments help to alleviate my sinus congestion, runny, itchy eyes and overall inflammation in my head." David Doubblestein, a Lymph Drainage Therapy Instructor, uses lymphatic self-care to prevent illness and treat injury. "At the first sign of a cold, I do lymph drainage on myself and typically avoid the illness," said Doubblestein. "I've also smashed my fingers more than once. (I admit I'm not the most graceful with tools.) Draining the area gets rid of the pain and throbbing sensation, and quickly too." However, Doubblestein stresses that you don't need to be sick or injured to practice lymphatic self-care. "I personally love the neck sequence anytime. In particular, it's an excellent finish to yoga practice. You can do the neck sequence when you're relaxing in corpse pose, and it puts your body in a parasympathetic state." Mender agrees, "it's a great way to simply chill out!"
Self Care Protocol
The lymph nodes are the powerhouses of the lymphatic system, and you have more than 500, located at pivotal points along your lymphatic vessels. The majority of your lymph nodes are located in the neck, armpits, abdomen and groin. These are the areas we'll be addressing in this simplified self-care protocol. Stimulating the main lymph nodes of the body has a global effect on the lymphatic system, increasing lymph flow body-wide.
Lymph drainage is very different from traditional massage therapy. Here are some things to know:
Step 1: Clavicle (Collarbone)
Hand Placement: Place your fingertips at the base of your neck, on the superior edge of your clavicle. Direction of Stroke: Using the lightest touch possible, stretch your skin medially, toward the sternal notch. This is a slow, three-second stretch. Release your touch completely for three seconds. Repeat four more times.
Step 2: Back Chain (Trapezius)
Hand Placement: Place the pads of your fingers on top of the trapezius muscle at the back of your shoulders. Direction of Stroke: Using the lightest touch possible, stretch your skin in a curving motion, laterally toward your outer shoulders and then slightly forward. Picture a candy cane. The long part of the candy cane is the stretch laterally across your trapezius muscle, then finish the stretch forward, like the hook on a candy cane. The total stretching movement lasts three seconds. Release your touch completely for three seconds, and then repeat four more times.
Step 3: Neck Hug
Hand Placement: Although this photo looks a bit like a choking hold, this hand position is very light, more like a butterfly's wings. Place the pads of your fingers on your sternocleido-mastoid muscles. The rest of your hands shouldn't touch your neck at all. In fact, there should be a gap between your hands and the front of your throat. Direction of Stroke: Using the lightest touch possible, stretch the skin over your SCM muscle directly down (inferior), toward your clavicle. This is a slow, three-second stretch. Release your touch completely for three seconds. Repeat four more times.
Step 4: Spinal Chain
Hand Placement: Place the pads of your fingers along the sides of your neck. Direction of Stroke: Using the lightest touch possible, stretch your skin slightly forward (anterior) and then down (inferior) toward the clavicle. The total stretching movement lasts three seconds. Release your touch completely for three seconds, and then repeat four more times.
Step 5: Waterwheel
Hand Placement: This is a small but very important lymph node area. The entire head and face drain through these nodes. Place the pads of two fingers behind your earlobe. You'll feel a soft spot. That's the waterwheel. Direction of Stroke:
Stretch the skin over the waterwheel directly down (inferior). It's a small area, so the stretching movement will be short – approximately one inch. Stretch for three seconds, release for three seconds, and then repeat four more times.
Rinse the Neck
Now that you've opened up all the lymph nodes of the neck, it's important to encourage free flow back to the clavicle. To do this, repeat the steps in reverse order (4, 3, 2 and 1). Then continue on to step 6 below.
Step 6: Axilla (Armpits)
Hand Placement: Lift your left arm slightly, and place the fingertips of your right hand in the peak of your left axilla (armpit). This is a very important region. The lymph of your arm, breast and part of your torso drain through here.
Direction of Stroke: Gently push inward, toward the center of your body. You are encouraging lymph flow back to your heart. Gently push in for three seconds, release for three seconds, and repeat four more times. Be sure and repeat this process for your opposite arm.
Relax the Abdomen
The next steps treat the lymphatic vessels of the deep abdomen. They are located beneath the abdominal muscles, so it is helpful to relax those muscles first. This can be done through deep belly breathing, or a few minutes of massage, your choice. After you have relaxed your abdomen, continue to step 7.
Step 7: Cisterna Chyli
Hand Placement: Place the pads of your fingertips on the center of your abdomen, between your rib cage and navel. The rest of your hand is lifted off your skin, so that your fingertips are the only part of your hand touching your abdomen.
Direction of Stroke: Gently push inward and upward. The pressure here is a little bit deeper. The rhythm, however, is the same: a three-second stretching movement; release for three seconds; repeat four more times.
Step 8: Abdominal "V"
Hand Placement: Place your hands flat on both sides of your lower abdomen. They'll form the letter, "V." Direction of Stroke: Gently push inward, and then upward on a diagonal, toward the sternum. (The movement is supero-medial.) The movement is a three-second deep stretch; release for three seconds; repeat four more times.
Step 9: Inguinals (Crease of Leg)
Hand Placement: Bend your knee and feel the angle that forms between your leg and pelvis. Place your fingertips on this crease.
Direction of Stroke: The pressure here is very gentle again, because these lymph nodes are just under the skin. Stretch the skin upward (superior). The length of the stretch is short – approximately one inch. Stretch for three seconds; release for three seconds; repeat four more times. Be sure and repeat this process for your opposite leg.
Rinse Back to the Heart
Now that you've opened up all the lymph nodes of the abdomen, it's important to encourage free flow back to the heart. Repeat steps 8, 7 and then finish with step 1.
The same contraindications that apply for massage therapy also apply for lymph drainage. Professional course curriculum goes into these in more detail.
Eileen Laird, LMBT, LTC has been a massage therapist for 10 years and has a private practice specializing in Lymph Drainage Therapy. She is certified through the Chikly Institute in Lymphatic Techniques, which is the holistic branch of their curriculum. She is also the author of two books.
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