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Low Back Pain in Professional Golf: A Common Muscular Relationship
Every sport creates its own unique demands on the body. Some sports require such a myriad of body positions that assessing pathology is often difficult and unpredictable.
Turning a Blind Eye to History – and Reality
The American Medical Association is taking the Supreme Court's Feb. 25, 2015 decision exactly as it always does – by turning a blind eye to history, legal precedent and reality.
Optimism = Compassion = Trust
A randomized clinical trial recently published online in JAMA Oncology examined how patients viewed their doctor based upon how the practitioner presented bad news to the patient.
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.
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.
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!
A House Divided?
The American Chiropractic Association's House of Delegates voted on 30 resolutions at its annual business meeting in Washington D.C., but two in particular took immediate center stage due to their controversial nature.
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.
A View From the ER
The University of Western States has inked an innovative agreement with local nonprofit health system Legacy Health whereby UWS sports-medicine fellows can experience observational clinical rotations in emergency-room settings within the Legacy system.
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.
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."
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.
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.
Talking to Patients About Lumbar Facet Denervation (Medial Branch Neurotomy)
Lumbar facet denervation, more appropriately termed medial branch neurotomy (MBN), is a procedure that may be considered when patients suffer from recalcitrant non-radicular axial back and/or leg pain.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
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.
Applying the Thin Skull Principle
The "thin skull" principle, also known as the "you take your victim as you find them" principle, is a legal principle that can be summed up by the following statement.
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.
Sleep, Less Sleep or No Sleep?
I had a dream I wasn't getting enough sleep. It was a very realistic dream, even though I was probably slightly awake and not really deep dreaming. Most likely I had been dozing, caught in that twilight of sleep and wakefulness.
Functional Hip Impingement (Part 1)
Every time I sit down to write an article, I realize how much more there is to know about musculoskeletal pain. I also learn something new every time. (I want to give special thanks to Lucy Whyte Ferguson for assisting with this article.)
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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