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Repeating Bone-Density Tests
The U.S. Preventive Services Task Force recommends that women older than age 65 undergo bone-density testing. However, organizations in general have not stated when repeat bone-density testing should be done.
There Are No Secrets: Treating Complicated Conditions with TCM
Including standardized extra points, there are just over 400 acupuncture points on the body. You get 400 and I get 400 - same. Yet, time and time again treatment protocols are coveted as if they were some secret formula only intended for the right and privileged.
Calcium Supplements and Mortality
When the National Institutes of Health's AARP Diet and Health Study reported that men who took calcium supplements had a higher risk of dying from cardiovascular disease compared those who didn't, it was the third large cohort in six months with alarming findings regarding calcium supplements.
Chiropractic Research: A Moral Issue
This year I've had the opportunity to go to three great chiropractic research conferences; the ACC-RAC, the Fédération Internationale de Chiropratique du Sport (FICS) Congress and the World Federation of Chiropractic Congress.
Medical Payola (Part 2)
Not only has Medtronic made billions selling expensive screws and hardware for highly controversial spine fusions, but a Senate investigation also found Medtronic felt compelled to write and edit medical journal articles attributed to outside physicians that downplayed the risks of the company's best-selling bone graft, Infuse.
In a previous column, I discussed the history and definition of evidence-based practice (EBP), and expressed concerns with how the concept has been narrowly construed by some academics and payers.
Happenings in Our Evolving Profession
Good things seem to be happening for our profession and recent developments show we are all on board. Talking about being on board, this September The Veterans Express-Purple Heart Tour is expected to make its way out of the station.
Exercises for Back Pain: Low-Compression Training Program
This program is intended for two groups of people: 1) those who want to engage in resistance exercises for the major regions of their body without developing back pain in the process; and 2) those who already have back pain and want to do resistance exercises, but consistently re-irritate their back when trying to do so.
Telecommuting and Technology: Ergonomic and Worker's Comp Considerations
As our world becomes more and more reliant on technology, equipment becomes more dependable and we become increasingly more comfortable with e-mail, the fax machine, the Internet and the smartphone, it is becoming easier and easier to work away from the office.
Herbal Medicine: Go Mainstream
When it comes to practicing herbal medicine in a mainstream setting, there are a number of important points to understand when it comes to prescribing formulas. Some important questions to ask are - what method of prescribing and dispensing is most effective in this setting?
Spinal-Cord Injuries: Saying No to Steroids
With steroids, epidural and otherwise, in the news lately for their overuse when treating back pain (and their danger when tainted by fungal meningitis), it was high time for a policy change, and we've got one, from the Congress of Neurological Surgeons and the American Association of Neurological Surgeons.
Energy is a hot commodity. Society pays dearly for it and for the expertise of those who know how to cultivate it.
You are What You Eat Part II: Integrative Protocols
In the previous installment of this article I discussed important ideas concerning gastrointestinal health and foundational ideas from TCM, which can provide key insights into creating effective protocols for healing the gut.
Business Building: What's Your Strategy?
I know some in our profession love to debate about whether or not spinal curvatures change as a result of our chiropractic adjustment, but I have a question that hits a little more close to the belt than that: Are chiropractors capable of change?
History Repeating Itself in Wisconsin?
Thirteen years ago, the Wisconsin Chiropractic Association (WCA) "agreed to settle Federal Trade Commission allegations that [the association] orchestrated a conspiracy among WCA members to increase prices for chiropractic services and to boycott third-party payers to obtain higher reimbursement rates."
News in Brief
Cancer Treatment Centers of America Continues Support of Chiropractic; ACBOH Announces 2013 Practical, Written Exam Dates; PCORI Approves Funding for Research on Spinal Stenosis; Macquarie University to Cease Offering Chiropractic Program.
Covering Chiropractic as a Profession, Not a Single Service
Recently Dynamic Chiropractic published a front-page article about various state essential health benefits and referred to Oregon and four other states not currently providing chiropractic as a covered benefit.
Let's face it – patient evaluation takes time. Unless you are really into the diagnostic evaluation game, you probably have found the formal exam protocol tedious if not downright annoying.
The Spirits of the Points: The Gall Bladder Official
The Gall Bladder is known as The Official of Decision Making and Judgment. In any given day, this Official makes countless decisions – conscious and unconscious, which influence every aspect of our being.
Economics of Complementary/Integrative Care
Although this column doesn't usually feature a book review, we're going outside of our usual public health format to discuss a new book written by Patricia Herman ND, PhD.
Helping Infertility Patients with the Spirit Essence
As many of you know, when it comes to treating infertility, we are dealing with a patient population that is, generally speaking, in emotional turmoil. These patients often experience fear, anxiety, despair, hopelessness, grief and anger.
Peer Points: Stories of Practice Success
When patients go see Arizona-based acupuncturist Jing Liu, it is to get top care from an practitioner well versed in all aspects of Traditional Chinese Medicine.
Helping Patients Through Pregnancy Loss
There is a lot of focus in the acupuncture world on fertility and helping women get pregnant. It's exhilarating to hear the news that a patient is expecting a baby. The other side of that is pregnancy loss. That includes abortion, miscarriage or stillbirth.
The Pallof Press for Core Stability Evaluation
Many people become injured because of instability, weakness and poor neural-sequencing patterns in the core. Lack of bracing and support from the inner core cylinder during coronal and transverse movements makes the body vulnerable to compensation injuries.
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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