resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. 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.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
September, 2012, Vol. 12, Issue 09
Compassion Really Is Good Medicine
By Ann Catlin, LMT, NCTMB, OTR
Some think compassion is an attribute reserved for spiritual leaders. But compassionate presence isn't just reserved for people who travel a moral high ground. It's something we all can cultivate and draw upon when life calls us to the bedside to care for someone in need.For massage therapists, compassionate presence is both a personal quality and a professional skill that has an increasing relevance in today's health care.
There are various definitions of compassion. Benevolence and loving-kindness are other words that describe this heart-centered human experience. All the definitions have, at their core, this commonality: compassion is heartfelt concern for the suffering of another, or one's self, coupled with feeling moved to do something to bring about increased wellbeing for the one who is distressed. I'm sure we can all think of times when we experienced compassion: with a client, with a loved one, with a pet, with the homeless old man on the sidewalk. We would likely all agree that it's good to feel compassion. Scientists are interested in the impact of compassion and they're finding that it's, well, good medicine!
Interestingly, the study of compassion is thriving. The Center for Compassion and Altruism Research and Education within Stanford University's School of Medicine conducts scientific studies of compassion and altruistic behavior. Researchers here are finding that compassion lends itself to being measured. Scientists are looking beyond Western "hard science" — traditional, biological science — to see what they might learn about human behavior and emotions from other paradigms, especially heart-centered ones such as Eastern philosophies. Neuroscientists are using brain studies to look at how compassion affects us biologically.
Antonio Damasio, Professor of Neuroscience at the University of Southern California, reports that emotional states are created by brain activity in the hypothalamus, basal forebrain and brain stem primarily, plus they rely on the release of neural chemicals. For example oxytocin, a peptide, known as the "care and connection" hormone, which is stimulated by touch and physical contact. Evidence also suggests that brain measurements don't show much difference between a person suffering extreme pain and the person who witnesses such an experience in another.
Research conducted by Richie Davidson, founder of the Center for Investigating Healthy Minds at the University of Wisconsin reveals that when people experienced in mediation witness people suffering, MRI scans show increased brain activity in areas related to nurturing and social connection. When people who do not meditate observed the same suffering, their brain activity increased in areas related to more negative emotion such as sadness or aversion, resulting in their wanting to leave the situation. When this second group was taught and practiced loving kindness meditation, their brain scans revealed changes similar to the first group.
A study published in the Journal of Clinical Oncology showed that 40 seconds of compassionate communication from a physician could reduce anxiety among breast cancer patients, as well as increase the patient's confidence in the doctor and positively impacted the doctor-patient relationship. If you've been to a doctor's appointment recently, you've likely noticed the ever-present computer screen in the room and the doctor's attention is focused on the screen for, at least, part of the visit. While I understand the efficiency of electronic documentation in health care, I fear that this procedure is one more insult on an already fragile doctor-patient relationship in modern health care. I appreciate the work of Paul Tournier, a Swiss physician and proponent of "medicine of the person," an attitude emphasizing that attention be given to the holistic nature of health problems. This approach places the person on the same level as technique or theory. It embraces dignity, suffering, intact abilities, acceptance, validation, intuition and purpose. Dr. Tournier encouraged authentic communication with patients and recognized how it could improve the experience for healthcare professionals helping them to find greater satisfaction in their work.
Cultivating Compassionate Presence
For years, I've made the point that compassion is a natural human quality that is omnipresent and that we can bring it forth with intention. Because I'm in the process of cultivating my own awareness, I enjoy finding guidance from the masters. In a conversation between The Dalai Lama and Paul Ekman, a prominent American psychologist and researcher, they agree that compassion is cultivated through training rather than it being a spontaneous emotion. Ekman believes that compassion is different from emotion. He explains that emotions arise spontaneously and that we are born with the capacity to experience a range of emotions. But compassion, he claims, needs to be cultivated if we are to extend it in the world. Once we have integrated compassion into our world view, we are more likely to automatically respond compassionately, even to strangers. With practice, as in meditation, compassion becomes a part of our permanent nature and then arises more spontaneously. There is a myriad of heart-centered mediations. I've modified this one that's taught by Jack Kornfield, a leader in bringing Eastern meditation practices to Western culture. The intention is to bring the mind and heart together.
Practicing Compassion Meditation
Sit comfortably. Be in your body and focus your attention upon your breath. If you wish, place one or both hands upon your heart center. First, you will direct loving kindness to yourself.
Picture two or three people who care about you. Imagine them looking lovingly at you. These might be people in your life now or in the past or even spiritual figures. What would they wish for you? Repeat these simple phrases imagining they were saying them to you.
How does that feel? Notice what arises and remain centered. Try not to judge any thoughts, but simply let them pass through your mind. Most loving kindness meditations use the word "I" where I've used "you." The reason I've suggested it this way is that I've found in my own practice that it's powerful to accept loving attention from others. You can substitute the words so that they resonate for you.
Now picture someone you would like to send compassion to. It might be someone you are close to, a client or a stranger. It might even be someone you are having a challenge with. Repeat the same phrases, directing them to this person. You might even hold a photo of the person in your hands.
Again, sit for a few minutes simply noticing anything that arises. To end, take in a deep, cleansing breath and bring your awareness back into your body. Offer thanks for the experience in whatever way you wish.
Touch is Person-Centered Care
I believe massage therapists have the power to offset the impersonal nature of healthcare today. We carry the torch of Tournier's vision of person centered medical care! Our service is sorely needed in hospitals, eldercare, homecare and hospice where so many people feel lonely, helpless and broken. We can do a lot to offset these feelings and offer a sense of well-being in their place. There are times we can draw upon simple techniques combining compassionate presence with touch. The following focused touch technique can be used anytime you are called to the bedside. Let's say a 72-year-old woman has been coming to you for three years for massage. You get a call from her daughter telling you that your client has had a serious stroke and now she's in the hospital. Could you please visit her there? As you walk through the hospital, you feel nervous and many thoughts are running through your mind. What will she be like? I know I can't massage her like before, so what can I do? Will she be in pain? Will I be sad to see her this way? I feel so bad for her. What should I say?
First, it's important to center yourself before you enter the room. This helps to focus your attention and calm you. You are touching her with your presence and energy just entering the room. So take a deep breath and ground yourself.
As you walk into the room your client (friend) appears to be sleeping. There are monitors attached to her and an oxygen tube at her nose. You might feel a little stunned to take in the scene. It's a normal reaction to be a little shocked. You decide not to wake her but rather sit quietly in the chair across the room and while sitting there you feel sad and a little afraid. This is exactly the kind of situation where the compassion meditation can serve you well. Compassionate presence informs you and leads to the next right action. Now you are ready to offer the gift of your touch.
This simple technique is especially useful when you are with someone who is seriously ill. Focused touch is a powerful expression of compassion when words are lost, creating a sense of well-being and decreasing feelings of loneliness.
Stand at the bedside. Gently place one hand either under her hand or upon the forearm. Then cradle the shoulder with your other hand. Simply hold her while silently saying the compassion meditation, directing the words to your friend. Presence will inform the quality of your touch. To close, slowly release the touch, keeping your attention on your friend. Offer thanks for the experience.
In closing I send these thought to you: May you be well and live your life with ease. Thank you for the opportunity to assist you on your path of service. Pass it forward!
Click here for more information about Ann Catlin, LMT, NCTMB, OTR.
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