resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
Term Limits: What's in a Word?
It was the French historian and philosopher Voltaire who once declared the Holy Roman Empire was neither holy nor Roman nor an empire.
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.
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.
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.)
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.
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.
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.
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."
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.
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.
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.
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.
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.
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.
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.
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!
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.
September, 2012, Vol. 12, Issue 09
Touch Matters: Massage for Children With Cancer
By Tina Allen, LMT, CPMMT, CPMT, CIMT
Receiving a thank you call is one of the biggest compliments you can receive from your client, post massage. Even better though, is when the call comes from a parent after you have massaged their child.However, the thank you changes and becomes even more meaningful when the parent calls to thank you for massaging their child so they could finally be free of pain, fall quietly to sleep and pass while they rested. This has been my experience, time and time again, as I work with children with a variety of medical diagnoses, in hospice and palliative care.
Initially reading this, many people will feel sad or have grief at the loss of a child. However, there is a very positive side. What would be better, a child passing comfortably or in agonizing pain?
Not Necessarily a Death Sentence
Not all children with cancer will die. The American Cancer Society states that approximately 12,060 children in the United States under the age of 15 will be diagnosed with cancer in 2012, with an estimate of one in 330 children to develop cancer by age 20.
Due to the major advances in treatment and care, 80% of diagnosed children will survive five years or more. This is a significant increase from the survival rates of the 1970's when the five year survival rate was less than 50%. Although the five year survival rate is steadily increasing, one quarter of children will die within five years from the time of diagnosis. Different types of cancers have different rates of survival, and cancer kills more children each year than cystic fibrosis, muscular dystrophy, asthma and AIDS combined.
Luckily, childhood cancers are rare, making up less than 1% of all cancers diagnosed each year. However, childhood cancer rates have been rising slightly for the past few decades. Despite its rarity and the major advances in treatment and supportive care, cancer is still the second leading cause of death, after accidents, in children younger than 15 years old. Approximately 1,340 children are expected to die from cancer in 2012.
Complementary therapies are increasingly integrated into mainstream cancer programs and centers. According to Harvard Medical School researchers, almost 12% of children and adolescents in the United States use complementary or alternative medicines, known as CAM. About 66% of children with cancer use some type of CAM. Although most studies have reported the effects of massage in adult patients, pediatric cancer patients also experience reduced pain after massage therapy. Massage is one of the most commonly used pain management strategies for pediatric patients newly diagnosed with leukemia.
Research has suggested that massage therapy can ease both physical symptoms, as well as emotional discomforts associated with pediatric medical conditions. Studies conducted by the Touch Research Institute at the University of Miami School of Medicine show that massage can alleviate pain, anxiety and depression in pediatric clients. No one likes to think of a child being in pain, let alone having anxiety or depression. However, it is a reality for these children and their families.
For cancer patients, especially pediatric cancer patients, even just a little relief can mean a lot. In general, about a third of all cancer patients experience significant pain. According to the National Cancer Institute, 15% to 25% of cancer patients become clinically depressed at some point during their illness. And of course, the very nature of possible hospitalization, isolation and the treatment for this very serious illness often makes things worse.
During massage, levels of feel-good neurotransmitters such as serotonin and dopamine spike, oxytocin (nurturing, cuddle hormone) is increased, while measures of the stress hormone cortisol drop. Massage can be just the supportive therapy a pediatric oncology client needs.
Massage therapy can be readily applied, most effectively by specially trained massage therapists or by parents who have learned massage techniques from a skilled, educated pediatric massage therapist.
When using massage therapy for children with cancer, your work does not need to be aggressive to achieve its maximum potential. Most types of massage (i.e. Swedish massage, light nurturing touch) result in various levels of symptom relief for patients; however, those patients receiving Swedish or light touch massages report significantly greater reduction in symptoms.
Not only is it imperative that you are trained in pediatric oncology massage prior to working with this population, but you must also consider all of the emotional and physical aspects associated with illness.
When working with children, you must always ask their permission to provide massage and nurturing touch. You are never to provide touch "to" a child, but rather with their absolute permission. As you are providing care to a minor, their parent's and physician must also be involved in this consenting and permission process.
Parents may be under an enormous amount of stress and anxiety, which causes the task of relating accurate information to be clouded. It is possible that they may not fully understand all of our questions, or may answer them incorrectly. They may give the wrong medication names, or even fail to mention something that we need to know to make the best care plan for the child. So, it is always a good idea to do a professional assessment and get further consent from the child's physician with express permission from the family to discuss private health information.
Working with the Healthcare Team
Communicating with physicians is not always easy. Many massage therapists feel their credentials are not comparative to that of a medical doctor. This can create tension during a conversation, as the massage therapist may doubt their ability to communicate in a manner familiar to medical personnel. This is why it is even more important to take the time needed to adequately asses the situation, diagnosis, possible indications and contraindications and write up a detailed care plan based on your assessment. When you present a physician with clear, concise information that has been well thought out, you can more effectively communicate the need for the noninvasive care pediatric massage therapy can provide.
Even just the act of holding a sick child's hand, communicates they matter. Finding your passion and believing that what you are doing is making a difference, makes getting up and going to work each day possible. When I started Liddle Kidz Foundation, I began with the thought that one person can truly make a difference and I have found this to be true. We all have the ability to make a difference everyday and should practice with this thought: "Children are our greatest gift, and should be treated with extraordinary care!"
Click here for more information about Tina Allen, LMT, CPMMT, CPMT, CIMT.
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