resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
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.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
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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