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Communication 101: Please Explain Yourself!
Twice this past week, I overheard conversations about chiropractic. As you can imagine, it is a topic my ears naturally pick up. In both cases, a patient was talking to a friend about their experience with a chiropractor.
Uncle Sam Needs You (Part 2)
Where chiropractic care has been used in the military health services, it has been deemed very successful.
Chiropractic Research in Review
Predicting Pain With Disability in Office Workers; Traction Approaches for Discogenic Cervical Radiculopathy; Intra-Articular Gas Bubbles Following Manipulation; Nonresponsive Chronic Ankle Sprains: Think Tendon Rupture.
Jingei Diagnosis: An Effective and Powerful Diagnostic
I graduated from the Kotatama Institute under the direction of Drs. Masahilo and Katsuharu Nakazono in 1984. As a student, I was exposed to the practice of most of the various theories and modalites of Oriental Medicine.
The Case for Immunization
As long as I have been a chiropractor, I have seen many in this profession oppose vaccinations. Indeed, it has often been taken as a "given" that to be a principled chiropractor requires a curmudgeon's willingness to hold aloft that banner of opposition.
Healing With TCM at San Quentin State Prison
For the prisoners at San Quentin State Prison, life-sentences are the reality of every day life. It is not often that prisoners get the opportunity to use alternative medicine to deal with common ailments they encounter behind bars such as, depression, anxiety and pain.
Correcting Pelvic Rotation Around the Long Axis: Adjustment Protocol
The pelvis can be considered a ring that can misalign on the sacrum rotating around the long axis. The following is a description of an adjustment that helps to correct sacroiliac rotation around the long axis.
AOMA Strengthens Leadership Team
AOMA Graduate School of Integrative Medicine, a leading college of acupuncture & herbal medicine, announced the appointment of Donna LaPoint Hurta, MBA as the new VP of Finance & Operations this Fall.
Sports Science: What's in That Drink?
Athletes frequently ask me what the best liquid is to drink during exercise – water or a sports drink? Water provides the necessary hydration, but unfortunately, it lacks the key nutrients to aid in performance and recovery.
Commingling Money: 12 Questions for the ACA About the CHAMP / NCLAF Merger
The American Chiropractic Association recently announced it was merging the National Chiropractic Legal Action Fund and the Chiropractic Health Advocacy and Mobilization Project into a single entity that will support both legal and legislative actions.
The Tao of Gender
If you think gender is as simple as having a new client check off the "male" or "female" box on your intake form, we hope this article will expand your understanding and thus the reach of your health care.
Pulse Diagnosis: What We Know
I am still finding pearls of wisdom from the books and papers that I inherited from my pulse diagnosis mentor Jim Ramholz.
Lime Jello on Morphine
Taste is in the eyes... actually the mouth... of the beholder. My food preferences have changed, lightening from the food of my youth. My parents loved heavy eastern European cuisine and I loved it as a child. Now I enjoy leaner, healthier whole foods.
The Heart Protector
On the physical level, the Pericardium is a double-layered sac of fibrous tissue that envelops the Heart. The space between the layers is filled with serous fluid that protects the Heart from external shock or trauma and lubricates to allow for normal Heart movement.
Dr. George Goodman and His Legacy to Logan University
Those who knew him called him a revered leader, a visionary and one of chiropractic's biggest advocates. George A. Goodman, DC, Logan University's sixth and longest-serving president, passed away on Sept. 9. He was 70 years old.
CMT & Stroke Risk: Myth vs. Fact
By now, most of you have probably heard that the American Heart Association recently published a statement regarding the association between cervical dissection (CD) and cervical manipulative therapy (CMT).
Managing Patient Expectations About Acupuncture
Last year, I attended the Pacific Symposium in San Diego for the first time in six or seven years. It was the 25th anniversary of this event, and on one evening there was a panel discussion with the title; "What is Qi?."
Essential Orthopedic Testing: Tests That Involve Standing on One Leg
Since these tests have a common mechanism of performance (standing on one leg), there are differential diagnostic concerns during testing. The tests cannot be completely isolated from each other for performance.
The Wonders of Light Therapy: An Interview with Wes Burwell
I first met Wes Burwell in 2011 when he was teaching a class on light. Since then, every time I hear him speak, his understanding of the benefits, function and capacity of light has evolved.
Simple Ways To Find True Happiness
Patients in our clinics are always seeking happiness. As their health advocate, we need to ensure we inform them that in order to find happiness, they have to make sure to identify what makes them happy in the first place.
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 2)
As mentioned in part 1, using a flexion-distraction table is a great way to unlock this particular fixation. You have found the stuck segment. You have determined whether it is unilateral, midline or bilateral.
Managing Today's Fertility Patient
I recently received an email from one of my fertility patients: "Got my lab results back. FSH is 11, AMH is 0.7. My doctor said these numbers aren't good. I guess I'm infertile. Just as a thought. Just set up an appointment to speak with an adoption agency."
September, 2012, Vol. 12, Issue 09
The Significance of Tissue Density Measurement
By Linda LePelley, RN, NMT
Massage therapists often struggle with the perceptions and beliefs expressed by others about the validity of massage therapy. Some massage therapists end up questioning the benefits of massage as well.It saddens me when I hear a therapist state that massage is just a "feel-good" experience. While there is nothing wrong with basing one's personal practice on providing relaxation massage, there are many therapists who dedicate their work to the relief of pain. Those of us who strive, and are able, to relieve our client's pain are often told that our results are subjective, therefore, "anecdotal."
It's been suggested to me a few times that the reason I'm successful at relieving pain is that I'm so kind and my clients like me. Supposedly my, "therapeutic presence" makes people feel better. Therapeutic presence is very comforting and beneficial, but it alone will not change a physical problem. I've also been told I possess "innate healing abilities." Some of us may have been seduced by the heady notion that we are magical healers, an idea that finds room for consideration when one cannot otherwise explain good results where others have failed. However, we do the profession a great disservice by cloaking our positive outcomes in ambiguity. Such is the stuff that quackery surrounds itself with, "mysterious ancient secrets" and the like. Better to acknowledge that while we may not know why a treatment works, we use it because it causes improvement. By studying and refining such treatments, perhaps the improvements can be increased and eventually understood.
It was during a devastating period of time when a medical condition caused me to lose the ability to walk that I became aware that palpable changes in tissue density (TD) are a reliable gauge of musculoskeletal pain. I was not willing to give up my massage practice, so I made adjustments to my clinic, such as removing the legs from my massage table to lower it and working from a seated position in a rolling task chair. I looked at what I was doing from a different perspective, and started trying new things that I would never have considered had I still been able to stand correctly and utilize proper body mechanics. I can laugh now, looking back at the dark days when I feared I would no longer be able to make a real difference in medical conditions such as arthritis, back pain, sciatica and other painful conditions. I believed I would have to relegate myself to doing relaxation massage, that I could only do, "feel-good" work. I resolved, however, to give it my all and deliver the most relaxing, best feeling massage each client had ever gotten. It was at this point in time that my work became most effective. Seated, and spending more concentrated time on a focused area, I came to recognize the subtle changes in the density and texture of tissues.
Painful, elevated TD can absolutely be felt by the therapist. Once a therapist has developed the skill of TD palpation, they can recognize problem areas before the client is even aware of them. It is not a psychic or intuitive knowledge; it is a universally assessable, measurable and documentable state of being which can be determined, recorded, and understood by any skilled clinician. Most importantly, elevated TD is restorable, and, once restored to normal density, pain is relieved and function often returned. This is what successful massage therapists have been doing all along. By narrowing the focus of whichever method we use that effectively restores TD; one can increase positive outcomes dramatically.
I think of the existence of elevated TD as a sort of, "Rosetta Stone." You may recall that it was the discovery of the Rosetta Stone that led researchers to understand the meaning of ancient Egyptian hieroglyphics. Upon it is recorded the same message in two languages using three different scripts, some understood at that time of discovery, the other, hieroglyphic, unknown. To over-simplify it, they were able to plug in what they knew about some of the writing and decipher that which was unknown. The association of elevated TD to a Rosetta Stone comes to mind when I think about conditions we don't understand, for example, the affect weather has on people with arthritis and old injuries. Science tells us that the complaints of pain that occur with changes in weather are subjective, therefore, are simple folklore and can't be proven. But "plug in" elevated TD as a factor, and there is an assessable, measurable, and treatable explanation. And, once recognized, it is undeniable.
Elevated TD results in tissue hardening and contraction, which can form various secondary compartments within the body. Our nerves become caught up in these formations and are subject to the stresses applied to the makeshift walls of these compartments by weather related changes in barometric pressure - similar to the discomfort we experience in our ears with changes in elevation. The severity will depend on the grade of TD involved.
Through the measurement of TD we can now provide consistent, corroborative, objective data about the condition of tissues before and after treatment. Combine that with a client's subjective statements, and the efficacy and benefits of therapeutic massage are provable. There is no longer justification for the benefits of massage to be questioned by doctors, clients or massage therapists. There is no reason left to deny the effectiveness of therapeutic massage, nor is there any acceptable excuse to decline payment for treatments.
Linda LePelley, RN, NMT is a registered nurse and licensed massage therapist with 19 years of clinical massage experience. She developed Tissue Density Restoration (TDR) Massage, an effective treatment for the pain found in hyper-dense tissues. For more information, visit www.MyHealingHands.com.
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