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Shoulder Strategies: Reduce Pain, Improve Function With Proper Taping
Shoulder pain / dysfunction is a common problem for chiropractic patients. Clinicians who utilize elastic therapeutic taping as part of their treatment approach know it can be effective for a variety of shoulder problems.
Socializing In My Slippers
When I graduated college, I had grandiose dreams of becoming an amazing acupuncturist. I wanted to build a great practice and make a good living. For four years, 13 semesters to be exact, I had a spreadsheet.
The Right Idea at the Right Time
On Feb. 28, 2014, Virginia Governor Terry McAuliffe appointed David Brown, DC, as new director of the Virginia Department of Health Professions.
Chiropractic Management of Sports-Related Tendinopathy
Tendinopathy is increasing in prevalence and accounts for a substantial percentage of sports injuries. Despite the magnitude of the disorder, research on chiropractic treatment is limited.
Are You Driving Patients Toward Dependence on Big Pharma?
Over the years I have had the opportunity to talk to doctors of chiropractic about health promotion, wellness and preventive care in chiropractic practice.
AAAOM: Facing An Ultimatum
On the heels of the growing discontent with leaders of the AAAOM, the Council of State Associations (CSA) recently took it upon themselves to present the organization with an ultimatum: for all board members to resign from the board and turn the organization over to the CSA or they will proceed on their own to become the primary representative of the AOM profession.
Dry Needling is Acupuncture: Anatomy of a Legal Victory in Oregon
On January 23, 2014, the Oregon Court of Appeals overturned the Oregon Board of Chiropractic Examiners "dry needling" administrative rule, which allowed chiropractic physicians to perform acupuncture after only 24 hours of training.
Enhancing TCM with Enzymes
Herbal formulations are an integral component for most Traditional Chinese Medicine (TCM) practitioners. One of the best ways to enhance their effectiveness is the addition of plant-based enzymes.
Alternatives to the Rainy Day Fund: Better Things to Do With Your Money
Google "rainy day fund" and you'll find the predominant and traditional advice given today is that you need to have three months of living expenses saved for an emergency. Some even recommend six months or more.
The Recliner Test
"Hi, Bill, how are you?" "Oh, I'm OK, Doc. I've got pain down the leg again, so I thought I would stop by and get you to check it."
Colorado to Have the First Acupuncture Medical Reserve Corps in the U.S.
In the summer of 2012, Colorado was on fire. Literally. Many acupuncturists from around the state, especially those who had received disaster response training through AWB, wanted to help those affected by the fires as well as the first responders and tireless state and local officials, with the healing and stress-relief of acupuncture.
Dietary Supplement Research: Contradictions, Bias, Misinterpretation and Confusion
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.
Anti-Aging: Educating Your Patients About The Skin
We know that cosmetic acupuncture works but what then? Education is a key part to the practice of Chinese medicine and when you practice cosmetic acupuncture, facial rejuvenation, etc., it is time talk about skin with your patients.
No Whining on the Yacht
This admonition – no whining on the yacht – may sound familiar to you. Many claim its origination.
News in Brief
In Remembrance: A Moment of Silence for Dr. Dick Versendaal; NYCC Named Chiropractic College of the Year by ACA; National University Partners With Indiana VA Facility.
How Much is Enough?
One of the primary arguments used against acupuncture care is the overuse of treatment. Some people say, "once you go, you have to go forever."
Making Sense of Chronic Inflammation
Inflammation is big business, evidenced by not only the laundry lists of medications patients bring me aimed at managing inflammation, but also the never-ending stream of advertisements for anti-inflammatory supplements that constantly find their way to my desk.
Environmental Toxins: Cause of Modern Illness (Part I)
Environmental toxins have created burdens on the human body that put demands beyond our evolutionary development. Modern diseases that historically did not exist to any great degree have been rising sharply in the last 40 years.
Revisiting the Neurological Exam
In spinal trauma or disease, the neurological exam chiefly aims to determine whether one (or more) of three basic neurological conditions is present: myelopathy, radiculopathy and peripheral nerve disorder.
San Zhen Protocols Part II: Case Studies
In my last article, I presented a collection of three-point acupuncture combinations which can provide effective clinical results.
We Get Letters & E-Mail
Shouldn't the Pentagon Know More About Chiropractic Care? Office Flow: Have You Reviewed the Patient Experience Lately? Let's Stop Confusing the Public About Chiropractic; Cutting Down the Cherry Tree.
Arch Height and Running Shoes: The Best Advice to Give Patients
Because runners with different arch heights are prone to different injuries, running shoe manufacturers have developed motion-control, stability and cushion running shoes for low-, neutral- and high-arched runners, respectively.
Through the Eyes of a Child
Once upon a time there was a girl name Lucy. Lucy had cancer, but she had a heart filled with love and compassion. Please come along to hear this story of an amazing child, her tenacity and her dream to help other children.
Evaluating Prenatal and Pediatric Automobile Injuries
Often in a family practice, one of your patients or an entire family is in an automobile accident and you are sought out to provide care for their soft-tissue injuries.
Chinese Herbs Debut at the Cleveland Clinic
Chinese herbal medicine is now being prescribed at the Cleveland Clinic thanks to a trailblazing team of people.
October, 2012, Vol. 12, Issue 10
Hospitals Embracing Massage
By Kathryn Feather, Senior Associate Editor
An increasing number of hospitals are throwing their doors open to qualified massage therapists as savvy health care consumers are requesting massage therapy to deal with certain health conditions.The research showing the validity of massage as a drug-free option for patients to consider has been steadily growing over the last few years and hospitals are finding it a profitable business practice to offer massage and other complementary therapies to their patients.
According to the latest American Massage Therapy Association (AMTA) industry facts, almost 10 percent more people received massage for a medical or health reason. Forty-four percent of adult Americans surveyed who had a massage between July 2010 and July 2011, received it for medical or health reasons as compared to 35 percent the previous year. Of the people surveyed who had a least one massage in the last five years, 40 percent reported that they did so for health conditions such as pain management, injury rehabilitation, chronic pain management or overall wellness. As more people--especially baby boomers--request these services, and have the discretionary income to pay for them, hospitals and other health care providers are taking notice and making changes to the services they offer.
Finding a Career
"Massage in a hospital setting is ideal," said Edie Black, a registered nurse and licensed massage therapist working at Connecticut Children's Medical Center. "As I provide massage therapy to inpatients at our hospital, I see my patients finding a deep sense of relaxation, pain relief and an increase in body awareness."
Black paints a positive relationship between patients and the massage therapists. "Due to the nature of the hospital setting, each patient benefits differently. Our hospital has one floor dedicated to children with cancer and blood disorders and the majority of massage consults are found there. Some [patients] are looking for pain relief as they recover from surgical procedures such as amputation or reconstruction after tumor removal. Some are anxious about the hospital and the painful procedures they have experienced," said Black. "The massage therapist can help by offering that ‘safe' time, not only for the patient but for the family as well."
Elizabeth Schroeder was hired by Children's Mercy Hospital in Kansas City in 2008 as an Occupational Therapist in 2008 and became more interested in complimentary therapies such as massage while she was in school. "I had been researching why the therapeutic use of touch was benefiting the patients I was treating. As I found more evidence-based research in massage, I spoke with my supervisor at the hospital regarding becoming licensed and she was very supportive. Schroeder has been a licensed massage therapist for a little over a year now.
Schroeder says "pain related conditions are the most frequent referrals: idiopathic arthritis, juvenile rheumatoid arthritis, and neck, back or joint pain. I do use massage frequently with ADHD, Autism Spectrum Disorders and Sensory Processing and Modulation Disorder." The survey also found that 59 percent of massage consumers surveyed said they would like to see their insurance cover massage therapy.
Educating Doctors and Consumers
According to the AMTA survey, massage therapists received an increase in referrals from health care professionals, with the number of nurses recommending massage doubling in 2011 and 96 percent of the massage therapists surveyed receiving at least one referral every six months from a hospital or medical office. The survey shows that, on average, massage therapists received about four referrals per month, twice as many as in previous years.
There is also a growing body of research that therapists can point to--and other health care professionals are noticing--that shows the positive benefits and effectiveness of therapeutic massage. Recent studies have examined the effects of massage in dealing with a variety of specific health conditions such as cancer related fatigue and pain, low-back and chronic neck pain, lowering blood pressure, reducing the frequency of headaches, boosting the body's immune system and even easing the symptoms of alcohol withdrawal.
"Our patients and their families have provided positive feedback, including scheduling their planned admissions for treatment around the days the massage therapist is available," said Black. And hospitals are taking notice of the demand. The Mayo Clinic in Minnesota offers a hospital based massage therapy course for therapists who want to join the hospital health care team. The program is divided into three modules and takes two months to complete and requires completion of a 500-hour minimum massage therapy program. The Mayo Clinic states that "through the course, participants will gain an enhanced understanding of the utilization of massage therapy and integrative medicine in the acute care hospital setting. Participants will experience self-care exploration, a team-based approach to integrative health care and scope of practice, navigation and documentation in a medical record, establishing therapeutic relationships and treatment planning." This program is only offered twice a year and is limited to 12 students to ensure that therapists receive close one-on-one instruction and a more comprehensive experience. The Mayo Clinic campus includes extensive facilities including an outpatient complex and research areas, in addition to the well-known hospital. Placement for therapists completing this instruction is very good, according to the Clinic.
For those already working in hospitals, they know they are a part of an integrated health care approach to wellness for their patients. At the Children's Mercy Hospital, Schroeder sees this integration first hand. "I am in contact with every patient's doctor regarding plan of care and progress toward goal directed therapies. Specifically for pain-related diagnoses, I am frequently in contact with the patient's psychology support systems. In all of these relationships...I find these providers to be open and willing to see the effects of massage as a modality used in treatment."
Candace Linares has been a massage therapist for 19 years and has worked in the hospital setting for the last seven years. In her experience, the doctors and nurses she works with ask for massage therapists on a regular basis. "I believe there is a reliance and confidence regarding massage services to assist patients' special health concerns," she said. As hospitals and doctors become more aware and accepting of the benefits and effectiveness of massage therapy, and as a greater number of patients continue to request these services, the demand for more massage therapists who are ready and able to become competent and contributing members of the health care team will continue to grow.
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