resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
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.
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.
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?
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
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.
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.
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.
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
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.
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.
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.
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.
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.
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
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."
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.
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.
January, 2013, Vol. 13, Issue 01
VacuTherapies and the Professional Athlete
By Stacie Nevelus, LMT, CMCE
VacuTherapies can be an amazing addition to any bodywork session, especially when working with professional athletes. I find that professional athletes want deep, effective bodywork to help maintain their bodies so they can compete on a professional level.Whether they need therapy through training, in season or for injury rehabilitation, VacuTherapies techniques provide athletes with a highly beneficial therapy without pain or discomfort. VacuTherapies encompass various cups from a manual pump method to a mechanized vacuum, truly a modern protocol using an ancient tool.
This modality brings various benefits to an athlete. It will increase range of motion, restore and maintain flexibility, release fascia, reduce acute and chronic pain, decrease restriction of movement from micro scarring from old injuries and allow the practitioner to do passive range of motion with cup placement. With routine work, it can enhance performance and help keep these incredibly active professionals injury free.
I use a wide variety of cups with sizes ranging from the diameter of a pencil to 6 inches in diameter. This enables me to address and work on soft tissue in various parts the body in a very specific way. I can use smaller cups to breakdown post-surgical scars or choose to work with the largest six inch cup on an NFL lineman for his back and legs. I can adjust the variable vacuum pressure from the lightest of suction for hypersensitive areas to stronger suction for deeper work. When I introduce these therapies into a session, athletes soon realize the benefits and the difference the modality offers them. It is unlike anything else they've experienced and they respond so quickly that it can simply be one session to become pain free.
One of the biggest benefits I find with using vacuum therapies is that it is such a comfortable treatment for the athlete. A common myth is that good sports therapy should be deep and painful, like the saying, "No pain no gain." When the tissue is prepared with this modality, it sedates the nervous system, allowing the athlete to receive deep applied therapy with ease. The practitioner benefits as well, because it is much less demanding on their body to do the work.
What Athletes Say
Bronson Arroyo, starting pitcher with the Cincinnati Reds says, "When parking the cups, any deep work after that is less painful. It's nice to have an alternative that doesn't crush you. Moving the cups around slowly, pulls tightness out of an area." David Baas, starting center with the New York Giants says, "I have always been used to someone digging their elbows into me to relieve my muscle tension. That changed with massage cupping. It opened my eyes to whole new idea of massage. Its unique ability to get results with less pressure is a bonus all around for patient and therapist. It has helped me extend my career and I would recommend it to anyone."
By simply gliding the cup over soft tissue, VacuTherapies create vasodilatation almost instantly, bringing oxygen rich blood and nutrients to the muscle and tissue. This results in life and vitality in otherwise stagnant tissue. Adam Jones, center fielder with the Baltimore Orioles and two time All-Star and Gold Glove award winner, describes the work: "The work you've performed on me over the last three years has helped me increase the amount of games per season. I honestly have felt better and healed faster with the cups. Massage with cups are big-time body flushes and make me feel fresher. It gives me my legs back."
By creating this blood flow, it's as if a map is created, showing me where the blood flow is readily available to the tissue. It also shows me the areas that are ischemic. When I see this demarcation, it indicates to me that there is possible adhesion, restriction or scar tissue. I simply use this information to help me work more specifically with the athlete to address their areas of concern, to free up the tissue and to get them optimal performance and always feeling at their best. In addition to blood flow being brought to the tissue, I am able to draw out inflammation without adding to it. It also releases debris left behind from old injuries and I am able to open up the body's lymphatic system and clear the debris down to cellular level.
Sometimes athletes get injured on the field due to a sports trauma. With mechanized vacuum therapies, I have been able to help athletes quickly recover from various injuries or surgeries and get them back on the field. I worked with a professional baseball outfielder in the American League after he completed surgery for a sports hernia he encountered during the season. After talking with him, we decided that his recovery goals could be accomplished with these techniques. We needed to get him moving freely, regain his range of motion and decrease the scar tissue that had accumulated after the surgery to have him back on the field and starting on opening day. We agreed on two sessions per week with vacuum therapies for the duration of spring training. At the first session, the scar tissue present was about the size of a golf ball. By the second session, it had a softened perimeter and was much improved. In approximately five sessions of consistent work, I was able to dissolve the adhesion that had been created after his surgery. I continued the work to keep the surrounding muscles pliable and to ensure that he had his full range of motion and was able to move without hesitation. We were so successful that he was able to join his team on opening day.
When an athlete presents with an acute injury, I like to use the micro magnetic cups during their treatment session. These magnetic cups are amazing at decreasing the hypersensitivity that comes with a fresh injury. The cups allow me to shift the polarity and the PH of the injured tissue. I follow up the magnetic treatment with some simple drainage of the area to decrease the inflammation that has been created from the injury. I find this helps facilitate a quicker healing process for the athlete and get them safely back to work.
One of my favorite areas to treat on athletes is the hips. Whether in training or in season, keeping the hips open is key to performance enhancement with less injury ... no matter what the sport. VacuTherapies can yield profound results as the tissue is released and allows the athletes to have a larger range of motion without the restrictions of the hypertonic muscles. By simply parking the cups over key trigger points and incorporating passive range of motion, the whole gluteal compartment can release in a matter of minutes. Any hands-on work I do after this application is much easier on me as the practitioner, since the tissue is already released, and definitely easier for the athlete to receive the deeper massage work. By working with the cup on the target tissue, the vacuum lifts and creates space between the layers of the tissue. It stretches the fascia and essentially puts a handle on the belly of the muscle.
I had a USA Master's Track and Field All-American athlete come to me complaining of a restriction in her right hip. She was a competitive high jumper and simply had no more spring in her jump. She is a physical therapist and had tried various modalities on herself without success. In the first session, which included massage cupping, I used specific cups and parked them over the trigger points so that she could gain more flexibility and spring. She returned for the second treatment just prior to a national competition and I used a larger cup over the gluteal compartment. What I saw next amazed me because I had never seen it before and I have yet to see it since. There was a large dent in her tissue as it gathered in the cup. This clearly indicated to me the adhesion she had was deep. Healthy tissue will present with a nice rounding in the cup once the vacuum is applied to an area. Later that week, she went on to compete nationally and received several medals in her events. Two sessions with vacuum therapy included seemed to address what was plaguing her for many months and returned the spring back to her jump. By creating the vacuum, we were able to create space between the layers of the tissue. The adhesion was possibly created from an old trauma, or simply the heat created in the exertion of the tissue causing it to fuse together. She continues to come to me as needed, but every time I park a larger cup on her right gluteal area, there is no dent to be found. The adhesion will not return unless new trauma is created.
VacuTherapies allow me to prepare the tissue before using any other massage modality, and can also be used to achieve a desired result without the addition of other work. I enjoy the variety of cups and techniques used to accomplish an array of bodywork that is so highly beneficial for the professional athlete. From training to in season, or in the case of injury, VacuTherapies offer me a remarkable tool for the multi-faceted athlete.
Stacie Nevelus, LMT, CMCE, specializes in therapeutic and sports massage, as well as VacuTherapies. She is a certified educator for ACE Massage Cupping and MediCupping and provides national workshops for massage therapists and other healthcare professionals. Stacie focuses on her private practice in Florida, as well as working nationally with MLB and NFL professional athletes. For more information, visit www.StacieNevelus.com.
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