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Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Code Connection: Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. 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.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
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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