resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
An Alarming Lack of Accountability
Accountability seems to be a lost quality today. The simple act of taking responsibility and doing the right thing just doesn't happen as often as it should. Maybe it is the litigious nature of our society.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
News in Brief
Northwestern Student Honored for Addressing Concussions Head-On; Northwestern Announces New CFO; Life U. to Provide Unique Opportunity.
Misconceptions & Opportunities With Medicare
As I speak around the country on how to properly document Medicare patient encounters, I get questions regarding opting out of Medicare. There are many misconceptions about opting out of Medicare, including just what it means to opt out.
F4CP Launches New Social Media Campaign
The Foundation for Chiropractic Progress has launched a new service to help member doctors: a social media campaign called "Accelerator."
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Let's Streamline Your Front Desk
Your front office can be your greatest source of efficiency or a constant bottleneck. Increasing the productivity of this area without sacrificing the quality of patient interaction can be a little tricky.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Specialized Pro-Resolving Mediators: 21st Century Inflammation Fighters
Specialized pro-resolving mediators, or SPMs, are a portion of the omega-3 fatty-acid spectrum that have been shown to have a powerful effect on reducing inflammation.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Excited to Share the Science of Chiropractic: An Interview With Dr. Heidi Haavik
Dr. Heidi Haavik has become known in the circle of chiropractic researchers as not only a rising star, but also one willing to do research that can have a major impact in the scientific world and how chiropractic is perceived.
Identify & Adjust the Apex Posterior Sacrum
Low back pain involving an apex posterior sacrum (+θX-axis misalignment) typically presents with signs of lumbosacral joint impingement or facet syndrome.
Day in the Life of an Advanced-Practice DC
Can you tell us a little about your background in the profession? Why did you want to become a DC? I studied at Boston University from 1968-1972 as a pre-med student majoring in biology.
Designing a Fitness Plan (Part 4): Blending Pain Relief With Healthy Aging
Pain relief is still the No. 1 reason patients come to my office. However, most of my patients have other goals as well, such as: "I want to lose 10 to 20 pounds"; "I feel old and want to slow down the aging process"; "My doctor says I am becoming a diabetic and need to exercise"; or "I'm tired and want more energy."
How Many of Your Patients Have Sarcopenia?
Figure 1 demonstrates the typical appearance of sarcopenia in the paravertebral muscles. Have you considered evaluating your patients for this problem? Sarcopenia is the progressive loss of skeletal muscle mass and function that affects the older population.
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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