resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Creating Child-Friendly Clinics with ABT
The Zurich Dojo was scattered with toy ducks, dolls, trains, exercise balls and teddy bears during my recent pediatric workshop.
Are You Guilty of Paternalism in Your Approach to Patient Care?
Einstein is purported to have said, "When a man sits with a pretty girl for an hour, it seems like a minute. But let him sit on a hot stove for a minute and it's longer than any hour. That's relativity." In some way, everything is relative to one's point of view.
Stress in the Modern Age: Impact on Homeostasis and What You Can Do (Part 1)
In 1926, Hans Selye first used the word stress in a biological context, referring to the nonspecific response of the body to any demand placed upon it.
What is a Discipline in Medicine?
In my now prolonged dialogue with physicians, one question emerges with enough regularity to deserve mention and naming: what is a discipline?
Monoculture of the Mind: Part II
Cases are built within boundaries. Such bounds may be a program, event, activity or individuals. In this instance, a medical case has boundaries that include clinical interactions that are comprised of history, signs, symptoms, diagnoses, treatment plans and treatments.
Get That Shoulder to Move: Restoring Internal Rotation
How many times have you mobilized, performed ART, Graston, FAKTR and PIR, and stripped a patient's posterior capsule, yet on re-exam, discovered it was still blocked?
Collaboration for a Cause
The Patient Protection and Affordable Care Act strongly encourages the formation of multidisciplinary practitioner teams called Patient Centered Medical Homes (PCMHs) and Accountable Care Organizations (ACOs).
AAAOM – The Beginning of the End (Part II)
In 2012, the AAAOM board members met in Chicago for their annual meeting. The goal was to come to a consensus on a long list of issues the AAAOM needed to work on including a functional board and budget.
Green Tea Catechins Lower PSA, Other Biomarkers in Men With Localized Prostate Cancer
A 2006 study (Cancer Research) was the first human investigation to show that green tea catechins (GTC) are highly effective in reversing premalignant prostate lesions (high-grade prostate intra-epithelial neoplasia), an established precursor to prostate cancer.
News in Brief
Hamm Elected New President of the ACA; WFC / ACC 2014 Education Conference: Call for Papers; F4CP Recognizes Standard Process as $1 Million Supporter; Texas Chiro. College Begins Search for New President; League of Chiropractic Women Hosts Women's Success Summit.
One and Done: Keeping Patients From Vanishing After Just One Appointment
What happened to my 3:30 p.m. ROF? They may have rescheduled, but there are two common answers no one wants to hear: 1) "She called to cancel. I tried to get her to reschedule, but she refused." 2) "She no-showed.
Flexion-Intolerant Lower Back Pain (Pt. 3): Mobilization & Soft-Tissue Treatment
What is the biggest challenge to the chiropractor in treating discogenic pain? You have to completely reframe the purpose of your manipulation. It is rarely about unlocking a stuck segment at the disc involvement level; it is not about putting a joint back in alignment.
Steven Rosenblatt: Birthing A Cross-Cultural Acupuncture Profession
The existence of a cross-cultural acupuncture profession in the United States, one that is legalized, licensed, supported by formalized, academic training and inclusive of non-Asian practitioners, is an important part of the medical landscape in this country and is responsible for improving the lives of hundreds of thousands of Americans.
The Healing Properties of Light: An Interview With Researcher Anna Cocliovo
This interview is with Anna Cocliovo, a light researcher and Acupuncturist in Arizona. During my own research in light, I came across the article she published for the American Journal of Acupuncture and sought her out as a result.
Risk Factors for Heel Problems
Heel pain and gait disability are common occurrences in adults, often the result of thinning heel pads and a lifetime of exposure to heel-strike shock. One condition experienced by many people is plantar fasciitis.
AAAOM – Making Promises They Can't Keep
When the AAAOM first formed in 2007, their mission was clear: to support the profession through education, resources and legislative advocacy. The first years of the organization were filled with promise and hope.
Leaving a Lasting Legacy: Donna Liewer
For the past 31 years, Donna Liewer has been on a personal mission "to comfort the afflicted and afflict the comfortable." In her role as executive director of the Federation of Chiropractic Licensing Boards, Liewer has accomplished that and much, much more.
Resilience is the New Longevity
Sometimes we must enter a room through one door and not another, even though they both lead into the same space. I am talking now of the recent cachet with the concept of "resilience" regarding health, chronic pain and longevity.
Successful Strategies in Integrating Acupuncture and Shiatsu in a Hospital Oncology Program
Colleagues from the Network of Researchers in Public Health in CAM recently published an article of interest to our Traditional Asian Medicine community.
Chiropractic Prevents ADHD? Research Shows...
Now that I have your attention, let me tell you what the latest study actually states. As you may have noticed, research over the past few years has begun to reveal that acetaminophen (the primary ingredient in Tylenol) is not as safe as once thought.
Epigenetics: The Western Science Supporting Essence
Since the days of Darwin, western medicine has touted that our genes were set in stone, that our genetics were our destiny. We were told that the diseases that ran in our family were likely coming to us as well.
Why DCs Need to Understand the Principles of "Inclusive Design"
In the past few columns, I've written about the negative effects of prolonged sitting at work. I've attempted to make the point that prolonged sitting (or prolonged standing) takes a toll on workers. Now let's discuss a related issue: the concept of "inclusive design."
March, 2013, Vol. 13, Issue 03
TDR Massage for Self-Care of the Breast
By Linda LePelley, RN, NMT
A new client stated that his doctor had recommended massage to reduce his anxiety level. He had been experiencing frightening episodes of chest pain, but all the tests indicated that his heart was fine – hence the diagnosis of anxiety.I found elevated tissue density (TD) in his chest overall, as well as several pectoral trigger points. I released the trigger points and instructed him on how to massage his chest, and his chest pain has never returned.
Tissue density restoration massage for the breast was developed to relieve non-cardiac related chest pain, and to help detect and prevent breast cancer. If you experience chest pain but have been told by your doctor that it is not related to heart disease, a simple routine of chest/breast massage can relieve and prevent pain symptoms. Hyper-dense chest and breast tissues can be a source of pain, especially during periods of elevated tension, for men and women alike. When tissues harden, nerves are caught up within them, impairing normal sensation. While many men assume breast massage would be for women only, it is important to point out that men get breast cancer as well, as many as 1 in 1,000. Whether you are seeking to relieve achy chest tension, or promote breast health, the treatment is the same.
Several years ago, in the course of having a sonogram on my liver, pancreas and gall bladder, the doctor told the technician to try to visualize my heart as well. He added that it most likely would not show up. I asked why, and he told me that at my (plus) size, my tissues would most likely be too dense to "see" through. I explained to him that, as a massage therapist, I made it a practice to keep my breast tissues massaged so that they are malleable, and hopefully, any lump that might develop would be easily detected. He dismissed the idea that massage could change the density; stating that it is either dense or it is not. At completion of the testing, the technician let me know that there were no visualization problems, even at my size. I do not offer this one, personal, anecdotal experience as proof that TDR massage can improve the ability to visualize breast tissue; I would have needed to have a pre-massage test, as well as several other subjects being tested. I do, however, offer it as a possibility. It is my hope that one day someone researches the visualization differences in breasts before and after TD alteration massage.
I am gratified that my suspicion from years ago of the relationship between breast density and cancer has been found to be accurate. I discussed the cancer risk of having elevated breast density with anyone who would listen to me, from radiation nurses to doctors, but was told that density had nothing to do with it. That opinion has changed; a government cancer fact sheet states that having dense breasts is a breast cancer risk factor. And by "gratified," I mean I am pleased that - even though we can't change our genes or physiology, elevated tissue density is a condition that can easily be altered, by the individual, at no cost.
Self TDR massage for the breast is performed the same way for men as for women. You will want to be sure the space you are working in is warm and free of drafts. Warm the chest for about 20 minutes before performing assessment with a warming pad or pack. You will be looking for tissue that:
The guidelines of TDR massage are to keep the tissues warm and not to go over a 3 on a 1/10 pain scale. Keeping that in mind, the goal is to use as much pressure and movement as possible to ensure that each layer of tissue is fully hydrated, perfusing well and is not immobilized. Remember that normal, healthy tissue does not hurt when pressed into.
Lie on your right side. Raise your left arm and grasp it firmly at the elbow with your right hand. Gently jiggle the underarm area, looking for tight, firm or hardened areas. Palpate the tissues from the elbow, moving toward the armpit with your fingers in long, smooth strokes. Do this several times all around the arm, on the top, sides and bottom. Make a fist of your right hand and press it into your left armpit, making wide, firm circular strokes. Cup and lift your left breast with the left hand and, using the tips of your fingers, press gently into the chest wall. Using small, circular movements, palpate the borders of your entire breast. Still cupping the breast, use fingers to lightly jiggle the body of the breast, noting any sensations of tightness, adhesions or discomfort. Press the fingers of your right hand into the ball of left shoulder, dragging towards the center of your chest, palpate the tissues around the collarbone. Repeat on left side. In an upright position, place the palms of your hands at the sides of your chest wall, gently press and rake your palms across the chest, toward the mediastinum, mobilizing the pectoral muscles.
You now have a good idea of where you may have elevated TD. You can restore the density by massaging thoroughly, using massage cream and a heated pad, or simply a good warm shower and gentle soap. I would do any work needed in the axillary region first, simply because it will encourage and promote proper lymph drainage. After that, pick the area that was most uncomfortable and clear it up first. If it feels too tight, warm and massage it as firmly as possible without eliciting pain. Once you are able to press into that tissue without discomfort, move to the next worst area. If an area feels denser than it should, warm it and move it around until it softens and normalizes. Even slight sensory changes indicate elevated TD, so if there is a muscle or area that feels tingly or itchy, work on it as well. Always modulate the amount of pressure and movement you use based on the pain level, keeping it under a mild 3.
Another important aspect of any form of TDR massage is to take whatever time is needed to affect a change in the tissue density. I expect to spend at least 45 minutes on a hardened area before it will soften, pink up and stop hurting. Once an area is cleared up it will stay that way for a long time, maybe permanently with maintenance massage. For this reason, you really need to emphasize to your clients that they will be better served to work on one area until it improves, rather than to try to work on multiple areas during a single session. Once they experience the benefits of TDR massage, they appreciate the improvements and are willing to "do the work."
A female client once complained that her breasts felt like hard balls in a sagging sack. I suggested she perform breast massage in a warm shower every day. Several weeks later she told me she was very pleased that her breasts were no longer hardened and, rather than sagging, they felt full, plumped and buoyant. She no longer had the sensation that the tissues were separated from each other.
Linda LePelley, RN, NMT is a registered nurse and licensed massage therapist with 17 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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