resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Solving the Pain Puzzle
Legendary former New York Yankees baseball player Yogi Berra once said, "You can observe a lot just by watching." He would have been a great chiropractor. We are trained to become experts with our hands: palpation, adjusting, soft-tissue release, etc.
Are You Ready for the 2016 Patient?
In October, Apple released its iOS 8 operating system for the iPhone and iPad. The new system includes Health, a new app that will interface with an ever-growing number of other apps.
The Power of Mu Xiang to Treat Irritable Bowel Disease
Bloating and gas pain is something that everyone has had to deal with at one point or another; however, that's usually reserved for holiday dinners and other large gatherings.
Five Element Acupuncture Can Enhance Your Practice
For eight years I have been teaching and supervising TCM students at an acupuncture college in Colorado, in Five Element acupuncture.
Micro-Needle Dermal Roller Use in the Treatment Room
Recently micro-needle dermal rollers have been getting a lot of media attention. As a practitioner who specializes in acupuncture facial rejuvenation, I know that skin needling with a dermal roller (also known as collagen induction therapy), promotes the natural reproduction of collagen and elastin, making the skin feel smoother and tighter.
News in Brief
Life to Open Branch Campus in Italy; Northwestern Research Arm Benefits From Big Donation.
Chronic heightened emotional states create a perfect breeding ground for illness. Through my practice I noted the increasingly obvious relationship between one's mental focus on negative thinking, emotions, resistance to experiencing feelings and disease.
Treating Menopausal Women in Your Practice
I love what I do for a living. It's a great way to trade health for bread. And no topic of health, with the right bedside manner, is taboo.
Capturing the Essence of Tai Chi
Over the last 12 years, I have been working on one of the few documentaries about Tai Chi. It's called The Professor: Tai Chi's Journey West and it's about Cheng Man-Ching who moved to New York in the 1960s.
Peer Points: Promoting TCM Knowledge
When Elaine Wolf Komarow, LAc, received her first acupuncture treatment in 1989, she said it changed her life. "I felt more aware, calmer, and happier. I was so fascinated by the changes that I began to learn everything I could about the underlying philosophy of Chinese medicine," said Komarow.
Following the Thinking of the Classics
I have heard about the "best time of day" to carry out certain examinations or therapies. For example, I remember making a note years ago that early morning is the best time to take someone's pulses.
Chinese Medicine: The Natural Way to Children's Wellness
As a child, I did not like going to the doctor. For the most part, when I had to go I wasn't feeling good to begin with, and I was heading into a sterile environment to be awkwardly probed by a man in a white coat for a very short, impersonal period of time.
The Death of the Travel Card
As long as I have been in practice, the travel card has stood as the primary style of documentation for chiropractic. It is quick, simple and direct. Unfortunately, the rules have changed.
Treating Chronic Depression with Acupressure
In Traditional Chinese Medicine there already exists a comprehensive theory linking the body and mind.
Why Drugs and Supplements Can't Cure Disease
Chronic diseases are the outcome of disease-promoting, goal-oriented behaviors. So, the notion that diseases can be cured with drugs or supplements should be abandoned. Hypertension is the best example of this.
Implications of Section 2706: The Non-Discrimination Provision Survey
In late April 2014, NCCAOM diplomates received an email survey with the subject line: "End discrimination against acupuncturists" polling CAM practitioners for a Request for Information from the Department of Health and Human Services, released in mid-March.
Home Safety: Help Families Avoid Common Injury Hazards at Home
These days, many parents childproof their homes before a baby is even mobile. You will see an array of electrical outlet covers, bumpers on the corners of the coffee table and safety latches on the cupboards.
Make Low-Level Laser Therapy Part of Your Evidence-Based Practice
Low-level laser therapy (LLLT), also referred to as photobiomodulation, has been increasingly utilized in the clinical setting over the past decade.
Acupuncture Detox as Part of Drug Rehabilitation
In the U.S., more than 2,000 alcohol and drug rehabilitation programs have added ear acupuncture to their practice. The development of the protocol was determined by Lincoln Hospital as it delivered 100 acupuncture treatments daily.
Are You Ignoring the 10,000-Hour Rule?
Having trained interns and mentored new practitioners, it has been my observation that their No. 1 clinical concern is adjusting skills. Their second clinical concern is their ability to read X-rays. Physical diagnostic skills are a distant third.
It Pays to be a Foodie
If there is an inner foodie in you, just waiting to burst out—this article is for you! Do you want to know how I know? I'm that girl. My middle name might as well be "Foodie." I love food! And if my patients are any indication, many of them do as well.
Inspire Your Patients to Make Healthy Choices
Have you tried to get your patients to change their eating habits or their diet and couldn't get them to succeed? Were they confused and unsure of what the right thing was to eat? You are not alone!
The Acupuncture Now Foundation: What Our Profession Needs
Although acupuncture is growing in popularity it continues to be underutilized due to misunderstandings about its true potential. Only a fraction of those who could be helped by acupuncture know enough to seek it out.
We Get Letters & Email
Is It Time for a Popeye Moment? The Flaw in Recommending Chiropractic as a Career.
Treating Acute and Chronic Neck Pain With Ischemic Compression and Exercise
There are many reasons not to manipulate the neck with cavitation: the patient is too old, their neck is too tight, etc. But the most common reason is that plenty of patients are afraid of "the crack," mostly because of the bad publicity about that procedure.
DC App – The Next Generation
According to a survey by technology firm CDW, health care professionals gain approximately 1.2 hours per day in productivity simply by using a tablet computer in practice.
Step by Step: Long-Term Treatment of Soft-Tissue Injuries Combines Skill and Care
Treating soft-tissue injuries with long-lasting results starts the moment an individual enters the office. When it comes to pain, the only thing that matters to the patient is relief.
Avoiding "Just a Pop Doc" Syndrome
Yes, it's harsh. Patients don't like to admit it. They have an unspoken plan when they first visit you: to come one time, get rid of their pain and then get rid of you. They know it's unrealistic, but they'd like to pay nothing for this service.
Meat in the Middle
Have you ever wondered what's the truth about meat? Is it really as bad as many people think?
Introduce Your Patients to Collagen Induction Therapy
Cutaneous (skin) aging generally occurs from either intrinsic or extrinsic processes. Intrinsic aging results from natural skin tissue damage and degeneration.
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 19 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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