resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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?
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.
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."
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.
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.
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
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
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.
April, 2013, Vol. 13, Issue 04
Help in Understanding Parkinson's Disease, Part 1
By Ann Catlin, LMT, NCTMB, OTR
More people over the age of 60 are turning to massage therapy for self-care and to help ease symptoms associated with chronic ailments. If you have clientele in this age group, it's possible that you will eventually have a client who is living with Parkinson's disease (PD).It's estimated that at least 500,000 people are diagnosed in the United States. It's important to have at least a basic understanding about this disease, what to expect and how you can best serve your client. Here, I will offer an overview of PD and how it impacts daily functioning of the persons who have it.
What is Parkinson's disease?
Parkinson's disease is a chronic and progressive disorder of the central nervous system. In other words, the symptoms of PD grow worse over a long period of time. PD is classified as a movement disorder. It's called Parkinson's disease because in 1817 a British physician named James Parkinson first described the symptoms. Such symptoms are caused when neurons in brain stem known as the substantia nigra die or degenerate. When functioning properly these neurons produce a chemical called dopamine. Dopamine carries signals between the substantia nigra to an area of the brain responsible for movement. When dopamine levels are depleted, impaired movement results. Other changes in the brain may occur as well, such as Lewy Bodies, an abnormal protein deposit that impairs cell function. It's not known what actually causes these neuron changes. Experts believe that genetics and exposure to environmental toxins are possible culprits.
Symptoms and Function
People who have PD experience a wide range of symptoms that affect people in many different ways. Here I'll focus on common movement symptoms and illustrate how these might affect a person's function in daily activities.
Early in the progression of PD these motor symptoms are considered classic.
As the disease progresses into advanced stages these symptoms emerge.
It's easy to see how a person with these movement impairments would have trouble with daily tasks. What was routine becomes a frustrating and time-consuming challenge. People with advanced PD need a great deal of assistance from caregivers for day-to-day activities and may even require nursing home care.
Treatment for PD typically consists of a combination of medications that help control symptoms and lifestyle changes. Some people have surgical interventions as well. Commonly prescribed medications decrease movement symptoms by increasing the levels of dopamine in the brain. One such drug is called Levodopa (L-dopa). Other drug therapies may be used for other symptoms such as depression, sleep disturbance and pain. Many of these drugs can cause severe side effects that negatively impact quality of life even further. Recommended lifestyle changes include diet modifications, regular exercise, balancing rest and activity, stress management and participation in a support group. Physical, occupational and speech therapies are commonly prescribed. Surgical interventions have been found to help manage symptoms in some people. One example is called deep brain stimulation where electrical stimulators are placed in the areas of the brain that control movement. Clinical trials for stem cell transplants are being studied.
I encourage you to take a look at these two short videos on Youtube to gain a better understanding of Parkinson's disease and how it impacts people's lives. This first video, is Joseph H. Friedman, MD, is chief of Butler Hospital's Movement Disorders Program and an international expert in Parkinson's disease (www.youtube.com/watch?v=IHDFQfmkKlg). The second video is called: A look into Parkinson's: what it is and how it affects the lives of my parents by Tommy Dimmel (www.youtube.com/watch?v=ggNlPYGuAAg).
In part II, I will explore how massage therapy can contribute an important approach in easing symptoms and improving quality of life for the person living with Parkinson's disease.
Click here for more information about Ann Catlin, LMT, NCTMB, OTR.
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