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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.
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?
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.
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.
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.
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.
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.
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.
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."
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.
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.
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.
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.
News in Brief
Northwestern Student Honored for Addressing Concussions Head-On; Northwestern Announces New CFO; Life U. to Provide Unique Opportunity.
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.
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.
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 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.
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.
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.
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.
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.
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.
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."
May, 2013, Vol. 13, Issue 05
Pediatric Massage for Healthy Childhood Development
By Tina Allen, LMT, CPMMT, CPMT, CIMT
"Mommy, my tummy hurts!" This is commonly heard in many households throughout North America everyday. Childhood abdominal pain has many different characteristics and can be dull, sharp or feel like cramping.Recurrent abdominal pain in children is one of the most common physical complaints heard by pediatricians. However, only about one in twenty is found to have a physical explanation for the symptoms. Pediatricians judge severity based on whether children stop playing or not, and how their eating and bowel habits change. There are many different causes of tummy aches, but the most common include dietary, overeating, common illness/flu, anxiety, stress, over scheduling and psychosomatic causes.
Parents have a variety of options to address their child's stomach aches and many find themselves waiting in an emergency room in the middle of the night trying to find out the cause. While a trip to the hospital is valid when you have a major health concern, pediatric massage can be very beneficial in many cases, and let's them skip the trip to ER.
About Pediatric Massage
When we speak about pediatric massage, one of the first thoughts is that this may be a modality utilized for children with special healthcare needs, in a hospital or other healthcare setting. As much as pediatric massage can be safely applied for many childhood diagnoses, pediatric massage isn't only applicable for involved medical conditions. There are many common discomforts associated with childhood that can be addressed by the use of nurturing touch. Research suggests pediatric massage therapy can help children to sleep better, enhance their body image and calm their behavior.
Nurturing touch is essential in promoting physiological, neurological and psychological development and function, and meets the need for tactile stimulation. Touch therapy may provide comfort, relaxation, reduction of stress hormones and relief from chronic conditions such as asthma, nausea, constipation, headaches, muscle aches and growing pains. Many children who receive massage therapy may also experience additional benefits including enhanced pulmonary and immune function, enhanced body image, increased bonding and attachment, healthy sense of boundaries and an overall sense of well being.
Children have different physical, emotional and developmental needs than adults, which is why children's massage is specially designed to address individual childhood considerations. Massage can also be useful in targeting discomforts specific to children and can be very helpful in easing common aches and pains associated with sinus and chest congestion, stomach aches, eye fatigue and ear aches.
Connecting with Children
Massage is adapted for each individual child client on a specific case-by-case basis. With each child, it is important to build a rapport and trust in your professional relationship. You will practice and learn to ask permission effectively and understand both verbal and non verbal cues. Having the child's permission prior to beginning massage establishes respect and understanding of the benefits of healthy touch.
Each child needs to know they can trust you and that you will listen to their requests. Learn how to explain massage to children in age appropriate language. By learning to appropriately ask permission prior to massage, you'll encourage children to develop healthy boundaries and become more secure as they grow older. It is very empowering for a child to have the ability to direct their therapeutic session, and at times even refuse it. Once they trust you, they can relax and just feel the many benefits of the massage.
When introducing nurturing touch to children, it may be beneficial to use names for massage strokes that children can relate to. Use words that may help to describe feelings associated with tactile stimulation such as hugs, rain and marching. You may use the technical names for your massage techniques, but this may be more confusing to children. Using language they understand makes communication much easier and more effective.
Finding a Comfortable Setting
Providing touch therapy for healthy children may not mean working in a hospital or healthcare environment, but rather in your own private practice. Many massage therapists work in their private setting and so, considering adding pediatric massage to this practice makes perfect sense.
You should consider setting up your practice to be more inviting to child clients. With some adjustments, most private practices can be excellent settings for pediatric massage. Consider if the room is inviting to children and offers some different options for where to receive the massage session. Many children do not wish to lie on a massage table, but would rather sit in a chair, on a mat on the floor or, on occasion, hide under your table. Either way, finding the best way to make your client comfortable is key.
Some children may feel more comfortable if you make a house call. This could involve packing up a therapy mat or table, some tactile toys and linens. However, look at this as an adventure is not only your learning to connect, but teaching a child that their comfort is to be respected. When working with children, we are now establishing life long clients for the future.
Click here for more information about Tina Allen, LMT, CPMMT, CPMT, CIMT.
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