resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
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.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
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.
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.
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.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
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.
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?
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.
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.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
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.
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.
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.
May, 2013, Vol. 13, Issue 05
Specific Considerations when Massaging Seniors
By Sharon Puszko, PhD, LMT
On January 1, 2011, the first baby boomers turned 65. Every day since then, and for the next 18 years, 10,000 people will turn 65 according to the U.S. Census. Over the next decade, we will feel the impact of this change on the health care system, the housing market, the retail industry and in our own massage therapy businesses.Whether or not one's business specializes in geriatric massage, we will all see an increase in the number of older clients we treat. This means it is important to be aware of the difference between massaging your younger clients and massaging senior clients. Even though many in this demographic are active and in robust health, others are more sedentary and frail. It is important to have a basic understanding of the considerations to keep in mind when working with this population.
Try to find out for how much of their life a client has been active. The issues common to a client who has been active most of their life tend to be more "predictable" from week to week, as they usually are not making any drastic changes to their activity level. These types of clients also tend to be in a general better overall state of health and can usually handle a one hour session. On the other hand, some active seniors might have recently taken up exercising as a result of a doctor's suggestion, or a personal desire to become healthier, but have not been active for most of their lives. These clients typically have more acute pain issues resulting from their body adjusting to an exercise program and they are typically less flexible. One hour sessions may be too long for some, so please be aware of how the client is responding, and if they seem to be uncomfortable after a half hour, that may be the right amount of time for a session.
Regardless of activity level, seniors still are geriatric clients and should be treated as such. The amount of pressure one uses should be modified since their skin is thinner than younger clients. Some other contraindications to consider when working with geriatric clients include, but are not limited to, thinning bones, the site of a repeated injection, burn wounds, skin ulcers or any type of joint replacement. A comprehensive intake is necessary to determine if a client has any condition that might require a doctor's permission before performing bodywork.
The above information is meant as an introduction to working with seniors, instead of a complete guide. There are many issues related to aging that go beyond simply applying less pressure, such as medications, thinning skin and stamina. Because of the growing aging population and the body of evidence that proves massage is beneficial for our health, geriatric massage is on the rise. We are learning more and more about this field every year, which is exciting. Therefore, it is highly recommended to take continuing education classes in geriatric massage that discuss techniques and contraindications in depth. This way, one is properly prepared for the rewarding experience of working with this population.
Sharon Puszko is the owner/director/educator for Day-Break Geriatric Massage Institute. She may be contacted at
or through her Web site: www.daybreak-massage.com.
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