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What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. 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.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
July, 2013, Vol. 13, Issue 07
Aging Gracefully: The Timeless Benefits of Massage
By Sharon Puszko, PhD, LMT
Massage therapy as an industry has come a long way since I began my career in the 1980's. Instead of using just the traditional "Swedish" massage, most practitioners now need to learn special techniques to work with different populations such as athletes, infants, pregnant women and seniors.Americans are also indicating they view massage therapy as a vital part of staying healthy. According to the 2013 Massage Therapy Industry Fact Sheet, more than half of those surveyed want insurance companies to cover massage therapy. One group of people who would reap the benefits of this, when it happens, are the elderly.
Massage is a non-invasive, enjoyable way to help alleviate the symptoms of many age-related diseases and improve a person's quality of life. With thousands of baby boomers now retiring every day, learning how to safely work with elderly clients is something every practitioner should consider. Your clients will not only benefit from massage, but you will as well, by making yourself more marketable and reaping the rewards of working with this very special group of people.
Older Americans represent the greatest challenge to massage therapists. When working with this group, you could help prepare a 70-year-old marathoner for the next event, or you could simply hold an exhausted hospice patient. The effectiveness of massage rests in the fact that it impacts the whole body. Not only does massage ease muscle and joint pain, it also reduces stress, which often increases in old age. When using proper geriatric bodywork technique, it is almost impossible to do damage to patients - which sounds much more attractive than what all those warning labels say on medication bottles. These are just some of the reasons why massage is increasingly employed in the care of both the robust and the frail elderly.
In fact, Krista Broshears, a Wellness Director, is charged with doing just that: making sure massage therapy is part of her residents "health care" regiment. Like many retirement centers across the country, Hoosier Village Retirement Center in Indianapolis has changed its model from focusing on illness, to focusing on wellness. As a result, it now has a Wellness Director, responsible for offering programs that address the physical, mental, social, intellectual and emotional needs of clients. Enter Krista, who organizes and oversees activities such as personal training, group exercise, support groups, Bible study, Happy Hour, "Brain-Fit" and massage therapy.
"Massage therapy has been a wonderful addition to the Hoosier Village wellness menu. Residents are using the massage therapy services to compliment their traditional medical services. Residents use massage as a natural way to deal with multiple symptoms caused by chronic ailments. These residents are experiencing a decrease in pain, more energy and an over-all sense of well-being," said Krista. "With much success, our massage therapy participants have sought massage to alleviate problems due to Parkinson's disease, Alzheimer's disease, poor circulation, diabetes and arthritis. Massage therapy is a wonderful benefit to our residents and it has made the facility more marketable to prospective residents."
The positive effects of massage rest on sound science. Even a gentle massage has a proven effect on blood circulation and the nervous system. These two body systems are especially vulnerable to the effects of aging. Geriatric massage stimulates these systems in a natural, pain-free way. Because of this, there are none of the side effects that are present in many medications. This is important for those who are being treated for Parkinson's disease, diabetes, depression and many other conditions requiring regular medications. In many cases, a regular massage (once a week) enables the physician to reduce medications. Proper geriatric massage also helps strengthen muscles weakened by disuse and helps reduce pain and stiffness in the hip, knee and shoulder joints. This is why the professional geriatric massage therapist routinely asks for permission to talk with or get written permission from a physician for an elderly client's massage.
There are many age-related conditions that can be improved with a weekly half-hour massage. Research has shown that even people living with chronic conditions such as Parkinson's disease respond positively to the skilled hands of a geriatric massage therapist.
Definition of Geriatric Massage
Geriatric massage is a form of massage designed to meet the specific needs of the elderly population. It involves using massage hands to manipulate the soft tissues of the body to improve blood circulation, relieve pain and increase range of motion. Active or passive movement of the joints may also be part of geriatric massage.
Elderly people often suffer from a variety of such age-related diseases as Parkinson's, arthritis, diabetes, heart disease or strokes. As a result, they have poor circulation and limited physical capability. Many of them are also anxious, depressed and lonely. Geriatric massage can help them maintain and improve their overall health, as well as regain certain physical functions that have been reduced or lost due to aging. In addition, it can relieve anxiety and depression and provide comfort to touch-deprived elderly patients and improve their quality of life.
Geriatric massage offers the following benefits:
Geriatric massage uses some of the same basic massage techniques as other modalities. It is, however, tailored to the specific health conditions and needs of the elderly population. Geriatric massage has the following characteristics:
Whether you are beginning your career as a massage therapist, or you have been at it for 15 years, if you do not already have training in geriatric massage, you should seriously consider pursing it. Classes specializing in geriatric massage techniques are taught all across the country, throughout the year. If you consider pursuing it as a specialty, please make sure you take classes from a program offering certification in geriatric massage. It is a worthwhile and rewarding way to expand your business, and most importantly, experience the satisfaction of helping amazing senior clients through geriatric massage.
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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