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A Simple Protocol for Holiday Stress
It's winter, a time when we should be deep in reflection, eating warming foods and sleeping long hours. Following nature's rhythms, we restore our bodies and minds in preparation for the renewal of spring.
6 Steps to Make 2017 Your Best Year Yet
People often ask me what defines success. Success, for me, is simple: doing exactly what you want to do in life. Whether it's the kind of practice you run, your life at home, your hobbies or something else, it's achieving anything you put your mind to.
Meshing TCM With Environmental Pediatrics: Where's the Overlap?
Pediatrics has a long history within Chinese medicine dating back to the late Han dynasty (i.e., the late 200s CE), with the two primary areas of emphasis being herbal medicine and xiao er tui na (pediatric massage).
DVT: Know the Signs and You Could Save a Life
I lost a friend several months ago. He died from a pulmonary embolism (PE) secondary to a deep-vein thrombosis (DVT) that originated in his lower leg. Bobby was in his mid-60s, soft-spoken and had a big heart.
Southwest Acupuncture College Brings It to Division 1 Athletes
When Michael Phelps' photograph with the distinctive round marks left by cupping went viral, the Division 1 student athletes treated through the Dal Ward Athletic Center at the University of Colorado (CU) could relate.
Can a Multivitamin Reduce Breast Cancer Recurrence?
There is a great deal of controversy regarding the value of multivitamin supplements in cancer prevention. However, with respect to preventing breast cancer recurrence, an important study was published in the Journal of Breast Cancer Research and Treatment in 2011 by Kwan ML, et al.
Another Chance to Make a Difference
Just a few months ago, "the worst natural disaster to strike the United States since Hurricane Sandy" hit Louisiana. During this storm, one area experienced 31 inches of rain in 15 hours as almost 7 trillion gallons of water rained down in just one week across the state.
Dedicated to Defending Chiropractic
Whether you're a veteran DC or a first-trimester student, the name George McAndrews should be part and parcel of your professional vernacular, as familiar as the word chiropractic.
A Letter to the Profession from the New President at AAAOM
Volunteering for a national, nonprofit organization brings with it such highs, lows, and accomplishments, as well as a steep learning curve.
Herbs for Digestion: The Power of Bitter
Many cultures (and indeed herbal clinicians) around the world have long respected the role of bitter herbs and foods for promoting digestion. For example, aperitifs – drinks consumed before a meal to stimulate appetite and digestion – were originally derived from bitter herbs.
Overuse Injuries in Young Athletes (Pt. 2)
Most overuse injuries are benign, but there are some high-risk injuries that, if unrecognized or inappropriately treated, can result in significant loss in time from the sport or even require leaving the sport.
Assessing Core Stability and ROM: 5 Basic Checks
One of the first steps in addressing core stability is assessing static posture, ranges of motion, and motion of the pelvic bones, sacrum, femurs, lumbar spine and thoracic spine.
News in Brief
New President / CEO Takes Office at Yo San University. Electroacupuncture for Constipation?
A First for the Profession: CCE Accredits First Chiropractic Residencies
The Council on Chiropractic Education (CCE) has awarded accreditation to all five chiropractic residency programs currently administered at Veterans Administration facilities, "the first residency programs in the nation ever to be awarded this distinction, a significant advancement in the evolution of chiropractic education," according to a VA press release announcing the milestone.
Molecular Motors: Tiny Machines Behind the Rhythm of Life
In the clinic, we aim to restore healthy patterns of movement for qi that has gotten trapped or misdirected, or may have even collapsed. We may be focused on freeing stagnation, releasing heat or redirecting counterflow qi, but it often comes down to helping re-establish a flow of sorts.
Little Sticker, Big Impact
It's the end of an election year. Hilary Clinton and Donald Trump were the subject of conversation for everyone, everywhere for the entire 2016 calendar year. I don't think any of us can deny that this election affected us all very deeply on a personal level.
Chiro School Reunion: Whatever Happened to...?
I opened the door to the closet slowly, carefully, since I knew it contained a large number of precariously stacked file boxes. It also held numerous outdated gizmos with electrical cords of various lengths that could trip or strangle a person.
A Q & A About Updated Codes
Yes, indeed there was an update to ICD-10 on Oct.1, 2016. This is a regular update to the diagnosis coding system and this type of update will occur every Oct. 1, just as it did when the ICD-9 system was in place.
2016: A Year in the Life of Acupuncture
Happy Holidays, may you, your family and friends have peace, joy and blessings throughout this special time of year. As 2016 comes to a close, we can look back and celebrate the many events and accomplishments for the profession of acupuncture.
All Fiber Is Not Created Equal
Sometimes the best place to start is at the end. So, the conclusion of this article is that all fiber is good ... but some fiber is better. Let's break it down. There are two main types of fiber: soluble fiber and insoluble fiber.
What We Can Learn From Spine Surgery
Patients with lumbar stenosis presumably present for conservative care to improve their quality of life and avoid surgery. However, providing clear guidance to these patients can be difficult for a number of reasons.
Branding: Set Your Practice Apart
Dr. Brad started his practice seven years ago on a shoestring budget. He created his generic logo in five minutes using a website because he didn't have the time to figure out how to make something special.
July, 2013, Vol. 13, Issue 07
Massage Brings Relief to People Suffering from Headaches
By Massage Therapy Foundation Contributor
Contributed by MK Brennan, MS RN LMBT and Jolie Haun, PhD EdS LMT
With the common stressors in daily life, complaints of tension and migraine headaches are not uncommon.This month's Massage Therapy Foundation review shares findings from two studies that suggest massage can provide relief for people suffering from headache pain. The authors of these articles report that episodic tension type headaches impact up to 42% of the population and migraines impact approximately 10%.
Traditionally, tension headaches and migraines have been treated with medications – so much, the term, "medication overuse headache" (MOH) has evolved. MOH refers to headaches that persist despite the regular use of drugs for treatment. Needing an alternative effective treatment for the debilitating pain of headaches, the authors of these articles suggest massage therapy presents a potentially reasonable alternative.
The first study, "Changes in Psychological Parameters in Patients with Tension-type Headache Following Massage Therapy: A Pilot Study" by Moraska and Chandler, evaluated a structured massage therapy program, focusing on myofascial trigger points and psychological measures associated with tension-type headaches. Moraska and Chandler noted that there seems to be a cycle of physical pain, decreased productivity and a psychological impact of tension headaches that contribute to stress, anxiety and depression. This theoretical assumption warranted the use of the State-Trait Anxiety Inventory, Beck Depression Inventory, the Perceived Stress Scale and the Daily Stress Inventory to measure participants' outcomes.
Eighteen participants between the ages of 21-65 years were recruited through flyers placed in doctor's offices and advertisements in local newspapers. All of the enrolled participants had episodic or chronic tension headaches. Exclusion criteria included anyone taking anti-depressants or anti-psychotic medications. The 2004 International Headache Society guidelines for episodic or chronic tension-type headaches (TTH) were used in determining the inclusion criteria. An episodic TTH is defined as one that occurs 15 days or less per month. A chronic one occurs 15 or more days in a month. Two participants did not complete participation in the study; one due to a motor vehicle accident and the other because of insufficient headache diaries.
The study was designed to have four 3-week phases: baseline (one 3-week period), massage (two 3-week periods) and follow-up (one 3-week period). In the baseline phase of the study, participants kept a headache diary to assure that they met the guidelines. Guidelines included each headache lasting at least four hours or longer and less than one migraine headache per month. The massage sessions were two 45 minute sessions per week over the two 3-week periods for a total of 12 massages in six weeks. During the week, there was at least a 48 hour span between the massages. Moraska and Chandler reported, "Massage was directed toward soft tissues of the cervical and cranial regions with an emphasis on reducing myofascial trigger point (MTrP) activity." (p.88)
Participants were randomly assigned to one of the six participating massage therapists and remained with that same massage therapist throughout their participation in the study. The therapists were experienced practitioners and received training for the study's massage protocol. In addition, conversation was limited during sessions and the participant's headache history was not discussed with the massage therapist. Study measures were completed by the participants at the start of the study, at 3-week intervals and at the end of the study. Additionally, the Daily Stress Inventory was administered over 7-day periods during baseline and the final week of massage. Psychological measures were administered on days other than when massage was provided in effort to avoid the massage session having influence on the outcomes of those measures.
Moraska and Chandler reported a significant reduction in stress, anxiety and depression for the participants after six weeks of massage, but not at three weeks. Additionally, the frequency, intensity and duration of the participants' headaches were reduced following the 12 massage sessions. Since the authors linked TTH pain with an increase in stress, anxiety and depression, a decrease in the pain through massage treatment may have impacted psychological outcomes. Study limitations include small sample size and a lack of a comparison group, resulting in limited power of results. Though this study clearly has some limitations, findings warrant further examination in a larger sample with a control group. It should also be noted the massage therapists who participated did receive specialized training beyond what a typical massage therapist might have.
The second study was "Reduction of Current Migraine Headache Pain Following Neck Massage and Spinal Manipulation" by Noudeh, Vatankhah and Baradaran. This study focused on reducing the pain intensity of the participants with acute onset migraine headaches. The authors recruited 10 male patients between the ages of 18 and 65 with acute onset of a migraine headache as defined by the International Headache Society diagnostic criteria for Massage Without Aura (MWO) and Massage With Aura (MWA). Potential participants who had secondary cause for the migraine, were not able to complete the data tools, or could not receive massage/manipulation due to skeletal disorders were excluded from the study.
Participants' pain was assessed using the Visual Analog Scale (VAS) with the numerical value of 1 indicating no headache pain and 10 indicating the worst pain possible. The VAS was administered prior to the massage/manipulation intervention. The two-step treatment protocol lasted no more than five minutes. First, massage techniques were applied to the trapezius and supraspinatus muscles, as well as the posterior and lateral neck muscles. Next, skeletal manipulation of the cervical and upper thoracic spine was done. The VAS was administered again after the massage/manipulation session. The authors also asked the participants about possible side effects following the session and their satisfaction with the physical intervention. The participants remained at the clinic (i.e. study site) for an hour after the intervention to assure that the headache did not recur; if it did, an analgesic was offered. Two participants did not remain in the clinic for this period of time; they chose to leave because they said they needed to sleep.
The authors report that 8 out of 10 participants had at least a 50% reduction in their pain level immediately following the massage/manipulation. However within the hour wait period following, three participants did request oral analgesics and one participant was treated with intravenous therapy and intramuscular medication though the authors state that there was no recurrence of the headache for any of the participants. Limitations of this study include the lack of a control group and no way to determine if it was the massage, manipulation or the combination of the two that was responsible for the participants' reduced pain.
Though different in nature, these two studies provide preliminary evidence that massage can be effectively used to treat individuals who suffer from tension and migraine headaches. These studies findings warrant further examination in larger samples to determine if findings can be replicated to support conclusive findings and dosage recommendations.
The convergent data reported in these two studies contribute to the field of massage, providing supportive evidence for the use of massage for a prevalent condition that affects a significant portion of the general population. Since headaches, both acute/chronic TTH and migraines are common, many massage therapists are likely to have clients with these painful and sometimes debilitating conditions. Knowing how massage may impact the pain and the psychological outcomes associated with headaches can be helpful in determining treatment options and providing the best possible care for clients.
To learn more about the effects of massage therapy for conditions such as headaches, migraines and more, you can review the Massage Therapy Foundation article archives, read accepted MTF Research Grant abstracts, or search Pub Med for massage therapy studies.
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