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The Food Conversation: Nutrition and Your Practice
It's morning and your first patient rolls in with a triple espresso steaming in one hand and a frazzled, desperate look in her eye. "You gotta help me, doc, I am constipated unless I drink one of these, and I am exhausted and anxious all the time."
What's Chiropractic Research Worth to You?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fundraising campaign to support chiropractic research.
Surprising Reasons for Orthotic Efficacy
Clinical outcome studies show orthotics are effective in the management of a wide range of injuries, including plantar fasciitis, Achilles tendinitis and patellofemoral pain syndrome.
Fertility and Poly-Unsaturated Fatty Acids
Starting or expanding one's family is a major milestone. It's something that more and more people seek out health care advice and support for.
Oriental Medicine on the World Stage
"Let me win. But if I cannot win, let me be brave in the attempt." This simple, yet powerful statement was lived out time and time again by so many of the athletes from around the world during the Special Olympics World Games in Los Angeles.
Patient-Centered Care vs. Payer Restrictions: Your Ethical Obligation
Do you have an ethical obligation to evaluate your patients, make a diagnosis and provide evidence-based, patient-centered health care, irrelevant to the payer restrictions?
An Acupuncturist's View of Medicinal Marijuana
The use of cannabis for medical purposes is very controversial. Use as a panacea by physicians uninitiated to the proper application of herbal medicine, as well as an excuse for recreational use have greatly confused the issue.
Change Lives by Supporting Chiropractic Research: Are You In?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fund-raising campaign to support chiropractic research.
Help: A Need at Every Level
One of the great gifts of training in acupuncture is the ability to take good care of oneself. I recently had a bout of frozen shoulder — an inflammatory syndrome which can be debilitatingly painful and take years to resolve.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 1
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
The Zen Art of "One Point"
We were always told in our Zen Shiatsu training (by Japanese and Japanese American instructors) that our ultimate aim was to to find that "One Point." To be so focused we could touch just one point to transform Qi throughout a client's body.
The Short Leg Dilemma
When evaluating a new patient, it is common to note a relative shortening of one leg to the other. Some patients will even tell you they have one, and then pull out the store-bought heel lift they read about online.
Do Some Good and Grow Your Business with Cause Marketing
Cause marketing is truly one of the best ways that you can promote your services as a acupuncture professional. Cause marketing refers to a type of marketing where a business partners with a non-profit organization to help bring awareness to a charitable cause.
Fish Oil: A Key Component of Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 2
In the last issue of Acupuncture Today, the first part of this article introduced the topic of trauma and resilience, and their relationship to the autonomic nervous system response and the concept of the spirit being grounded in the body, and suggested the importance of mindfulness as a tool for healing.
Practicing with Authenticity
To extrapolate from the above quote, patients love healthcare providers they can trust. One way to earn the trust of your patients is by practicing with authenticity. What does that mean, exactly?
A Chiropractor's Guide to Yoga
"Doctor, can I continue to do yoga while undergoing your care?" "Is it OK for me to go back to yoga while I'm getting my back treated?" "It is safe to start my yoga classes again after my neck pain improves?"
Improving Communication Between AOM and Biomedical Providers
How comfortable do you feel talking to Western medical providers? If you are like me, you may not feel as comfortable as you would like. Some of my interactions with MD's haven't been the fruitful steps toward integrative medicine for which I had hoped.
Practice Policy (Gone Bad): The Sign
Every once in a while, you see something and think to yourself, That's a really bad idea. Case in point: I went to see my medical doctor the other day. Just after being "roomed," as they say, the nurse checked my vital signs. Then she left.
More Chiropractors Required
An intriguing study published in the Journal of the American Board of Family Medicine examines how "chiropractic care affects use of primary care physician (PCP) services."
Dorsiflexion Dysfunction: Evaluation & Manipulation Techniques
Almost every condition from the foot to the hip can be attributed to the inability to dorsiflex the ankle mortice and other joints that participate in dorsiflexion. Let's start by understanding normal versus abnormal dorsiflexion.
Getting a YES: An Effective Strategy for Overcoming Patient Objections
Patients make more excuses for declining care from an acupuncturist than perhaps any other type of doctor. Various reasons hold them back from making a commitment to care.
News in Brief
Call for Abstracts Announced - Parker Las Vegas 2016; Logan Adds Doctorate Degree; New Role for Dr. James Edwards.
Harvard Health References Flawed AHA Position Paper
In its special health report, "Stroke: Diagnosing, Treating, and Recovering From a 'Brain Attack,'" Harvard Health Publications includes information from the American Heart Association's 2014 position statement on cervical manipulation and cervical dissection – a statement the American Chiropractic Association emphasized in a letter to Harvard Health mixes "scientific facts with half-truths."
Modernization of Chinese Medicine
Language – written, spoken, signed, or otherwise is learned as a means to express our individualized perceptions about the world around us. Language is designed to communicate our personal experiences.
Nuts Reduce Risk of Heart Disease, Cancer and Other Health Problems
Several recent studies suggest regular consumption of nuts may provide a significant degree of protection against certain types of cancer, heart disease, possibly type 2 diabetes and some neurodegenerative diseases.
August, 2013, Vol. 13, Issue 08
Massage Benefits Immune and Neuroendocrine Function
By Massage Therapy Foundation Contributor
Contributed by Beth Barberree, RMT, BA; Derek R. Austin, BS, MS, CMT; Sandra K. Anderson, BA, LMT, ABT
In April 2013, the Massage Therapy Foundation hosted the International Massage Therapy Research Conference in Boston.The author of this month's MTF article review, Dr. Mark Rapaport, was one of the keynote speakers and presented material further to this work, "A Preliminary Study of the Effects of a Single Session of Swedish Massage on Hypothalamic Pituitary–Adrenal and Immune Function in Normal Individual."1
This initial study was achieved through collaboration between Dr. Rapaport and team members Pamela Schettler, PhD, and Catherine Bresee, MS. They investigated the response of various biomarkers to a single dose Swedish massage therapy session versus a light touch control group. What they found is that a single session of Swedish massage therapy had measurable effects on both the immune system and hypothalamic–pituitary–adrenal (HPA) connection. Eventually, these may have implications for care of patients with inflammatory and autoimmune conditions. An understanding of the biological effects that massage therapy has on the body can help us, as massage therapists, make the best treatment choices for our clients who experience inflammation or live with autoimmune disorders.
Despite it being popular with Americans, little is known about the effect of massage therapy on human physiology.2 Of the work that has been done, recent reviews have shown there to be challenges with some of the methodology. There is some lack of confidence in the validity of many of the past claims about the effect of massage therapy on stress response and immune function, along with an inability to generalize results of those studies.
The authors set out to tackle this gap. Based on what they had found leading up to the project, they theorized that Swedish massage therapy would increase oxytocin levels, mediating a decrease in activity of various hormones involved with the HPA connection and improve immune function.
Licensed massage therapists performed both the massage and the control light touch interventions on 53 healthy men and women. The subjects were randomized into one of the two groups and neither the participants nor the therapists were aware of the hypothesis that was being explored in the study. Efforts were made to maintain consistency wherever possible in delivering the 45-minute sessions, with a standardized protocol outlined for both groups. The massage consisted of effleurage, petrissage, kneading, tapotement and friction applied with the thumb. Light touch was performed with the back of the hand only.
Blood and saliva samples were collected before and at varying times after the treatments. Plasma and salivary cortisol levels were analyzed, as were plasma adrenal corticotropin hormone (ACTH), oxytocin, vasopressin, lymphocyte markers and cytokine levels. (The free full text article contains full detail of the process of collection and analysis of the biological samples.) The participants also completed three psychological self-report statements before and following the intervention in effort to exclude shift in emotional state as a contributing factor to the results.
So, what did the researchers discover? When compared to light touch, Swedish massage therapy caused a decrease in vasopressin and a lesser decrease in cortisol levels. Contrary to their hypothesis however, these findings were not mediated by changes in oxytocin levels. The massage group also showed improvement in the biomarkers for immune function.
Interestingly, none of the results varied by age, gender or self-reported race for the two study groups. Another remarkable point is the unique, repeated assessment of neuroendocrine hormones that was utilized in the study. Samples were taken 1, 5, 10, 15, 30 and 60 minutes after the end of the intervention session. This information may be helpful in design of other studies when determining optimum times to draw samples. With consistency in collection and analysis of biomarkers, there is potential to use those methods in comparative studies and as outlined by the study authors, individuals of differing ages and those presenting with various pathologies.
While this is a well-designed study that lays the groundwork for future research in this area, there are still some limitations to drawing inferences from these results. A single session of massage therapy seems to have depressant effects on vasopressin and cortisol for as long as 60-minutes after the intervention. It would be interesting to see future research vary the interventions and collect samples at longer time frames after the interventions occur. In particular, a longitudinal study to find the optimal dose of massage therapy could be done using the protocol of repeated assessment of neuroendocrine hormones seen here.
It would seem that the research on massage therapy and the endocrine system could be on its way to full circle. At one point, there was excitement over studies reporting that massage therapy decreases cortisol, but recent systematic reviews looking at the basic science of those studies questioned the validity of the results. Now, Dr. Rapaport and his colleagues have data to support the notion that a single session Swedish massage therapy may have fairly pronounced acute effects on the immune system.
New evidence has begun to show that massage therapy has positive effects on management of stress hormones and immune function. This is occurring despite the need for more exploration of the potential mechanisms involved. So, even if you only treat a client once, be assured that science is backing up what you likely already know – that massage therapy can have a profound effect for our clients.
To learn more about the effects of massage therapy, you can review the Massage Therapy Foundation article archives, read accepted MTF Research Grant abstracts, or search Pub Med for massage therapy studies.
Click here for more information about Massage Therapy Foundation Contributor.
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