resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
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.
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
August, 2013, Vol. 13, Issue 08
The Most Important Piece of the Nutrition Puzzle
By Christopher Mohr, PhD, RD
I was sitting in an airplane in Newark, New Jersey, awaiting take off for an 18-hour international flight to Singapore. Aside from the obvious need for a personal massage therapist to help me recover from my trip across the world, there was something else that stood out to me on that particular flight.
It had nothing to do with flying itself, but rather with something the flight attendant said during the safety speech before we took off. "In the unlikely event of an emergency, if you're traveling with an infant or someone who needs assistance, please put on your oxygen mask first, before helping them." The last part — "put on your oxygen mask first" — resonated with me.
When I think about massage therapists, this message can't be overstated. Your job is to make people feel better. Too often, you are so busy giving to others, you put yourself on the back burner and forget to take of yourself. We could go on about different ways of taking care of yourself, from regular exercise to eating well, getting enough sleep to benefiting from massages yourself. But there's another piece to this "health" puzzle that is often forgotten.
More specific than the blanket message of "eating well," is focusing on the quality of the foods you eat. People often demonize whole categories of foods saying, "carbohydrates are bad," or, "fats are bad." It's important to look at the unique qualities of individual foods, rather than categorize an entire food group as "good" or "bad." After all, soda is a carbohydrate. So are apples and broccoli. Shortening is fat. So are olive oil and fish oil. You get the point.
There are certainly big differences among all of them. The quality of the foods you eat is the most important piece to the eating puzzle. So let's focus on some details that will shed some more light on this topic. More specifically, let's put the focus on fat, a macro-nutrient that certainly has taken its fair share of hits.
A Primer on Fat
There are many different types of fats in the diet, so it's first important to provide a quick overview:
Let's start at the beginning. How much should we eat? Currently, the Institute of Medicine recommends eating 20% to 35% of total calories from fat, which means around 40 to 70 total grams for the "average" 2000 calorie-a-day diet that often is recommended. To boil that down even further, here is a short list of common sources of fat in the diet and how much a serving provides:
Looking at that chart, you'll notice the servings of food range from 8 grams of fat up to 14 grams of fat. Of course, other foods may provide more or less. With this particular example though, it doesn't mean since cheese is lower in fat than salmon or olive oil, it's "better." In fact, quite the opposite is true. While I think cheese is fantastic, salmon and olive oil are healthier sources of fat. Salmon, in particular, has a unique type of fat that may just very well make you feel better, think more clearly and be better at your job by lubricating your joints and keeping inflammation under control. Again, you're giving massages all day, so you need to keep those joints lubricated and hands and muscles feeling great. More on that in a bit.
Different Types of Fat
Saturated Fat (SFA): Saturated fats are easy to identify because they are solid at room temperature (butter, shortening, animal fats, coconut, coconut oil, etc.). Not all saturated fats are created equal. In general, it's good to keep your intake to about one-third of your total fat intake.
Monounsaturated fat (MUFA) (mono, meaning one): Monounsaturated fats are liquid at room temperature (olive oil, canola oil, avocado, nuts, etc.). These types of fats get a lot of attention because they're closely tied to health, particularly heart health. The Mediterranean Diet is high in monounsaturated fats, which is one reason most studies give it so much positive support. Like saturated fat, intake should be around one-third of total intake.
Polyunsaturated fat (PUFA) (poly, meaning many): Polyunsaturated fats are also liquid at room temperature (fish oil, fish, flax oil/seed, nuts, etc.). These foods contain omega-3 and omega-6 fats, known as essential fatty acids or essential fats. They are called "essential" because our bodies need them for optimal health. Because our bodies cannot make them, we must get them from the diet. To round out the three sources listed, total intake should be around one-third of polyunsaturated fat calories as well.
Essential Fatty Acids
I'd like to focus on the essential fats — omega 3s in particular. You'll want to pay close attention here, because as a massage therapist, including more omega-3 fats in your diet can certainly help you feel and move better. Remember, both omega-3 fats and omega-6 fats are essential. The best sources of omega-3 fats are from fish and a quality fish oil supplement. Omega-6 fats are in vegetable oils, like soybean and corn oil, and in most of the processed foods we eat.
Notice the difference. Though both omega-3 and omega-6 fats are essential, we typically get plenty of the latter (processed foods and vegetable oils), yet not enough omega-3s (fish and/or quality fish oil). This causes an imbalance between the two, which can lead to inflammation. Inflammation can affect your joints, your skin and your overall health in a significant way. The question then, is how to change this unhealthy balance of omega-3 fats and omega-6 fats?
The answer lies within the foods you eat each day. To simplify the question of what to eat, I created a basic table.
Time for An Oil Change
In addition to knowing what to eat, it's important to understand why. Feeling better and having better mobility with your joints and hands, which is, of course a necessary part of your job and lifestyle, are just the beginning. There are many other benefits to "changing your oil."
Can Omega-3s Boost Fat Loss?
A study published in the American Journal of Clinical Nutrition, showed that when adding a daily omega-3 dietary supplement to an aerobic activity based weight-loss program, there was an improvement in health outcomes and fat loss. This is certainly an important consideration.
Will Omega-3s Help My Joints Feel Better?
Researchers at the Institute of Human Nutrition in the United Kingdom showed that the anti-inflammatory actions of omega-3 fatty acids might actually be therapeutic in conditions with an acute or chronic inflammatory component. Thinking about your chosen profession, massage therapy requires a lot of strength, flexibility and mobility in your joints. Of course, exercise is important for these benefits, too, but complementing the health benefits of exercise with essential omega-3 fats, may work together for optimal health and keep inflammation under control.
List of Benefits
Much of the benefit from eating omega-3 fats appears to be in reducing inflammation in the body. This can directly impact you, your recovery from your job and your overall health. Though there are currently 19,546 studies (and counting) to date about omega-3 fats, focusing on just a few of the benefits is important to highlight just how "essential" essential fats really are.
What Can You Do?
The American Heart Association's recommendations are to eat 12 ounces of fatty fish (salmon, tuna, sardines, etc.) each week. In addition, there are certainly plenty of data, governing bodies and experts that support supplementing fish intake with the purest omega-3 fish oil available.
Remembering what the flight attendant shared with us on the plane, "In the unlikely event of an emergency, if you're traveling with an infant or someone who needs assistance, please put on your oxygen mask first, before helping them." You need to make sure you take care of YOU, so you can better help your clients take care of themselves.
Dr. Christopher Mohr, PhD, RD, is a nutrition spokesperson and consultant to a number of media outlets. He is also the Sports Nutritionist for Under Armour's TNP Training Council. His weekly health segment can be heard on WHAS radio in Louisville and he often appears on television as a nutritional guest expert. He is a sought out nutrition expert who has written more than 500 articles for consumer publications such as Men's Fitness, Weight Watchers, Men's Health and Fitness, to name a few. Dr. Mohr serves on the Nordic Naturals Board of Advisors.
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