resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Qi Focus: A Guide to Managing Stress
Stress, are you experiencing heightened stress levels? Your own, and your clients? Is Trumpitis getting to you? I recently polled a cluster of acupuncturists, Asian Bodywork Therapists (ABT) and psychotherapy colleagues on the issue.
The Chiropractor's Guide to CRISPR
Science magazine's "Breakthrough of the Year" award for 2015 was described as "the gene-editing tool called CRISPR." CRISPR stands for "clustered regularly interspaced short palindromic repeats."
Give Your Patients the Ergonomic Advantage
Prolonged sitting contributes to low back pain and is a health risk. When I discuss my POLITE technique practice recommendations with patients, ergonomics may be last, but not least!
The First (Only) Choice for Spinal Pain
The study on NSAIDs for spinal pain summarized on the front page of this issue is intriguing on a number of levels, the most obvious being the conclusion that "compared with placebo, NSAIDs do not provide a clinically important effect on spinal pain, and six patients must be treated with NSAIDs for one patient to achieve a clinically important benefit in the short-term."
Scope of Chiropractic Practice: Why Now Is the Time to Expand
In my January article, "Scope of Chiropractic Practice: Is It Time for Change?" I discussed the use of the term primary spine care practitioner, the loss of privileges to diagnose in Texas, and the fact that the definition of "chiropractic" varied from state to state.
5 Ways to Enhance Your Family Practice
Every practice has a personality style. A practice that caters to athletes, PI cases or adults, for example, projects differently to patients than a family wellness practice.
Insomnia Treatment Based on the Yu Theory
In recent years, acupuncture has risen in popularity as a form of alternative or supplemental medicine for the treatment of many different types of disorders.
Shedding Light on the Benefits of Heliotherapy
I can't imagine anyone not feeling good strolling in the sun on a beautiful spring day. The sun is responsible for all life on earth and is best illustrated along the equator touting the richest biodiversity on the planet, in stark contrast to the Arctic Circle and South Pole.
Caring for Refugees in Greece
At the beginning of 2016 I had no idea what was in store for me, but I was looking forward to a personal retreat on the Greek island of Paros; a graduation gift to myself after 22 years of motherhood, and four-plus years of Chinese medicine school.
Making Sense of Liver Regulation
In Chinese medicine, the liver has the function of moving and storing qi and blood. In its moving function, the liver smoothly distributes qi and blood to the tendons, muscles and flesh through microcirculation.
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
News In Brief
A "Modern" Business Model. Acupuncturists may have a new professional atmosphere to consider, as a new concept is on the horizon - at least for one business.
Help Save an Important Chiropractic Landmark
The chiropractic profession has a splendid and varied history. Sadly, many landmarks have been lost to bulldozers and wrecking crews, such as the Ryan Building, Little-Bit-O-Heaven, Spears Chiropractic Hospital, and Clearview Sanitarium.
How to Correct a Cuboid Subluxation
Cuboid subluxation is a poorly recognized condition, even though it is not uncommon. It has been described in the literature under various names: cuboid subluxation, cuboid syndrome, locked cuboid, dropped cuboid, cuboid fault syndrome or peroneal cuboid syndrome.
NSAIDs No Better Than Placebo for Spine Pain
A meta-analysis of randomized, placebo-controlled trials comparing the efficacy and safety of NSAIDs with placebo for spinal pain concludes that among 6,065 spine pain patients, "NSAIDs reduced pain and disability, but provided clinically unimportant effects over placebo."
Treating LBP the Right Way: Think Natural
An updated clinical practice guideline from the American College of Physicians (ACP) recommends spinal manipulation and other non-invasive, non-drug therapies as first options for acute, subacute and chronic low back pain, rather than pain medications, as stipulated in the original 2007 guideline.
Toxicity & Kids: The Importance of Environmental Intake
The old adage is true that children are not little adults. Traditional Chinese medicine (TCM) has long known that the physiology of children is unique, as are the diseases that plague them.
Chiropractic: A Great Fit for the White House
Dr. Eric Kaplan is a New York Chiropractic College alumnus; a No. 1 best-selling author whose books include Awaken the Wellness Within and The 5 Minute Motivator; a chiropractor for professional sports teams and elite athletes; and even served as an advisor under the Clinton Administration to the President's Council on Sports & Physical Fitness.
Waist Circumference: A Conversation Starter (Part 2)
Now let's discuss the clinical approach to reducing WC and implementation in today's chiropractic practice. The primary intervention centers around dietary modification and lifestyle habits aimed to reduce adiposity, improve insulin sensitivity and ultimately, diminish systemic metabolic dysfunction.
What's Bugging You? Probiotics and Your Health
An estimated 100 trillion microorganisms representing more than 500 different species inhabit every normal, healthy bowel. Gut-dwelling bacteria keep pathogens in check, aid digestion and nutrient absorption, and contribute to immune function.
Good Works at the Canandaigua VA
Faculty and students of the Finger Lakes School of Acupuncture and Oriental Medicine (FLSAOM) of the New York Chiropractic College have provided acupuncture to veterans at the Veterans' Administration Medical Center (VAMC) in Canandaigua, New York since September of 2007.
August, 2013, Vol. 13, Issue 08
Vacuum Therapies for Surgical Preparation and Recovery
By Anita J. Shannon, LMBT and Rita Woods, LMT
Surgery can be one of the most traumatic, yet helpful, events that a person can undergo. Proper preparation and effective techniques for recovery can make a world of difference in the experience.Vacuum therapies present a successful path to integration with the medical community, and allow us to work directly with the surgeons and have access to diagnostic reports.
Preparation for surgery includes vacuum therapies to drain and clear lymphatic pathways, decongest the tissues, and release any soft tissue restrictions to movement of muscles and fascia or flow of blood and lymph. Post-surgical care includes the same approach, and adds in potential scar work to diminish appearance and adhesions, along with release of inflammation, pockets of anesthesia, and soft tissue issues that may have resulted from surgical positioning.
Surgical complications often include the formations of adhesions, nerve compression damage and reactions to the anesthesia. While any adhesion is a potential restrictive problem, abdominal adhesions are a particularly burdensome complication. They form in approximately 90% of all patients undergoing any type of abdominal surgery, but the risk is greater for operations on the lower abdomen including pelvic, bowel and gynecological surgeries.
These surgery induced adhesions can be caused by tissues incision, especially those involving internal organs, the handling of organs, the drying out of internal organs and tissues, contact of the internal tissues with foreign materials such as gauze, surgical gloves, stitches, etc., as well as blood or blood clots that were not rinsed out during surgery. Abdominal adhesions are bands of tissue that form between tissues and organs causing them to adhere and stick together. They can become larger and tighter as time passes causing problems years after surgery.
Other less common, but just as serious, causes of abdominal adhesions involve inflammation from sources not related to surgery including appendicitis- in particular appendix rupture, radiation for cancer treatment, gynecological infections and abdominal infections. The use of vacuum therapies is extremely effective in working with these scars and adhesions, with very little discomfort for the client.
Prolonged surgeries in which the body has been placed and maintained in an unnatural position can lead to peripheral nerve damage. While the cause of damage varies, it can range in severity from mildly annoying to disabling. In most cases, the damage is temporary and the discomfort or numbness decreases in the weeks following surgery. But a small percentage of patients have lasting nerve problems. Decompressing the involved area with vacuum therapies relieves the pressure and allows the tissue to return more quickly to a normal state. Damage can also occur at the site where medications were injected or at the site of a spinal epidural.
Another potential complication of surgery relates to the anesthesia. Most problems arise from the use of general anesthesia (when the patient is put to sleep) but some problems may arise with local or regional anesthesia- usually at the site of medication injection as mentioned above.
General anesthesia, however, can foster a whole different set of problems. Two separate studies, one from Sweden and one from Duke University, showed that the length of time spent under deep anesthesia is a significant risk factor for predicting death up to two years after surgery. In both studies, the common cause of those deaths after surgery (non cardiac surgeries), were primarily from heart attacks or cancer. Additionally, a subsequent study indicated a cognitive decline in elderly patients up to two years following surgery. One popular theory as to why this happens is based on the production of inflammatory neurochemicals that negatively impact the body and undermine the immune system. One of the key uses of vacuum therapies involves the ability move fluids and clear the body of toxins and inflammatory residue.
The most incredible aspect of this work for preparation and recovery from surgical issues is the decompression that the vacuum produces. The lifting and stretching of the tissue and the release of restrictions, as well as the drainage and clearing of debris creates space and the opportunity for the body to resume normal functioning.
Protocols for each client will depend on a thorough intake and review of supporting documentation from the surgeon (if possible), and then the application of a six-step evaluation and tracking criteria that we developed over years of creating protocols using vacuum therapies. Recovery techniques can be used on clients of any age, and can produce some surprising results on sites that are quite old.
A recent experience while teaching in France was the perfect opportunity to show the class how the age of a scar can determine the techniques used to treat it, yet the results were dramatic with both examples. A wonderful German man who was also a guest at the inn where we stay and hold our classes offered to let us work on his recent scar from carotid artery surgery.
As he settled on the massage table, we could not help but notice a large scar completely surrounding his right knee and restrictions in his leg. His leg would not lay flat on the table and the posterior attachments and muscles felt like bands of steel. He described a low level of pain and restriction on both the neck area and leg, with discomfort beginning to radiate to the hip and low back.
These scars were both from surgery, but the approach to relief for the neck was to address the congestion in the scar area by working superficially with a very small cup to smooth puckering and facilitate soft pliable tissue that will move and blend with the surrounding area. For pain relief, the anterior and posterior muscles of the neck were treated, starting with slower pumping movements using deep suction to gently release the muscles from the position they were held in during surgery.
The approach for the older knee issues was to do much deeper techniques directly on the scar with straight suction and a larger cup, and look for areas that needed released. The anterior, posterior, lateral and medial knee attachments were worked with deep, slow pumping movements while the entire leg was treated with the largest cups possible and observed to develop protocols for subsequent treatments. The leg was treated with pumping movements first and then gliding and other techniques were introduced at a comfort level that was kept pleasant for the client.
Vacuum therapies can be used to work on so many conditions and prepare the client for a speedy and full recovery. Consider the approach for vascular issues, assess the client for any lymphatic and vascular restrictions and use decompression to open those up, see if there is dark congestion that can be cleared from spider veins, and finally use techniques designed to strengthen the vascular walls and stimulate lymphatic flow.
Mastectomy issues are usually best addressed post-surgically, with the focus on softening scar tissue and establishing lymphatic drainage. As with any oncology work, please have training and a thorough understanding of this condition, being especially careful with vacuum therapy for clients who have had recent radiation or are currently under chemotherapy treatment. Vacuum therapies have a very different effect on the body and can release radiation and chemotherapy from the tissues.
Scoliosis, joint replacements and carpal tunnel syndrome are also a real favorite at our clinic and the physician referrals keep rolling in due to the great results that their patients experience from this work combined with expert surgery. Each of these conditions will require research to understand the best way to treat safely and effectively, combined with a sound education in the use of vacuum therapy techniques and assessment, to produce significant results.
Vacuum therapies have begun to link the medical and massage community in a new way where we can work directly with physicians to greatly assist their patients with pre- and post-surgical issues. The constant stream of new cases makes each day an adventure, and the results from these techniques make clients and their physicians extremely happy. Much of the stress is removed when the clients know that they are well prepared and that they have a gentle and effective program in place for recovery and pain management.
For the practitioner, producing excellent results requires thorough training in and experience with vacuum therapies techniques and this powerful tool can also utilize the foundation of knowledge you currently possess. Developing critical thinking based on specific evaluation and tracking criteria, along with practical experience, can lead to such high levels of personal satisfaction and further evolution as a therapist. Service fees can be raised to be commensurate with the results you produce and successes build your reputation as a premier and specialized service provider.
Anita Shannon is a Licensed Massage Therapist and a licensed Cosmetologist since the 1980's, specializing in skin care, body treatments, clinical aromatherapy and various modalities of massage therapy. She is a national educator since 1990, and the Director of Advanced Continuing Education (ACE), an NCBTMB CE provider established in 2001.
Click here for previous articles by Rita Woods, LMT.
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