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Too Many to Remember: Tips to Revive Your Ortho / Neuro Test Skills
When I was at Palmer in the mid-1980s, we were given a set of notes in one of our diagnostic courses. The notes covered approximately 70 orthopedic and neurological tests for various regions of the body.
Targeting the Bad Apples in the Bunch
While everyone was focused on the conversion to ICD-10, the Office of Inspector General for Health and Human Services released a new report on chiropractic titled "CMS Should Use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services."
Which Way is the Energy Going? Are You Burning Yourself Out?
One of the simple methods that I use to define Yin/Yang theory to patients is to ask the question, "Which way is your energy going?"
Syncretism: Acupuncture and Public Health in Cuba
"Syncretism" is defined as a union of diverse tenets or practices. On a recent trip to Cuba designed to demonstrate the integration of Traditional Medicine and biomedicine, our group witnessed this union firsthand.
The Concussion-Subluxation Complex
In the Aug. 1, 2014 issue of Dynamic Chiropractic, I reviewed some of the literature demonstrating the role of the chiropractic adjustment in post-concussive care.
Making Sense of an Increasingly Obvious Conclusion
Where's U.S. health care heading? Like it or not, the list of telltale signs is growing to a point that stands out to even the most myopic observer. Consider this list of facts as you look into the future of health care in the United States:
Diagnose Sprain Injuries in MVA Cases With Dynamic X-Rays (Pt. 1)
Am I the only person to notice hospitals are doing a seemingly insufficient job lately in their initial radiological workup of motor vehicle accident (MVA) victims?
Footsteps of the Sages: An Apprenticeship with Dr. Kezhan Zhang
When I met Dr. Kezhen Zhang in May 2013, I was his translator and the integrity, creativity, and passion he demonstrated as a practitioner and advocate of the medicine convinced me to travel to Beijing to study with him.
F4CP Making a High-Impact Impression
The Foundation for Chiropractic Progress has released details of its 2016 strategy, certain elements of which are already in play. The strategy includes ads, posters and other resources available to all F4CP members.
Designing a Fitness Plan (Part 1)
It doesn't matter if you come to my practice for pain relief, weight loss, healthy aging or something else. The formula I talk about for each patient's fitness strategy is pretty much the same.
One Size Does Not Fit All: Exercise and Nutrition According to Your Yin/Yang Body Type
There are countless new exercise and nutrition plans out there, emphasizing the latest ground-breaking research and claiming to revolutionize the way we view health.
Tailor-Made Knee Pain: The Sartorius Muscle
A patient was referred to my office after receiving treatment from various providers with no results. The patient was training for the Olympics as a marathon runner and was unable to run or walk without severe medial knee pain.
Omega-3 Fish Oil: An Underappreciated Element of Men's Health
As a clinician with many male patients -- and as a man myself -- I am all too aware of the fact that we like to convince ourselves that we are doing great, when that may be the farthest thing from the truth.
Dietary Fat and Prostate Cancer: An Important Update
K.M. Di Sebastiano and M. Mourtzakis published a review paper examining the role of dietary fat on prostate cancer development and progression late last year that does a stellar job of summarizing the available data on fat and prostate cancer.
Acupuncture and Oriental Medicine in the West
We know acupuncture and Oriental medicine as the indigenous medicine of East Asia; in particular China, Korea and Japan are the countries of origin of this wonderful healing system.
The Modern Application of Ancient Mei Rong
Chinese Medical Cosmetology (Mei Rong) has a well-documented and venerated history dating back to the Qin (221-206 BC) Dynasty.
Born to Energize the Human Spirit: Recollections of Sig Miller
Sig Miller, longtime executive director of the Association of New Jersey Chiropractors (ANJC), passed away on Sept. 17 after a long battle with cancer.
It's Time to Review
It is amazing to see the changes that are occurring in the acupuncture profession. Let's look at some of the news and events that have contributed to this growth and awareness.
Pro-Con: Swaddling for Newborns
The practice of swaddling has been used for thousands of years and was popular until the 1700s, when it was slowly abandoned by many cultures that considered it old-fashioned or barbaric.
North Carolina Acupuncture Board Files Dry Needling Lawsuit
In early September, the NCALB filed a complaint against the North Carolina Board of Physical Therapy Examiners over the issue of dry needling, a form of acupuncture that uses solid needles to puncture the skin and muscle tissue to relieve pain.
Chinese Herbs and Pulmonary Fibrosis: A Case Study
"Mary M."* recently celebrated her 90th birthday. Even the former sheriff dropped by to kiss the hand of this diminutive retired teacher, to honor the years she interpreted for him during interviews with Latinas and Latinos.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 2
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.
Mechanism: Experimental Approaches to Understanding Acupuncture, Part 1
The clinical benefits of acupuncture are difficult to ignore, but also can be difficult to explain to a Western audience. For nearly 50 years, relentlessly inquisitive scientists and physicians have been working toward a conceptual model to explain acupuncture.
September, 2013, Vol. 13, Issue 09
Addressing Childhood Anxiety with Pediatric Massage
By Tina Allen, LMT, CPMMT, CPMT, CIMT
Stress and anxiety is a large part of life for children and whether its family or school issues, combating anxiety can be tricky. Fortunately, there are a number of options, including pediatric massage therapy.Numerous studies have documented the effects of touch therapies, including the positive benefits it offers in dealing with emotional and academic anxiety.
At the heart of anxiety is worry. This is the central characteristic and causes a level of excessive concern about real or imagined situations. A child may have anxiety about a big test coming up (real), but also may be worried about what to wear to school in fear they may be teased (imagined). When worrying gets to an excessive point and begins to interfere with the child's life, treatment can become necessary. The hard part about diagnosing and treating anxiety is that it manifests itself in many different ways through behavioral, intellectual and physical reactions.
How Early Does Anxiety Begin?
Normally, anxiety presents itself around seven to nine months old, and is exhibited by "stranger anxiety," meaning the infant will become upset around new people. This "stranger anxiety" signals the child's cognitive development when children begin to discriminate among people. The next development stage happens around 12 to 18 months when children begin to exhibit separation anxiety while parents try to go to dinner or run an errand. This stage normally works itself out by the age of two. Both of these periods are important indicators that our children are developing as normal.
By the age of eight, children begin to shift their focus to specific, identifiable events (animals, monsters under our beds, etc.) and focus more on less specific concerns like grades or making and keeping friends. As the child begins to grow into adolescence, they begin to worry about a host of additional issues such as sexuality and moral issues, which can all lead to increased levels of anxiety.
How does Anxiety Affect Children?
So, now that we know how anxiety grows within our children, it is important to know the types of anxiety that can affect them. Separation anxiety is not limited to children 12 to 18 months old, but can be influenced by parental relationships and more commonly bullying. The child could refuse to go to school due to the bullying or a school phobia. A generalized anxiety disorder is experienced by children who may have excessive anxiety about a variety of things with no specific cause.
While commonly associated with returning soldiers, children can fall into the post-traumatic stress disorder category if they experienced a traumatic event such as domestic abuse, losing a loved one, experiencing a natural disaster or sexual assault. These events cause high levels of anxiety due to reliving the experience, as well as flashbacks.
Social phobia disorder is seen in children who have excessive fear of being in social situations like crowds or groups. Lastly, obsessive-compulsive disorder includes repetitive thoughts (obsessions), an unending desire to repeat specific acts or placing objects in the same arrangement (compulsions).
How can Pediatric Massage Help?
Massage can help facilitate one-on-one time between a parent and child fostering a relationship that will grow stronger. Starting in infancy, a parent can begin to massage their child, which forges a stronger bond and increases communication. Pediatric massage, when caregiver administered, can give you time to sit down and discuss the child's day or any anxiety they may have. Studies have shown children and adults who receive massage experience diminished anxiety during academic stress, hospital stays and other potential anxiety related events.
Just as massage can be given by parents, many pediatric massage therapists work with children experiencing anxiety. Keep in mind, that just the thought of leaving their home to come in for a massage may cause them anxiety. Pediatric massage is not meant to cause further anxiety, but our hope is that it may benefit the child by relieving some of their stress.
Pediatric Massage Tips
Before the session, decide with the parent's guidance whether the session should be in your setting or theirs. Coming to a new location can be anxiety provoking for many people. If the session will be in your environment, help prepare the child for coming to a new location by sending pictures of your setting beforehand to the parents. You can email them to the parent so they can show them to child to help make them more comfortable.
Always, as with any pediatric massage session, ask permission before you begin and check in frequently. This could include giving the child ways to communicate their likes and dislikes in a passive fashion, such as using "thumbs up" or "thumbs down."
Especially at the first session, but every time if necessary, do not ask the child to disrobe to their comfort level. Body image and concern of "what others will think of me" are often causes of anxiety. There is no reason that massage must be performed skin-to-skin. Many clients benefit from a gentle touch over their T-Shirt.
Take your time with transitions and always be consistent. If possible, work together with the family to keep the same time, place and routine. Creating a consistent massage time for a child can help to create routine, stability and provide calm that just might keep anxiety at bay.
Click here for more information about Tina Allen, LMT, CPMMT, CPMT, CIMT.
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