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New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
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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