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Let the Patient Tell Their Story
Often when a patient presents with an injury, they want to tell their story. People by nature like to talk about themselves, particularly when they're worried about their health.
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 1)
When we think of lower back pain, we tend to think in terms of the lower lumbar spine and the SI joint. These joints and their discs are obviously important. However, we tend to miss fixations that occur just above – in the upper lumbar spine. Three questions come to mind: 1) Why is the upper lumbar spine so important? 2) Why do we miss the fixations here? 3) How can we adjust them?
The Science Behind Happiness
Are you happy right now? Whether yes or no, there are a myriad of reasons why you feel that way. A whole academic discipline has developed to find out what causes or obstructs happiness, and how to amplify it.
A Glimpse Into China's Top Brain Hospital
The sounds of the city pass through the open window are overwhelming the microphone - car horns, construction machinery - and then there's the family at the adjacent bed talking loudly on cell phones, yet you can still hear the faint beep of our patients monitoring equipment.
News in Brief
NBCE Launches Computer-Based Testing Era; California Chiropractors Get Expanded DOT Exam Privileges; New Jeff Hays Documentary.
The Truth About Herbs
I appreciate the effort and research put into the article written in the June issue of Acupuncture Today regarding pesticides and Chinese herbs.
The Problem With Prolonged Sitting
We need to constantly talk to our patients about spending less time sitting and about what can go wrong with poor sitting postures. The fact is we sit too long in repetitive malpositions.
Rethinking GMO: Less Panic, More Context
Some of you may have noticed that after writing parts 1 and 2 of “Genetic Modification of Organisms for Human Consumption” a while back [Nov. 15, 2013 and Jan. 1, 2014 issues], part 3 never appeared.
Healing Community Trauma in Israel and Palestine
It's the beginning of August and Israel and Hamas have just agreed to a 72-hour ceasefire after a month of brutal fighting. In the last four weeks, 1,830 Palestinians and 67 Israelis have been killed.
Thoughts to Live By
When speaking to your patients about their health make sure to ponder the following points and have them assess if they are making themselves even more sick by the thoughts they have about life. Are these some of the traits and thoughts that your patients might have?
Medicalization and Mindfulness
The past several years have seen a veritable explosion of research on mindfulness. Research abstracts we've published in each issue of Health Insights Today under the heading "Mind-Body News" have increasingly reported on studies about mindfulness interventions.
If You Get a Request for Records, Respond!
In our previous two articles, we discussed two of the main reasons for denial when chiropractic records are reviewed by Medicare contractors.
Uncle Sam Needs You
Scrutiny into the Department of Veterans Affairs (DVA) continues to grow after efforts to reform the DVA by the former Secretary of Veterans Affairs, Eric Shinseki, were deemed "a stunning period of dysfunction" by Senate Minority Leader Mitch McConnell (R-Ky.).
The Spirit of the Point
After receiving a large amount of positive feedback on my San Zhen Protocols series, I have decided to focus this article on some relevant clinical aspects of acupuncture therapy prior to moving on to San Zhen Protocols III.
Thoracolumbar Syndrome: The Great Mimic
The thoracolumbar junction is a common area of joint dysfunction. The most obvious cause is dysfunctional breathing or lack of diaphragmatic breathing. Treating this breathing problem will ultimately be the long-term cure for the syndrome.
History of Animal Acupuncture: Part II
In Part I of this article, I had gone back to 1969 and tried to describe the atmosphere and events of that year that engulfed many of the younger generation, some who were all the core members of the National Acupuncture Association.
MPA Media Wins Seven Publishing Awards
MPA Media, publisher of Acupuncture Today, among other titles, has been recognized for editorial and design excellence with an unprecendented seven publishing awards by the ASBPE, the nation's largest organization for business-to-business publications.
Improving Our Political Effectiveness
The November 2014 elections are right around the corner; members of Congress, governors and state legislators are all running. Now is a good time to talk frankly about our overall political involvement.
A Healthy Dose of Failure is Vital to Your Success
As an acupuncturist I tend to see people after they have already suffered for years and "tried everything." They are so desperate for some relief that they want to know everything about how to get better, right now.
Get Ready For AOM Day
This year, AOM Day 2014 falls on Friday, (October 24th). This is a great opportunity to make your AOM Day celebration or event even bigger by extending it throughout the weekend!
When Big Pharma Meets Chinese Medicine
Earlier this year, Bayer made a media splash with their decision to buy the Dihon Pharmaceutical Group Co., a Chinese TCM manufacturer.
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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