resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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 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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
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.
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.
October, 2013, Vol. 13, Issue 10
Do You Know When It's Not a Good Idea to Get a Massage?
By Tracy Litsey
Most people are great candidates for the relaxation and health benefits of massage therapy. However, there are times when a massage may not be the right choice. Certain conditions contraindicate massage, either because of the risk it may pose to the client or the risk to the therapist.
For example, if a client has a cold, flu or other contagious viral or bacterial infection, the therapist may choose not to work with them because they don't want to catch a cold and risk passing the infection to other clients.
"When a client has a cold or flu, a massage might seem comforting," said Patricia Coe, DC, ND, clinic supervisor for National University of Health Science's massage therapy program. "However, when someone has an infection, their body is already working hard to fight it and recover. A massage can be very stimulating internally and place certain demands on the body during a time when your client should be simply resting."
Since massage is based on skin-to-skin touch, massage may also be contraindicated if the client has a rash or infectious skin condition. If the skin condition is infectious, it could spread to the therapist and, in turn, to other clients. Even if a skin condition is not contagious, massage can make some skin irritations even worse.
Another occasion when a massage should be postponed is if the client is intoxicated. Many folks seek out massage while on vacation or under stress. They may have also had a few cocktails to relax as well. "Intoxication is a risk during massage," said Dr. Coe, "primarily because it desensitizes the client. This makes it hard for the client to give reliable feedback. A massage therapist needs to know what level of pressure is comfortable and what is too much. With intoxication, those sensations are unreliable."
"Certain medical conditions may contraindicate specific types of massage. For example, if someone has heart or kidney failure, circulatory massage may place excess demands on already failing organs," said Dr. Coe. "An acute injury is also likely to be a contraindication to massage. Although it may seem like a great idea to get a massage immediately after straining a muscle, if there is damage to the area, massage may actually interfere with the healing process."
Finally, massage may not be advised, or may need to be modified, if a client is currently on certain medications, such as:
"A good therapist will guide the discussion on the client's health issues in order to determine the right technique and whether or not a massage is contraindicated [for] that client on that day," said Dr. Coe. "A massage therapist should not be afraid to ask for a note or consultation with the client's physician when concerned about how a massage will affect their health condition."
"The healing benefits of massage therapy are many, and it is fairly rare to encounter situations where massage is contraindicated for very long," according to Dr. Coe. "But it is important to understand potential issues, and talk with clients prior to their session to rule out any concern."
Tracy Litsey is a public relations specialist with National University of Health Sciences in Lombard, Ill. To learn more about National University of Health Sciences and its programs in massage therapy, chiropractic, naturopathic medicine, acupuncture and Oriental medicine, visit www.nuhs.edu.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.