resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
December, 2013, Vol. 13, Issue 12
Ancient Cupping Tools Brought into the Modern Therapeutic World
By Shannon Gilmartin, CMT, CMCE
In today's society, health care is widely diversified. From Western to Eastern medicines to alternative health care, there is much to choose from. In recent years, various cupping therapies have become more known and yet not many people know why it works or what it does. My goal is to help clarify some of the mystique around this wonderful therapy.
Cupping therapies have existed practically as long as mankind. Its documentation from ancient Egypt, China, Europe, Africa and Native American cultures is proof of its widely diversified benefits. Its effects vary so widely and results can be quite impressive. However, many people know very little about it – mainly that it is considered alternative health care and it can leave marks.
Cupping therapies use negative pressure, or suction, to treat the body. Once the cups are applied to the skin, they pull various fluids to the surface. Vacuum therapies are a major vasodilator for the body and they encourage vascular structures to open. Cups draw fluids up, creating a clearing out of everything below its position. With proper use, it can be used to cleanse and dispose of accumulated materials to encourage a more balanced and thorough state of homeostasis. From surface skin, lymphatics and muscle to deep visceral organs and bones, vacuum therapies have almost limitless potential.
The lymphatic system is an awesomely powerful body system encased in a delicate environment. Its purpose is multifaceted; it is our body's defense mechanism and it disposes interstitial debris, along with dead blood cells, toxic materials, and even cancer cells. There are three layers of lymphatic drainage pathways: superficial (drains skin and subcutaneous), intermediate/intrafascial (drains muscles joints and ligaments) and deep (corresponding organs). The entire system can be addressed with superficial stimulation, with a suction pump-like effect. Using vacuum therapies appropriately at this level, we can help clear all layers effectively by helping to open their superficial flap-like valves and mimicking the rhythmic, pumping movement within; even gliding the cups along is a powerful wave-like cleansing process. Think of all the pathologies that have lymphatic involvement, lymphatic complications. Depending on the pre-existing training of the practitioner using the cups, so much can be enhanced with this tool.
Next, we must acknowledge the effects on the circulatory system. Both circulatory and lymphatic systems respond simultaneously to this therapy. Ischemic tissue is dry, has reduced oxygen-rich blood supply and can be characterized by pain and dysfunction. Just as a hot compress application can warm tissue, cups can do so with its added benefits mentioned above. This concept is important to grasp with vacuum therapies. A cup can be used to literally draw blood into ischemic tissues, creating localized hydration, while also clearing out any negative materials that inhibit optimal hydration and function ... all without heat added into an possibly inflamed area.
Think about all those marks some people get from cups. Understanding what is happening to the body can help to explain "those marks." Improper and aggressive use of cups can cause bruising that is traumatic capillary damage. However, when used correctly, the discolorations can clearly "mark" areas that need proper attention and help show you exactly where there is dysfunction and restrictions that need to be released. Everything from old blood deposits from repetitive motion injuries and surgical sites to carcinogenic materials can be seen in these marks. Ancient cupping often employed "wet cups" or "bleeding cups" and the practitioner would cut the skin to remove such materials. Nowadays, using a cup without cutting the skin is no less effective, and it keeps it within our legal scope of practice to do so. In addition, to show progress as the body responds and cumulative work is applied, marks will no longer appear in such areas as there is nothing more to purge at this time.
Putting the marks aside, think of how great vacuum therapies can be to encourage hyperemia in the tissue. The skin is the last organ to receive blood and this treatment is highly effective at feeding such tissue. Minimal use can grant immediate warming and pliability where there was rigid, immovable tissue before. So much treatment time is spent trying to stimulate blood flow, and using a cup can accelerate this process and allow you to make better use of your time in each treatment session.
Now, let's discuss the benefits for adhered tissues, ranging from slight dimpling to scar tissue. Adhesions are defined as an irregular union between two previously separated structures. Cups are used to literally lift and separate tissues, while simultaneously flooding oxygen-rich and nutrient-dense blood into these previously dehydrated, malnourished layers. So much work is done to break up adhesions – from cellulite to fascial binding, trigger points and scar tissue – wouldn't it make sense to lift and manipulate the tissue rather than continue to press on such structures?
When dealing with surgical scars, examine what may be locked into this structure. One of my best examples is a client of mine whose 30+ year old scars had inhibited her every movement (lymphatic to mechanical and visceral function). She came to me after almost a decade of aggressive scar tissue work. Over the course of many sessions, we not only had all types of black and purple and red blood deposits surface, we also saw colors of anesthesia that were left behind, and had quite a few stitches surface. Her visibly indented scars flattened, her mobility in all capacities drastically improved and her physical composition changed dramatically! All of this resulting from incorporating safe, logical and non-forced vacuum therapies into what I normally do as a massage therapist.
Next, we must address its effects on the fascial system. Fascia, as many body workers know, is a very complicated structure to work with. As muscle tissue has specific attachments, anatomy and direction, fascia is a web of interconnected tissue that runs throughout the entire body without interruption. Fascia is involved in every structure of the body; from a cellular level, through muscles, organs, nerves, bones and organs. Its restrictions prove to be some of the most complicated to try and soften, its patterns at times can be too rigid and bound to easily interrupt. Cups are an amazing tool that allow the body worker to unbind these holding patterns and roll the tissue out as cups glide over it, creating hydration as they move along. Thereafter, manipulations can work with the fascial planes with more ease to conjunctively interrupt such restrictive patterns. By no means is a cup the sole approach to relieving such delicately complex situations, but one experience of incorporating it into your work will prove its massive impact. Countless body workers and health care practitioners can attest to this experience.
Now that you can envision how cups are taking effect, I like to discuss various inflammations. Inflammatory conditions can be characterized by local heat, swelling, redness, pain and possible decrease of function. Countless pathologies have inflammation involved in some capacity. Inflammation is meant to eliminate debris and dead tissue from acute wounds, and can be a vicious locked cycle within the body in chronic conditions, such as fibromyalgia and Lyme's disease. In such cases, the inflammatory materials remain contained with no expulsive movement happening. Cups can be used to help with both acute and chronic inflammatory conditions. I cannot stress enough how appropriate safe training is necessary to approach such conditions, but the results are amazing!
Another great benefit of vacuum therapies is its effect on the central nervous system. Housed by the cranium and vertebral column, the cranial and peripheral nerves exit and innervate appropriately through intricate layers of tissue. All too often, clients are receiving therapeutic bodywork to alleviate not only compressions on nerves (ex. carpal tunnel syndrome) and the associated pain but also to (hopefully) reduce the symptoms of countless nervous system conditions. Massage therapy alone can reduce production of norepinephrine and cortisol (stress hormones) but it also increases production of dopamine and seratonin which encourage relaxation. Now blend the effects of the decompressive benefits of cups with these chemical influences in the body from massage, and the results are quite powerful.
In summary, cups have been used throughout civilized time to help heal people. In today's world, so many people are looking at alternative care to help heal and maintain wellness. Seeing how dynamic something like vacuum therapies can affect the body will hopefully encourage you to seek out safe and appropriate training. If we can retrain the eyes to see any marks that arise as beneficial clues instead of harm, then we can appreciate the idea of "better out than in!" That being said, marks are not necessary to receive benefits; they are simply a side effect, a "bonus" with this therapeutic tool. Countless clients and patients are receiving impressive benefits with no marks at all – only from the safe, appropriate use of negative pressure therapies.
Shannon Gilmartin has been in the bodywork industry since 1999, and working with A.C.E. Cupping Therapies and Anita Shannon since 2004. Having successful practices in both her native Massachusetts and now Virginia Beach, Va., she works in conjunction with a wide variety of both medical and alternative health care professionals. Both available classes and services offered can be found at: www.shannongcmt.com.
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