resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
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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