resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
How Many of Your Patients Have Sarcopenia?
Figure 1 demonstrates the typical appearance of sarcopenia in the paravertebral muscles. Have you considered evaluating your patients for this problem? Sarcopenia is the progressive loss of skeletal muscle mass and function that affects the older population.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Day in the Life of an Advanced-Practice DC
Can you tell us a little about your background in the profession? Why did you want to become a DC? I studied at Boston University from 1968-1972 as a pre-med student majoring in biology.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Specialized Pro-Resolving Mediators: 21st Century Inflammation Fighters
Specialized pro-resolving mediators, or SPMs, are a portion of the omega-3 fatty-acid spectrum that have been shown to have a powerful effect on reducing inflammation.
Identify & Adjust the Apex Posterior Sacrum
Low back pain involving an apex posterior sacrum (+θX-axis misalignment) typically presents with signs of lumbosacral joint impingement or facet syndrome.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
F4CP Launches New Social Media Campaign
The Foundation for Chiropractic Progress has launched a new service to help member doctors: a social media campaign called "Accelerator."
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Excited to Share the Science of Chiropractic: An Interview With Dr. Heidi Haavik
Dr. Heidi Haavik has become known in the circle of chiropractic researchers as not only a rising star, but also one willing to do research that can have a major impact in the scientific world and how chiropractic is perceived.
Let's Streamline Your Front Desk
Your front office can be your greatest source of efficiency or a constant bottleneck. Increasing the productivity of this area without sacrificing the quality of patient interaction can be a little tricky.
Misconceptions & Opportunities With Medicare
As I speak around the country on how to properly document Medicare patient encounters, I get questions regarding opting out of Medicare. There are many misconceptions about opting out of Medicare, including just what it means to opt out.
News in Brief
Northwestern Student Honored for Addressing Concussions Head-On; Northwestern Announces New CFO; Life U. to Provide Unique Opportunity.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
An Alarming Lack of Accountability
Accountability seems to be a lost quality today. The simple act of taking responsibility and doing the right thing just doesn't happen as often as it should. Maybe it is the litigious nature of our society.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Designing a Fitness Plan (Part 4): Blending Pain Relief With Healthy Aging
Pain relief is still the No. 1 reason patients come to my office. However, most of my patients have other goals as well, such as: "I want to lose 10 to 20 pounds"; "I feel old and want to slow down the aging process"; "My doctor says I am becoming a diabetic and need to exercise"; or "I'm tired and want more energy."
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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