resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
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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