resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Collaboration for a Cause
The Patient Protection and Affordable Care Act strongly encourages the formation of multidisciplinary practitioner teams called Patient Centered Medical Homes (PCMHs) and Accountable Care Organizations (ACOs).
The Healing Properties of Light: An Interview With Researcher Anna Cocliovo
This interview is with Anna Cocliovo, a light researcher and Acupuncturist in Arizona. During my own research in light, I came across the article she published for the American Journal of Acupuncture and sought her out as a result.
Get That Shoulder to Move: Restoring Internal Rotation
How many times have you mobilized, performed ART, Graston, FAKTR and PIR, and stripped a patient's posterior capsule, yet on re-exam, discovered it was still blocked?
Monoculture of the Mind: Part II
Cases are built within boundaries. Such bounds may be a program, event, activity or individuals. In this instance, a medical case has boundaries that include clinical interactions that are comprised of history, signs, symptoms, diagnoses, treatment plans and treatments.
Stress in the Modern Age: Impact on Homeostasis and What You Can Do (Part 1)
In 1926, Hans Selye first used the word stress in a biological context, referring to the nonspecific response of the body to any demand placed upon it.
Epigenetics: The Western Science Supporting Essence
Since the days of Darwin, western medicine has touted that our genes were set in stone, that our genetics were our destiny. We were told that the diseases that ran in our family were likely coming to us as well.
Steven Rosenblatt: Birthing A Cross-Cultural Acupuncture Profession
The existence of a cross-cultural acupuncture profession in the United States, one that is legalized, licensed, supported by formalized, academic training and inclusive of non-Asian practitioners, is an important part of the medical landscape in this country and is responsible for improving the lives of hundreds of thousands of Americans.
Green Tea Catechins Lower PSA, Other Biomarkers in Men With Localized Prostate Cancer
A 2006 study (Cancer Research) was the first human investigation to show that green tea catechins (GTC) are highly effective in reversing premalignant prostate lesions (high-grade prostate intra-epithelial neoplasia), an established precursor to prostate cancer.
AAAOM – The Beginning of the End (Part II)
In 2012, the AAAOM board members met in Chicago for their annual meeting. The goal was to come to a consensus on a long list of issues the AAAOM needed to work on including a functional board and budget.
Creating Child-Friendly Clinics with ABT
The Zurich Dojo was scattered with toy ducks, dolls, trains, exercise balls and teddy bears during my recent pediatric workshop.
Chiropractic Prevents ADHD? Research Shows...
Now that I have your attention, let me tell you what the latest study actually states. As you may have noticed, research over the past few years has begun to reveal that acetaminophen (the primary ingredient in Tylenol) is not as safe as once thought.
Successful Strategies in Integrating Acupuncture and Shiatsu in a Hospital Oncology Program
Colleagues from the Network of Researchers in Public Health in CAM recently published an article of interest to our Traditional Asian Medicine community.
One and Done: Keeping Patients From Vanishing After Just One Appointment
What happened to my 3:30 p.m. ROF? They may have rescheduled, but there are two common answers no one wants to hear: 1) "She called to cancel. I tried to get her to reschedule, but she refused." 2) "She no-showed.
Risk Factors for Heel Problems
Heel pain and gait disability are common occurrences in adults, often the result of thinning heel pads and a lifetime of exposure to heel-strike shock. One condition experienced by many people is plantar fasciitis.
What is a Discipline in Medicine?
In my now prolonged dialogue with physicians, one question emerges with enough regularity to deserve mention and naming: what is a discipline?
Flexion-Intolerant Lower Back Pain (Pt. 3): Mobilization & Soft-Tissue Treatment
What is the biggest challenge to the chiropractor in treating discogenic pain? You have to completely reframe the purpose of your manipulation. It is rarely about unlocking a stuck segment at the disc involvement level; it is not about putting a joint back in alignment.
AAAOM – Making Promises They Can't Keep
When the AAAOM first formed in 2007, their mission was clear: to support the profession through education, resources and legislative advocacy. The first years of the organization were filled with promise and hope.
Resilience is the New Longevity
Sometimes we must enter a room through one door and not another, even though they both lead into the same space. I am talking now of the recent cachet with the concept of "resilience" regarding health, chronic pain and longevity.
Are You Guilty of Paternalism in Your Approach to Patient Care?
Einstein is purported to have said, "When a man sits with a pretty girl for an hour, it seems like a minute. But let him sit on a hot stove for a minute and it's longer than any hour. That's relativity." In some way, everything is relative to one's point of view.
Why DCs Need to Understand the Principles of "Inclusive Design"
In the past few columns, I've written about the negative effects of prolonged sitting at work. I've attempted to make the point that prolonged sitting (or prolonged standing) takes a toll on workers. Now let's discuss a related issue: the concept of "inclusive design."
News in Brief
Hamm Elected New President of the ACA; WFC / ACC 2014 Education Conference: Call for Papers; F4CP Recognizes Standard Process as $1 Million Supporter; Texas Chiro. College Begins Search for New President; League of Chiropractic Women Hosts Women's Success Summit.
Leaving a Lasting Legacy: Donna Liewer
For the past 31 years, Donna Liewer has been on a personal mission "to comfort the afflicted and afflict the comfortable." In her role as executive director of the Federation of Chiropractic Licensing Boards, Liewer has accomplished that and much, much more.
January, 2014, Vol. 14, Issue 01
Help Wanted: A Call for More Oncology Massage Specialists
By Mia Miller, LMT
I am eager to see a dramatic rise in the number of massage therapists specializing in oncology massage. Consider this a call to action. Reviewing Gayle MacDonald's opening to her book Medicine Hands, "As patients travel the road of the cancer experience, they will have pain that the best medications cannot totally alleviate, their self image will be shattered, they will suffer from lost relationships, anxiety about the future and possibly a sore back from lying too long on a gurney." Here, she describes the deep and penetrating unease that is familiar to many with cancer.She doesn't say it exactly but, as a therapist, I see this as an invitation to utilize the power of presence when with a patient to affirm the fact this person we hold is dealing with more than a physical battle, but a threat that is often enigmatic and silent, difficult to share but with skilled touch, capable of being acknowledged and soothed for a time. It's teachers like Gayle MacDonald (through her texts) and Tracy Walton (her class) who have set the tone for much of my practice of oncology massage and encouraged me to use the movement of my hands over a sore back to both ease pain while affirming and celebrating the life of another.
An Early Career Choice
I discovered my desire to work with clients going through cancer when I was still in training at the Swedish Institute in New York, so the seed was planted early on in my career. I was in a clinical strategies class and writing a research paper on Hodgkins Lymphoma when I was introduced to a young lady in her mid-20's, who two years prior received this same diagnosis. She agreed to share her experience with me. During our afternoon together, I came to know better the various forms of psychological and physical distress she'd suffered as she went through treatment; the neuropathy that lingered in her hands and forearms, the weight and hair loss, ongoing GI distress, chronic fatigue and anxiety, poor sleep, hardened shoulders and increasing neck tension. She knew I was finishing up my training in massage therapy and lamented as she said, "I wish I had known I could have been getting massage when I was going through treatment." I heard her aching for the kind of care we can provide.
Within a year, I was in Seattle training with Tracy Walton in order to be clinically prepared to serve this growing population. I was so clear on the efficacy of the work we therapists could do and the need for our inclusion in comprehensive cancer care. After my oncology massage training, I came back to Los Angeles charged and ready to apply all I had been exposed to and to implement the protocols and think through the various options for treatment. I instantly felt I could establish a meaningful rapport with the various intake questions I had learned to ask and the critical pause of giving space for clients to share their difficult experiences. Many clients felt they could open up when asked to share the side effects of chemotherapy they'd been trying to manage or hopeful when wondering, could our work together help them feel less anxious or sleep better later that night?
Taking the Journey
Around this same time, I volunteered at Roze Room Hospice where many of my referrals were at the end stage of cancer, a wonderful plane in which to be introduced to the deeper emotional connection of our work. It seemed serendipitous that most of the children I saw at Children's Hospital of Los Angeles were in the rehab unit with a cancer diagnosis and finding their way to a new normal. The families were often right there during the massage and were sometimes soothed by the work in a vicarious way or able to learn a technique or two from me to try later on. I see how introducing comforting, skilled touch brings families together in a unique way and allows for a way to communicate without traditional dialogue.
Oncology massage allows me to think critically and problem solve, while engaging real nuances of our hands-on work in a way that is very energizing and provocative. I enjoy the need to monitor my pace and pressure particularly when I am establishing a baseline with a first time client. I honor the compromised lymphatic system and work mindfully in quadrants of the body that have even one lymph node removed so as to protect against lymphedema. I approach my work with more attention in several special ways and this benefits both of us. It's wonderful to see clients gain freedom of movement after scar tissue has been realigned or light up as they describe that after reconstruction their tissue begins to feel less and less like a separate part of them. There are countless examples of the many ways we help our clients as they journey through cancer and treatment, these are only a few.
The professional experiences I describe allowed me to get comfortable and gain some initial confidence, but in a strange way I felt I was on a little island. I know this is not unique to providing oncology massage, as many therapists in private practice feel the effects of working alone from time-to-time, but this growing concern of mine was bigger than that. I had this sense there weren't a lot, if any, therapists around me that were laser focused on providing massage for those going through cancer or if there were, they weren't particularly visible or easy to find. I knew that Memorial Sloan Kettering in New York City had doctors, patients, therapists, support staff, a whole community dedicated to integrating our manual therapy into the care they provided. This kind of environment seemed ideal and I wanted an equivalent here in Los Angeles. I longed for a community of colleagues as there is power in association.
I was aware of the Society for Oncology Massage (www.S4om.org) and how it serves to link therapists to each other and the wider public. I am very comforted by this organization's mission. I have yet to attend their annual Healing Summit which would certainly allow for networking with others who share this passion. I did decide to look up therapists on S4OM's locator service and called the one lady listed in my area. I met her and we talked over coffee. My resolve continues to solidify with each individual I meet that shares their experience and expertise with me.
While I found my passion to provide clinically sound bodywork in the context of cancer, it became more apparent on a purely practical level, that there just might not be enough of us trained and ready to meet the need. I can't even count the number of hospitals, clinics and oncologists treating cancer in Los Angeles alone and if we consider they need us to support their patients, then my initial conclusion seems obvious; there need to be more of us. As integrative medicine gains ground in our changing healthcare system, we will be in high demand. Clients who have already experienced the healing work we do, offer very specific anecdotal evidence to anyone in earshot. As massage therapists, we know how our work brings equilibrium and relaxation to our clients' body's and minds. I think the power of our skilled touch can have a profound impact, perhaps an even greater concentrated effect when mitigating the symptoms, challenges and side effects of cancer and cancer treatment.
Do you want to be challenged in a new way and increase both your curiosity and compassion as you work? Do you want to transform and improve the delivery of health care with your very own hands? Find an oncology massage certification course today and get started! You will be humbled by your increased ability to serve those in their critical time of need. The very act of showing up for another with a equal portion of skilled touch, clinical reasoning and an open heart will amaze and transform you both. I hope you'll join us as we expand and transform the parameters of caring for others through cancer today and tomorrow.
Mia Miller is a specialist in oncology massage and runs her private practice, Somatic Space, in Los Angeles, Calif. She is a passionate proponent of integrative medicine and a therapist at City of Hope and Children's Hospital Los Angeles. Visit her website: www.somaticspace.com.
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