resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Five Element Acupuncture Can Enhance Your Practice
For eight years I have been teaching and supervising TCM students at an acupuncture college in Colorado, in Five Element acupuncture.
DC App – The Next Generation
According to a survey by technology firm CDW, health care professionals gain approximately 1.2 hours per day in productivity simply by using a tablet computer in practice.
Make Low-Level Laser Therapy Part of Your Evidence-Based Practice
Low-level laser therapy (LLLT), also referred to as photobiomodulation, has been increasingly utilized in the clinical setting over the past decade.
Peer Points: Promoting TCM Knowledge
When Elaine Wolf Komarow, LAc, received her first acupuncture treatment in 1989, she said it changed her life. "I felt more aware, calmer, and happier. I was so fascinated by the changes that I began to learn everything I could about the underlying philosophy of Chinese medicine," said Komarow.
Meat in the Middle
Have you ever wondered what's the truth about meat? Is it really as bad as many people think?
Introduce Your Patients to Collagen Induction Therapy
Cutaneous (skin) aging generally occurs from either intrinsic or extrinsic processes. Intrinsic aging results from natural skin tissue damage and degeneration.
We Get Letters & Email
Is It Time for a Popeye Moment? The Flaw in Recommending Chiropractic as a Career.
Acupuncture Detox as Part of Drug Rehabilitation
In the U.S., more than 2,000 alcohol and drug rehabilitation programs have added ear acupuncture to their practice. The development of the protocol was determined by Lincoln Hospital as it delivered 100 acupuncture treatments daily.
News in Brief
Life to Open Branch Campus in Italy; Northwestern Research Arm Benefits From Big Donation.
Are You Ignoring the 10,000-Hour Rule?
Having trained interns and mentored new practitioners, it has been my observation that their No. 1 clinical concern is adjusting skills. Their second clinical concern is their ability to read X-rays. Physical diagnostic skills are a distant third.
Chinese Medicine: The Natural Way to Children's Wellness
As a child, I did not like going to the doctor. For the most part, when I had to go I wasn't feeling good to begin with, and I was heading into a sterile environment to be awkwardly probed by a man in a white coat for a very short, impersonal period of time.
Are You Ready for the 2016 Patient?
In October, Apple released its iOS 8 operating system for the iPhone and iPad. The new system includes Health, a new app that will interface with an ever-growing number of other apps.
Home Safety: Help Families Avoid Common Injury Hazards at Home
These days, many parents childproof their homes before a baby is even mobile. You will see an array of electrical outlet covers, bumpers on the corners of the coffee table and safety latches on the cupboards.
Solving the Pain Puzzle
Legendary former New York Yankees baseball player Yogi Berra once said, "You can observe a lot just by watching." He would have been a great chiropractor. We are trained to become experts with our hands: palpation, adjusting, soft-tissue release, etc.
Treating Chronic Depression with Acupressure
In Traditional Chinese Medicine there already exists a comprehensive theory linking the body and mind.
It Pays to be a Foodie
If there is an inner foodie in you, just waiting to burst out—this article is for you! Do you want to know how I know? I'm that girl. My middle name might as well be "Foodie." I love food! And if my patients are any indication, many of them do as well.
Avoiding "Just a Pop Doc" Syndrome
Yes, it's harsh. Patients don't like to admit it. They have an unspoken plan when they first visit you: to come one time, get rid of their pain and then get rid of you. They know it's unrealistic, but they'd like to pay nothing for this service.
The Acupuncture Now Foundation: What Our Profession Needs
Although acupuncture is growing in popularity it continues to be underutilized due to misunderstandings about its true potential. Only a fraction of those who could be helped by acupuncture know enough to seek it out.
The Death of the Travel Card
As long as I have been in practice, the travel card has stood as the primary style of documentation for chiropractic. It is quick, simple and direct. Unfortunately, the rules have changed.
Treating Menopausal Women in Your Practice
I love what I do for a living. It's a great way to trade health for bread. And no topic of health, with the right bedside manner, is taboo.
Foundation for Chiropractic Progress Announces First Group Member
The Michigan Association of Chiropractors has joined the Foundation for Chiropractic Progress as its first group member.
Inspire Your Patients to Make Healthy Choices
Have you tried to get your patients to change their eating habits or their diet and couldn't get them to succeed? Were they confused and unsure of what the right thing was to eat? You are not alone!
Why Drugs and Supplements Can't Cure Disease
Chronic diseases are the outcome of disease-promoting, goal-oriented behaviors. So, the notion that diseases can be cured with drugs or supplements should be abandoned. Hypertension is the best example of this.
Step by Step: Long-Term Treatment of Soft-Tissue Injuries Combines Skill and Care
Treating soft-tissue injuries with long-lasting results starts the moment an individual enters the office. When it comes to pain, the only thing that matters to the patient is relief.
Chronic heightened emotional states create a perfect breeding ground for illness. Through my practice I noted the increasingly obvious relationship between one's mental focus on negative thinking, emotions, resistance to experiencing feelings and disease.
Treating Acute and Chronic Neck Pain With Ischemic Compression and Exercise
There are many reasons not to manipulate the neck with cavitation: the patient is too old, their neck is too tight, etc. But the most common reason is that plenty of patients are afraid of "the crack," mostly because of the bad publicity about that procedure.
Capturing the Essence of Tai Chi
Over the last 12 years, I have been working on one of the few documentaries about Tai Chi. It's called The Professor: Tai Chi's Journey West and it's about Cheng Man-Ching who moved to New York in the 1960s.
Following the Thinking of the Classics
I have heard about the "best time of day" to carry out certain examinations or therapies. For example, I remember making a note years ago that early morning is the best time to take someone's pulses.
Implications of Section 2706: The Non-Discrimination Provision Survey
In late April 2014, NCCAOM diplomates received an email survey with the subject line: "End discrimination against acupuncturists" polling CAM practitioners for a Request for Information from the Department of Health and Human Services, released in mid-March.
Micro-Needle Dermal Roller Use in the Treatment Room
Recently micro-needle dermal rollers have been getting a lot of media attention. As a practitioner who specializes in acupuncture facial rejuvenation, I know that skin needling with a dermal roller (also known as collagen induction therapy), promotes the natural reproduction of collagen and elastin, making the skin feel smoother and tighter.
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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