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Waking Up the Gluteus Maximus
In previous articles in this series, we expounded on the importance of the gluteus maximus (GM) in athletic performance and protecting the knee from injury. We also know there is a link between iliotibial band syndrome and GM weakness.
Chiropractic Research in Review
Chiropractic Treatment of Lateral Epicondylitis; Cost / Benefit Analysis: Different Doses of SMT for Low Back Pain; Imaging for Occult Rib and Costal Cartilage Fractures; Treating Neck Pain: Thoracic Thrust Manipulation vs. Non-Thrust Mobilization.
CCE Finally Takes a "Baby Step" Toward Reform
During a 16-month period from October 2010 to February 2012, I devoted four separate columns to the heavy-handed attempt by the Council on Chiropractic Education to radically change the chiropractic profession through the accreditation process.
MPA Media Wins 7 Publishing Awards
MPA Media, publisher of Dynamic Chiropractic and DC Practice Insights, among other titles, has been recognized for editorial and design excellence with an unprecedented seven publishing awards by the American Society of Business Publication Editors (ASBPE), the nation's largest organization for business-to-business publications.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
Don't Turn a 2 Into a 10
The Wong-Baker FACES Pain Rating Scale1 is so useful because it can be used by almost anyone. Patients can use the numbers associated with the faces depicted on the scale or select the face that demonstrates their current level of pain from 0-10.
A Vibrating Capsule for Constipation? Relevance to Your Chiropractic Practice
The relationship between gastrointestinal (GI) complaints and back pain is not typically written about or discussed.
News in Brief
National Chiropractic Health Month: Be Proactive; Collegiate Roundup: Academic Appointments at Parker, Logan.
Pain Underfoot: Metatarsalgia
Foot pain can interfere significantly with normal activities and severely limit participation in sports. Metatarsalgia is foot pain involving the metatarsal bones in the forefoot – the complaint of pain on the bottom of the ball of the foot.
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
A Chinese Medicine Story: An Interview with Mazin Al-Khafaji
Mazin Al-Khafaji's work has interested me for years. In February 2014, we invited him for the second time to speak at the Southwest Symposium in Austin, Texas.
Why Young People Need Chiropractic Now More Than Ever
According to a recent study published in BMC Musculoskeletal Disorders, "It is now widely acknowledged that neck pain (NP), mid back pain (MBP), and low back pain (LBP) (spinal pain) start early in life and that the lifetime prevalence increases rapidly during adolescence to reach adult levels at the age of 18."
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
9 Common Causes of Thyroid Imbalance and How You Can Help
How you sleep, how easily you wake up, and how much energy and stamina you have during the day are directly related to levels of the thyroid hormones.
February, 2014, Vol. 14, Issue 02
A Distorted View: How Massage Impacts Body Image Issues
By Tina Allen, LMT, CPMMT, CPMT, CIMT
Having concerns or worrying about body size, weight and appearance is quite common. However, in some cases, this concern becomes a problem which can lead to a distorted view of one's self, unhealthy eating and confusing views of the body.These thoughts are often complicated by negative feelings, low self-esteem and depression. Massage therapy providers may find value in learning more about supporting clients with body image differences.
Eating disorders are complex, with both anorexia and bulimia having their own treatment concerns, criteria and issues. At the core of anorexia is the belief that being thin will lead to a better life, while bulimia consists of the pattern of binging and purging, often used as a coping mechanism during times of stress.
Anorexia often leads sufferers to become severely underweight, while bulimics are often able to maintain a normal weight. The largest contrast studies have found between anorexia and bulimia is impulsivity. Control is the main motivator for many anorexics, while impulsivity, or the action of releasing pressure from unrealistic standards, cause the action of binge and purge for bulimics. It is not uncommon to see both diagnoses together and it is important to note that physical symptoms may not be obvious for both conditions.
Statistics and Lack of Touch
A recent study on the prevalence of eating disorders in adolescents estimates approximately a half million teens struggle with eating disorders or disordered eating. Even more disturbing was the finding that the onset of these eating behaviors starts around ages 12 and 13, but are most typically found in the late teenage years and continue into adulthood.
Eating disorders are often related to emotional issues such as control and self-esteem. There are typically a number of contributing factors including difficult relationships with friends or family, physical, emotional or sexual abuse, loss and grief, stress or feelings of losing control.
Why Nurturing Touch?
Nurturing touch and massage have been linked not only as a prevention method early in life, but as a form of treatment for those suffering from eating disorders and disordered eating. In the early years, it has been further observed that when body boundaries have not been consistently outlined by touch, caress and secure holding, individuals in later life experience their body image as disproportionate, misshapen and overly large. Research findings suggest that physical modes of nurturing, that is, "nurturance by touching and hugging," are of importance in the development of body image, especially among females.
A study focused on anorexia nervosa followed nineteen women who either received standard treatment or standard treatment plus massage therapy twice a week for five weeks. Using standard Swedish massage techniques, the participants received a 30-minute full body massage. The massage group reported lower stress and anxiety levels and had lower cortisol (stress) hormone levels following massage. Over the five-week treatment period, they also reported decreases in body dissatisfaction on the Eating Disorder Inventory and showed increased dopamine and norepinephrine levels.
In a similar study, 24 adolescent females affected by bulimia were randomly assigned into either a massage therapy or control group. The massage therapy group received massage two days a week for five days, all were administered by massage therapists. The patients remained fully clothed and were massaged on various areas of their body, including 15 minutes in the supine position and 15 minutes in the prone position. The results showed an immediate reduction in anxiety/depression and by the last day of the therapy, results showed they had lower depression scores, lower cortisol (stress) levels and higher dopamine levels.
A Massage Therapists Approach
As with all clients, safety and ethical practice are our first concern. Always perform a detailed client intake and personal health history. In some cases, having eating differences, body image issues, anorexia nervosa and bulimia may cause complications and other health issues. Follow all known contraindications to massage therapy.
When working with youth who are dealing with body image issues, or are diagnosed with anorexia or bulimia, practice with client confidentiality and comfort in mind. Provide a safe and nurturing environment where the client can choose to disrobe or not, to their individual comfort level. Always allow the client to choose position for the massage, whether that be sitting up or lying down and take time to work slowly, allowing for time to take breaks as the client may request. A gentle, supportive approach is best in creating a safe session for youth.
Click here for more information about Tina Allen, LMT, CPMMT, CPMT, CIMT.
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