resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
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.
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?
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.
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.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
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.
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.
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 to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
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.
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.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
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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