resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
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.
We Get Letters & Email
Is It Time for a Popeye Moment? The Flaw in Recommending Chiropractic as a Career.
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.
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.
News in Brief
Life to Open Branch Campus in Italy; Northwestern Research Arm Benefits From Big Donation.
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.
Meat in the Middle
Have you ever wondered what's the truth about meat? Is it really as bad as many people think?
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.
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.
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.
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.
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.
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.
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.
The Power of Mu Xiang to Treat Irritable Bowel Disease
Bloating and gas pain is something that everyone has had to deal with at one point or another; however, that's usually reserved for holiday dinners and other large gatherings.
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.
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.
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.
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.
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.
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.
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.
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.
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!
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.
March, 2014, Vol. 14, Issue 03
Ending the Energy Debate
By David Lauterstein, RMT
There have been many recent online discussions in our field about "energy" and the role it may or may not play in our work and education. Many people have noted regretfully that some of the discussions have given rise to divisiveness somewhat uncharacteristic in our field.Partly, this may be a function of "social" media. When it comes to sorting out emotions, it is not a very effective medium. This reminds us that, unlike massage and the world of "high touch" in which compassion is the rule, the Internet and the world of "high tech" is not a very effective context for resolving difficult emotions.
What everyone does appear to agree on is enhancing the quality of education and therapists. It may be helpful to look at what role "energy" may or may not play in improving massage education and in therapy. First, we need to know what we are talking about. What does energy mean? Importantly, it is a word for which there is more than one definition. The definitions of "energy" refer to two quite different things – a quality of action and a physical phenomenon.
Here is the definition from the free online dictionary:
The first two definitions are more subjective and refer to the world of experience and a quality of action. The second two definitions are more objective, referring to measurable physical phenomena described by science. As we look at the energetic aspect of massage and bodywork, let's keep these varying definitions in mind.
We can note in the beginning that the energetic aspect of massage refers more to the quality of action and touch, than to the scientific, objective definition. Is massage "energy work?" If we mean by energy work, pure energy work done off-the-body, it is fairly easy to say "no." Massage involves touching the body and often is defined expressly as soft tissue manipulation in textbooks and in many state laws.
Is there an energetic aspect to touch therapy done on-the-body? Using the quality of action definitions above, we can say "yes." The quality of our touch may be considered energetic. Quantifiable aspects such as pressure may be measured, but the energetic aspect is more subjectively experienced.
We need to remember that massage can (and should) be objectively studied, but it is experienced subjectively by the client. Clients are interested in feeling better, in having more pleasure, less pain, more relaxation and more energy. Using the first two definitions we see these are subjective goals, facilitated by both the structural and energetic clarity with which we engage the tissues and the nervous system of the body.
Where both the pro- and anti-energy camps get in trouble is when they leap to the objective definitions of energy. The pro-energy folks wish to see the energy aspect of massage and bodywork as objectively existing, like electricity or magnetism. While these may be intriguing metaphors for the energetic aspect of our work, there is little if any proof that the energy spoken of by some massage therapists and bodyworkers exists objectively. Again and again, we need to return to the fact that the energetic aspect refers most directly to subjective experience. This makes it no less real, our experience is real – but like thought and emotion, like love – you can't find it under a microscope.
Now the elusiveness of how to describe subjective/energetic experience has given rise to various terminologies. Some people are attracted to a particular language describing the energetic aspect because that was what they were taught or they find those concepts and vocabularies illuminating of their own experience as receivers and as givers. Some people find helpful the languages of chi or meridians, prana, kundalini, chakras, bio-energy, élan vital, psychology or phenomenology, etc. Some people prefer language referring primarily to the nervous and endocrine systems, seeing the experience of energy largely as a projection of the brain.
How can and should we reflect these varying views in our education? No one is saying this should a mandatory part of basic curricula, however, there are some ways various educators may choose in a balanced way to cover this topic.
We may cover some of energetic aspects of massage and bodywork in our history classes. Asian concepts linking up energy and anatomy have played a role in the history of massage. The "humours" in medieval medicine; the assumption of links between the spiritual and physical aspects of health; the energetic understandings of psychology and, most recently, psychoneuroimmunology – any or all of these may be helpful in producing students with a fuller picture of our work and its roots in the history of manual and mind-body therapy.
We can note that many modalities explicitly integrate structural and energetic work – zero balancing, deep massage, some forms of myofascial release. And many more assume this is what's happening – shiatsu, Thai massage, rolfing, etc.
We should cover how conscious and unconscious beliefs affect health. Chronic mindsets and chronic emotional conditions can exacerbate or even cause a variety of tension-syndromes. The placebo effect is powerful. Ted Kaptchuk, author and acupuncturist and colleagues mostly from Harvard have created a "Program in Placebo Studies and the Therapeutic Encounter." It is equally important for students to also understand the nocebo effect – the harm that can be caused by uncaring healthcare that may evoke negative feelings in the client. Placebo and nocebo effects of course may be considered as within the realm of the energetics of touch.
In looking at assessment skills and the therapeutic relationship, it is important that we consider posture, movement, and the energetics that may underlie those. We may agree on what we should not do:
We should not talk to clients about their "energy." Diagnosis, whether structural or energetic, is not within our scope of practice. When a massage therapist or bodyworker talks to the client about their energy, they are way beyond the boundaries of massage (and basic etiquette) and quite likely to evoke the nocebo affect by verbally attributing certain energy characteristics to a client.
We should be conscious that when we are touching people, it is a contact which is more than just physical. This means we need to take responsibility for the energetic as well physical effects of our interaction and touch. We need to recognize that we are touching both structure and energy.
Massage is an art and a science. We depend on research and scientific knowledge to enable us to work effectively with our clients. At the same time, every session is a person-to-person, moment-to-moment improvisation that calls for a subtle sensitivity to the medium we are working with. In the case of massage/bodywork, our medium is the most complex and sensitive life form known to exist. Of course, we need art and science. Of course, we need to know this person is a profound integration of structure and energy, tissue and issues, and to be sensitive to what is both objectively true and subjectively experienced.
To argue for or against either the structural or energetic perspective is like arguing which of your two eyes you ought to see out of. By honoring both what research and what subjective experiences teach us, we arrive at the highest quality of touch, education and therapeutic benefit. Without science, without a respect for knowledge and structure, we lose our commitment to truth; without art, without a respect for subjective, energetic experience, we lose our commitment to the soul and beauty of our work. We see better and more truly with both eyes.
David Lauterstein is Co-Director of Lauterstein-Conway Massage School in Austin, Texas. He is author of "The Deep Massage Book" and "Putting the Soul Back in the Body." David has been inducted into the Massage Therapy Hall of Fame, received AMTA's Jerome Perlinski Teacher of the Year Award, and in 2013, was recognized as "Educator of the Year" by the Alliance for Massage Therapy Education. For more info, visit www.TLCschool.com.
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