resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
April, 2014, Vol. 14, Issue 04
Highlighting the Use of Massage for Children Affected by FASD
By Tina Allen, LMT, CPMMT, CPMT, CIMT
Fetal Alcohol Spectrum Disorder (FASD) refers to the very broad spectrum of health issues infants' encounter from their mother's alcohol use during pregnancy.FASD includes several different health diagnosis; fetal alcohol syndrome (FAS), alcohol-related neurodevelopmental disorders (ARND), alcohol-related birth defects (ARBD), fetal alcohol effects (FAE), and partial fetal alcohol syndrome (PFAS). There is still much debate about a safe level of alcohol use, with many advocates saying any use during pregnancy puts a child at risk for negative physical or behavioral problems.
When a mother drinks alcohol during her pregnancy, it crosses the placental barrier and into the womb. A mother's body may be able to metabolize the alcohol, while the small or underdeveloped infant liver cannot. The alcohol may then stay inside of the infant's system longer. So, even the smallest amount of alcohol can have detrimental effects to a fetus.
The amount, sequence and timing of alcohol to the fetus all directly influence the type of health issues the child may experience once born. This causes a wide range of effects on the spectrum from severe (facial anomalies) to mild (judgment skills compromised.) Even more problematic is that many issues may not arise until the child begins to grow. The child may initially appear typical until there are subtle, and not so subtle, behavioral problems associated with the prenatal injury. Children who display facial anomalies, growth retardation and developmental abnormalities of the center nervous system are associated with the severe end of the spectrum. or simply fetal alcohol syndrome (FAS.)
Diagnosis of full fetal alcohol syndrome is based on three key features, a pre- and post-natal growth deficiency, facial abnormalities, as well as brain and central nervous system dysfunction. Professor Sterling Clarren's primate and mouse research on alcohol and pregnancy found that the lip and philtrum anomaly of (full) FAS happened during a very small development period; the 19th to 20th day after conception in the human – the period called gastrulation. However, it is well documented that children with facial features are only the tip of the iceberg. For every child diagnosed with full FAS, there will be another three to ten with alcohol-related neurodevelopmental disorders.
The brain injury that results from FASD can lead to developmental delays, an information processing deficit, the inability to reason in the way that others do and a distressing inability to fit in with the rules and behaviors required by society (deficits in self-control, hyperactivity and increased rates of ADHD) due to damage of the sensory processing system, nervous system and the brain. Heavy prenatal alcohol exposure can lead to structural abnormalities in the orbitofrontal cortex, anterior singulate, hippocampus, amygdala and corpus callosum.
The corpus callosum is the part of the brain that links the right hemisphere of the brain to the left hemisphere. The right-brain handles creativity, intuition and impulse and the left-brain handles the rules, logic, order and thoughts. When the two cannot link properly, because of prenatal exposure to alcohol or another brain injury, then the person cannot always predict the outcome of his actions even though he knows and can repeat the "rules."
Primary characteristics in children, adolescents and adults affected by FASD, include memory problems, difficulty storing and retrieving information, impulsivity, distractibility, disorganization, cognitive processing deficits (may think more slowly), slow auditory pace (may only understand every third word of normally paced conversation), developmental lags (may act younger than chronological age) and inability to predict outcomes, or understand consequences and inability to show remorse. However they often have strengths such as being highly verbal, artistic, musical, mechanical, athletic, friendly, outgoing, determined and persistent. In addition to cognitive and functioning difficulties, sleeping is also of great concern for children affected by FASD.
How Massage Can Help
Growth and developmental issues are key to the diagnosis of FAS, and in research studies of pediatric and infant massage therapy, it has been demonstrated to assist in both. For infants born prematurely, the use of massage has demonstrated a measurable increase in weight for the infants who received the therapeutic intervention. Additionally, when followed to an infant's one year birthday, researchers found that the massaged infants had a weight advantage, as well as, placing 12 to 15 points higher on the mental and motor tests of the Bayley Scales of Infant Development than the infants who hadn't been massaged. Even better, these results have been replicated by at least two other groups of researchers.
Another study was done with full-term, healthy 1 to 3-month-old infants who were given 15 minutes of either massage or rocking for 12 days over a 6-week period. What the group found was that the massage group gained more weight, displayed better face-to-face interactions, improved on emotionality, sociability and soothability, displayed less stress hormones and increased serotonin levels.
Sleep issues are a common complaint for many children with FASD, massage may not only help the child fall asleep quicker, but can often improve the quality of deep sleep. Having adequate amounts of sleep can assist in the child's mood, their behavior and may even decrease hyperactivity. Attention issues are also another key issue for children and adolescents with FASD and research demonstrates that massage increases mental focus and concentration.
While research is ongoing with both FASD and massage therapy, it is important to best understand the child who may benefit from massage therapy and what those indications may be. As a practitioner, it is important to provide the time to complete a detailed intake. A safe environment benefits all clients, but in the case of children affected by FASD you should also consider an environment which is not over stimulating to other senses. Take your time and proceed slowly when introducing touch therapy, as children may experience sensory processing difficulties and may be hypo or hyper sensitive to touch.
While it is a clear that massage is beneficial for many children, those affected by FASD may see some wonderful improvements following the intervention of pediatric massage therapy.
Click here for more information about Tina Allen, LMT, CPMMT, CPMT, CIMT.
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