resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
May, 2014, Vol. 14, Issue 05
The Body's Core Line and Central Linkage
By Dale G. Alexander, LMT, MA, PhD
Consider the last ten clients on your treatment table. What were their somatic complaints? Now, imagine that you could loosen and lengthen the central linkage of the human body from occiput to sacrum.And, that the effect of this loosening and lengthening would assist and improve the therapeutic effect of almost any style of massage treatment.
Consider how this might simplify and potentiate the desired outcomes for these same ten clients? This is a premise I have been exploring and empirically testing for the past year and it seems to work exceptionally well for clients.
The Starting Point
Here are the anatomical ports of call I have been addressing: decompress the occiput upon the atlas, lengthen the esophagus, stretch each hemi-diaphragm and decompress the tissues around the heart/lung complex, stretch the ligament of treitz, mobilize the mesenteric root of the small intestine and finally, enhance the range of motion within the ankle/foot complex. These changes may be achieved using any manual therapy modality you have learned to effectively utilize.
There are numerous additional steps that could assist this proposed protocol to be even more effective yet, as described, it succinctly addresses the body's core line. It traces the linkage from the occiput to the sacral base to the ankles. It reduces the resistance to the heart's expansion. It eases the diaphragm's vertical and downward excursion and it revives and enhances the capacity of blood and lymph returning to the heart from all areas of the body below the diaphragm.
This protocol addresses the body's three major innate pumps for moving its fluids: the heart, the diaphragm and the ankle/foot complex. Mobilizing the heart/lung complex reduces compressive resistance to expansion of the heart muscle itself and stimulates the function of the root of the lung allowing more surface area for the production of new blood. Mobilizing the mesenteric root of the small intestine also increases its surface area, allowing for more absorption of nutrition. Increasing the mobility of dorsiflexion/plantarflexion of the ankle/foot facilitates the movement of blood and lymph back to the heart/lung complex. Osteopathy considers the ankle/foot complex as the body's 2nd heart.1 Together, these manipulations are proposed to reduce compression throughout the axial spine.
As a profession, I invite all bodywork educators to pool their collective intelligence and creativity toward developing other therapeutic protocols that facilitate the range and efficiency of these movements and functions. Also, consider how this proposal allows those in our profession to define what they do. Simply stated, "therapeutic massage stimulates your body's inherent capacity to move its fluids along their 60,000 mile journey from the heart and back again." Not a bad one-liner when speaking to a prospective client.
The philosophical shift here is to transform our therapeutic intent from manually enhancing the flow of venous and lymphatic fluids to specifically assisting the body to "re-calibrate its ongoing capacity" for self-perpetuating healthier function. The process becomes more analogous to tuning-up one's engine. The results continue with the client and contribute to their quality of life over a longer period of time. With the present emphasis on national health care, our ability to describe the benefits of what we do is what will make the difference in how we are regarded as effective health care practitioners. We know everyone benefits from bodywork and massage yet, we need simple ways of describing "how."
If any of these anatomical structures initially described are unfamiliar, please Google them, seek out your most recent continuing education teacher or ask around among your professional peers. Most of what has propelled me in this therapeutic direction was learned at the Upledger Institute from Drs. John Upledger, Richard MacDonald and Jean Pierre Barral. The Institute supports many excellent teachers.
Click here for more information about Dale G. Alexander, LMT, MA, PhD.
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