resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
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.
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.
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."
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
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.
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."
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."
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
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.
June, 2014, Vol. 14, Issue 06
Treating the Symptoms vs. Rehabilitating the Causes of Pain and Dysfunction
By Don McCann, MA, LMT, LMHC, CSETT
There is no shortage of clients in pain from musculoskeletal problems. All one has to do is look at the number of over-the-counter medication, chiropractors, physiatrists, orthopedic surgeons and neurologists to understand how great the need is for long-term solutions for musculoskeletal problems.This raises the biggest challenge for massage therapists - how to achieve long-term rehabilitation from pain for their clients so they can resume their normal life activities pain free? If successful in achieving this, massage therapy can become the overall treatment of choice for those with musculoskeletal problems.
Finding the Cause
When clients come for massage treatment, much of their pain is a symptom of an underlying cause. If massage therapists spend most of their time treating the symptoms and not addressing the cause, they are likely to either create a client who is dependent on constant treatments just to stay out of pain or, as most clients do, eventually look elsewhere into more invasive and costly treatments from the medical profession that lead to even worse problems. So, our challenge is to first understand the origins of musculoskeletal pain and then to treat it by rehabilitating the causes of the pain. This leads to long-term resolution of the client's musculoskeletal problems. When massage therapists do this, they will be constantly in demand and could possibly earn the respect of the rest of the medical profession.
Within the musculoskeletal field, structural imbalance results in pain and dysfunction, whereas structural balance equates to pain free function. Therefore, the origins of musculoskeletal pain and dysfunction are actually easily observed in every client who seeks treatment for pain. This is usually the core distortion. Babies are born with it. The rotation of the iliums and the hip complex in infants and children is well documented by Dr. Terry R. Yochum and Dr. Lindsay J. Rowe in their description and images of normal acetabula angles in children from birth to three months and three to twelve months.
The left ilium is rotated anteriorly resulting in a functional long leg. The right ilium is rotated posteriorly resulting in a functional short leg. This imbalance of the iliums and sacrum collapses further into rotation with life experiences until symptoms of pain become prominent. It is very easy when doing structural evaluation of a client to notice the twist in a standing client's body. There are many differences of opinion as to these actual rotations due to the methods of evaluation and interpretations of what is observed. If, however, you use functional kinesiology, the client is supine and asked to raise the right leg about 10 inches off the table. When the right leg is pressed down toward the table, there is significant strength. The same test done with the left leg will show significant weakness. "The rectus femoris is a powerful extensor of the knee, but is weak when the hip is flexed," along with the hip flexors. The anterior rotation of the left ilium (flexion) prevents the rectus femoris and hip flexors from being functionally strong. This is a consistent finding over 38 years of evaluation of clients with the core distortion and is just one of the many functional tests that verify the imbalances in the pelvis that is a major part of the core distortion found in the body.
Finding a Release
The discovery of the core distortion in the cranial motion reveals that the wings of the sphenoid are restricted in a pattern identical to the ASIS of the iliums, and that the ridge of the occiput is restricted in a pattern identical to that of the PSIS of the iliums. Working with the cranium to release the imbalances in the cranial motion as described previously, results in a balancing of the rotations of the iliums, an equalizing of the leg length and a leveling of the sacrum reducing curvatures of the spine. This is accomplished by releasing the soft tissue restrictions responsible for the imbalances in the cranial motion. Amazingly, this has been the missing link to restoring the balance and weight bearing support to the hip complex which includes the sacrum, ilium and SI joints.
The core distortion is involved in the entire musculoskeletal system including the cranium and its specific imbalances relating to TMJ imbalance and dysfunction. Therefore, if we start looking beyond just the areas of pain and look at the overall balance and function in the body, we find the source of most clients' pain. This covers TMJ, headaches, the entire spine and appendages into the feet such as plantar fasciitis and compartmental syndrome. As you can see, it involves the entire musculoskeletal system. With the imbalance of the iliums and sacrum, we get exaggerated curvatures of the spine putting excessive stress on the edges of the discs leading to early degeneration, thinning and even herniations and ruptures of the discs.
When evaluating the muscles and soft tissue using functional kinesiology, 50% of the muscles are operating at a 50% or less efficiency due to this imbalance, leaving them susceptible to injuries such as strain, tearing, adhesion and scar tissue build up. In addition, the shortening and over contraction of some of the muscles directly result in compression along the nerve pathways and many types of nerve pain.
The body in core distortion is also much more susceptible to injuries at the joints. The imbalance of the core distortion results in a dysfunction at the joints since at least half the muscles at the joints are severely weakened and cannot support the stabilization and balance under strain. No matter how effective your soft tissue therapy is, if the weaknesses at the joints due to the core distortion are not brought back to strength, then the causes for the injury or pain are still present and full rehabilitation has not been achieved. However, if the core distortion is released, the structure is brought back into balance including the joints and the soft tissue is brought back to full functional strength. This will produce long-term improvements. The symptoms of pain will disappear. The importance of releasing the core distortion back into balance and function to reduce and rehabilitate the conditions resulting in pain cannot be stressed enough. This is a long-term solution to the structural imbalance resulting in pain and dysfunction of at least 90% of musculoskeletal problems.
It is amazing that most of the medical field has not looked at the imbalances in the entire structure, but rather focuses on individual areas. Consequently, there is no awareness of the overall pattern of imbalance found with the core distortion. There are some chiropractic and osteopathic treatment models that do include working with the entire structure, but mainly by adjusting the joints and vertebrae. While the chiropractors adjust joints and bones, when the soft tissue is engaged in movement and structural stabilization, it moves the bones back into the patterns governed by the tension and weakness of the soft tissue. Whenever structural drawings are made of the musculoskeletal system, the imbalances of the core distortion are obvious. Massage therapists have an advantage as the soft tissue governs the organization alignment and function of the musculoskeletal system. It is possible to stand our clients up for full structural evaluation and see how the core distortion relates directly to their musculoskeletal pain. It is then possible to work with specialized soft tissue protocols to bring the core distortion back into balance, not only in the area of the symptoms (pain), but also throughout the structure so every part of the structure supports function and balance.
Consequently, the reoccurrence of the old dysfunction and pain is prevented. This is most effectively accomplished when the cranial imbalances caused by soft tissue restrictions of the cranium are released first, which bring the hip complex back into weight bearing support balancing the sacrum and equalizing the leg length. This creates a balanced weight bearing foundation for the spine reducing spinal curvatures and excessive pressures on the disc. The improved structural balance is seen at every joint and restores strength to the weakened muscles surrounding each joint.
Once a foundation for rehabilitation of the musculoskeletal system has been achieved by releasing the core distortion cranially, the body is trying to balance, there is weight bearing support at the hip complex and there is restored strength to the musculature governing every joint. At this point, further soft tissue work to release ischemia and trigger points, old myofascial holding patterns, adhesions, scar tissue and nerve compressions will be working with the body which is already moving into optimal balance and function. When this happens, structural balance results in pain free function. Even old injuries, damaged joints and discs can heal. Clients really are able to resume their normal life activities pain free.
Click here for more information about Don McCann, MA, LMT, LMHC, CSETT.
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