resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
July, 2014, Vol. 14, Issue 07
Learning the Right Way to Get Started in this Business
By Ralph Stephens, BS, LMT, NCTMB
So many students of massage ask me, "How do I get started?" To me, it is not how to get started, it is IF you get started. You have to start where you are with a goal and start working toward it.Most of the time, new therapists "just want to help people" and because of the lack of emphasis placed on entrepreneurism and self-promotion in massage school curriculums, they are at a loss as to how to reach the people they desire to help. Often, instructors in massage schools are teaching because they could not create a successful practice for themselves. Another common path to teaching is they destroyed themselves physically using poor body mechanics and now are teaching those to their students.
We handicap our students with unqualified "educators." We shouldn't be surprised at the outcomes. We so desperately need instructor standards but that gets in the way of several different cash flows, so the focus is on hours.
To students of lousy massage schools – it is now up to you to acquire the skills you are lacking on your own. Keep the faith and keep focused on your desires and goals. Find the resources, magazines, DVDs, continuing education programs, the Internet, etc., and get the skills you need to market yourself and your services.
An Aquarian Paradigm
When I came into the massage profession, way back in the last century, the paradigm was (as one of my favorite instructors called it) "Piscean." It was from the Age of Suffering. The "no pain-no gain," philosophy applied to massage as well as to athletics. This was somewhat understandable for the more dense bodies of the time, when everything required more physical effort. Cars required strength to drive. Keyboards of the day, called typewriters (or pianos), required strength to push the keys down. Vacuum cleaners were very heavy and not self-propelled. People needed to endure the therapy to get better. One had to suffer for one's mistakes. While we are still tied to the Laws of Cause and Effect today, people are less dense physically. We now have more mental-emotional stress on our systems and fewer physically exertive requirements. (This is why we now have to "work-out" to stay fit, as opposed to a couple generations ago that "physically worked" and thus were fit.) However, about that same time, a more "Aquarian" paradigm was arising. This was lighter, softer, more energetic ways of changing the body and relieving pain. Some systems were grounded in the physical sciences of anatomy, physiology, and neurology. Others were more esoteric, subtle, or energetic.
As we learn more about the body, we have come to realize that pain-causing therapies are not as productive as once thought. Pain activates the nociceptors and causes contraction, not relaxation. We have learned that stimulating the mechano-receptors, adequately but not excessively, will cause the most "relaxation" of muscles. While "deep tissue massage", which has become massage sold by the pound - usually ineptly applied - will satisfy some patients' masochistic needs emotionally, it is far from the best way to relax either muscle tissue or the nervous system. In addition, such therapies are physically demanding on the therapists and sadly many skilled therapists are forced to give up massage after a few years due to massage related injuries of thumbs, fingers wrists, shoulders, backs, etc. While many of these injuries are directly related to poor body-mechanics training in massage schools, many people who are drawn to the profession just do not have the physical capacity to perform strenuous, repetitive techniques. It is so sad to see therapists who have worked so hard to learn great techniques and built up a successful practice, then have to give up the work they love due to occupational injury.
Throughout my 28 year career, I have performed and taught many very physical forms of massage and my students have done very well with them because I was blessed to have been taught good body-mechanics at the New Mexico School of Natural Therapeutics and passed them along to my students. However, even with the finest of body-mechanics, repetitive activity can take its toll.
I have always appreciated the "physicalness" of massage. But I have felt and taught for some time that what we are doing is really just a game of stimulus-response with the nervous system. Muscles are very good soldiers. They do exactly what they are told to do by the nervous system. They can contract or relax and they do so very precisely on command. You cannot beat a muscle into relaxation, try as some might. Even if you can, and some believe you can - okay fine - but why put the patient and yourself through that unnecessarily when all you have to do is give a gentle, quick stimulus to the mechano-receptors and let them cue the nervous system to relax a particular muscle?
Actually, the body does this every time we move. It is called reciprocal inhibition. Sherrington's Second Law says that when a muscle is contracted, its antagonist is inhibited (relaxed). Now, this inhibition only lasts for the moments of movement, but why can't this mechanism be utilized in a way that does last and in fact "resets" muscle tonus to "normal" or "default" levels? Many therapists have asked this question and some have experimented with ways to accomplish it. However, their methods were sadly lacking, inconsistent, unpredictable, incomplete and short lived.
Finally, someone who happens to be a good friend and colleague, has taken the time to do the research and put in the thousands of hours of clinical time to perfect a system to accomplish the desired results. His name is Lawrence Woods and he calls this system Neural Reset Therapy® (NRT). As I mentioned in my last column, this is the biggest advance in massage technique I have found in my 28 years as a therapist. It is the equivalent of the impact St. John Neuromuscular Therapy (NMT) had on my practice and the profession in the late 1980's. It is a game changer.
Imagine having a patient contract a particular muscle against a simulative resistance for a few seconds, resulting in the "resetting" of the tonus of a target muscle. Imagine being able to relax a muscle by stimulating the same muscle on the opposite side of the body, thus not having to press into or stretch the tight or painful muscle at all! Imagine that you can accomplish this with large movements, without much strength, no holding tender points or deep stripping through tissues, straining your thumbs. The patient gets almost instant pain relief without experiencing any pain during the process. This is NRT (www.neuralreset.net) in action. It has completely changed my way of addressing soft tissue, has taken virtually all the load and strain off my body and brought about relief from a variety of problems from athletic injuries to neurological disorders for my clients.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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