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The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
August, 2014, Vol. 14, Issue 08
Taking Care of Yourself so You Can Take Care of Your Clients
By Stacie Nevelus, LMT, CMCE
Most of my therapeutic bodywork, believe it or not, takes place in the shower. With a little soap, water and silicone cups, I can address most issues or simply keep my tissue healthy and prevent future injury. As a 15-year veteran of massage therapy and a 40-something woman, it's vital to provide self care that enables me to work on clients.
Since 2006, I have been working with major league baseball players and, more recently, NFL athletes. Keeping my body healthy and moving freely is just as important as the professional athletes I work on and using silicone cups in the shower allows me to do that. Ideally, it would be nice to schedule some time on the massage table and get the kind of treatment I provide to clients. But working six days a week and being a busy mother of two didn't allow for that earlier this year. When I finally was able to get a massage treatment, my first in nearly four months, I was shocked at the ease in which my body accepted it. I had cringed at the thought of how long it had been between massages and, amazingly enough, nothing was hurting. All I could do over that hectic period was get in some running. Thanks to these wonderful cups and vacuum therapy, I was able to self-treat and keep my body moving injury-free in between massages.
I have used vacuum therapies for nine of my 15 years as a licensed massage therapist in Florida. This modality is a modern adaptation of cupping therapy most commonly used in traditional Chinese medicine. This modernized work has proven to be a resourceful modality in my practice. It allows me to bring bloodflow, create space and makes easy work of what would otherwise be very cumbersome on my body as I treat clients. Clients come to me from all over and are referred from various sources simply to experience the wonder of how this remarkable modality feels as it manipulates the tissue. I've had great success using vacuum therapies alone or in conjunction with other modalities such as trigger point and myofacsial work.
One of my favorite and most effective treatments is pretreating before a run, especially a 5K race. As a typical three-times-a-week runner, I aim for half-hour sessions and this treatment, which can also be done post-run, is an effective alternative to stretching. Clients come in all the time with various issues from running. Personally, I experience bilateral tightness in my lower legs. Fortunately, there's a cup for that and I'm only a shower away from relief.
Using the silicone cup is simple and effective and I use the same techniques with clients that I do for self-care. Once in the shower, I soak up and soap up creating a soapy medium for gentle gliding. By squeezing a cup, then placing it on the skin and releasing the hold, the vacuum is created. I begin gliding the cup over the tissue clearing proximal before distal areas honoring the intermediate lymphatic system. I am able to open up the gentle lymphatic system and bring nutrients and oxygen to the tissue. The feeling is unlike anything else as space is created between the layers of soft tissue as I lift the cup while gliding. Another tremendous benefit of gliding the cups is on the tibia and the tibialis anterior to treat and prevent shin splints. With the smallest cup available, I am able to glide over the muscle and bone with the malleable cup. No other modality compares to the sensation and efficacy when working this area. My legs feel alive as bloodflow is brought in leaving me invigorated. This gliding technique has proven useful to wake up my legs before a run and is equally advantageous on my heavy legs after running.
Sometimes more focus work is needed and that's when I use the cups over specific trigger points for a bigger release in the muscle tissue. Hips receive much relief while parking cups on trigger points in the piriformis and gluteus minimus. In only a few minutes, the muscle releases providing newfound freedom of movement. Placement of the cup on the hamstring muscle belly while touching the toes keeps the work dynamic. The tensor fascia latae also benefits with a cup placed for two to three minutes to help soften this area and have more range of motion in the hips. Diligent use of the cups for self-care has proved essential in keeping me injury-free. But that wasn't always the case.
About five years ago, I enjoyed cycling but I had an issue arise in my lower legs as I increased my time and distance on the bike. I started experiencing tightness and shooting pain in my lower leg area. It would happen randomly and wasn't predictable with any given movement. After about a month of dealing with this issue, I wondered what I would do if a client came in with this issue? The answer was easy, I would use vacuum therapy to create space, stretch the fascia and bring blood flow to the area. While in the shower, I worked on my lower leg using soap and water and a small silicone cup. After about 15 minutes, I was able to rid myself of this very uncomfortable issue. Thankfully, as I have been better at shower self-care, it has not returned.
Running and cycling aren't the only activities that affect my body. Traveling can also take its toll. Whether driving or flying, different issues may arise and I always have cups with me. After driving longer distances, my neck and jaw tend to get tight. It's great to release my jaw before speaking at a workshop for three days as I will be doing a lot of talking. I am also able to address neck issues by placing cups over hypertonistic areas of my levator scapula and trigger points. When incorporating range of motion, I can free up movement tremendously. When flying, my shoulder may become fatigued while walking through an airport pulling luggage behind. I find this an unnatural task to do for an extended period of time. My legs may also feel heavy and stagnant after sitting for hours on an airplane when on a direct flight. Once at the hotel, I can address these issues when refreshing my travel weary body in the shower. Another favorite routine I like to enjoy when staying at a hotel is enjoying a hot bath.
Make it a spa moment. Often, I like to treat myself to a relaxing spa moment at a hotel or home. As a massage therapist, I work to help others relax and have a better quality of movement. It's a good idea to indulge as well. This can be created easily at home or in a hotel. Start by creating ambient lighting in the bathroom by either a small lamp or a lit candle. Fill the space with relaxing music with either a phone or a tablet. Add desired water temperature to the bathtub adding epsom salts and essential oil. I sink into the bathtub with the cup close at hand. As the water melts my achy muscles, I glide and park the cup over areas of my body needing attention. By taking a moment of reflection, I can slow the hands of time. Now I'm definitely ready for a massage treatment.
Once on the table after nearly four months, my body received deep work without any discomfort. As my glutes and illiotibial band were being manipulated, my tissue was soft as it accepted the bodywork. I was truly amazed and pleased at how I had kept any issues from arising by keeping my tissue open and clear with silicone cups in the shower. Bringing nutrient rich blood to hydrate my muscle tissue, soften my fascia to bring new found freedom of movement has been a lifesaver and kept me going. I use the cups on myself just as I would in treatment for clients and the training and self application has paid off.
Stacie Nevelus, LMT, CMCE, specializes in therapeutic and sports massage, as well as VacuTherapies. She is a certified educator for ACE Massage Cupping and MediCupping and provides national workshops for massage therapists and other healthcare professionals. Stacie focuses on her private practice in Florida, as well as working nationally with MLB and NFL professional athletes. For more information, visit www.StacieNevelus.com.
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