resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
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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