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Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
August, 2014, Vol. 14, Issue 08
Understanding the Beautiful Choreography of Massage
By Caron Lerner
Given the choice, I would pick my own music when giving a massage. Now, I find myself working at a specific location where I don't have a say in the matter. The music that I work with is very calming, pleasant and wonderful.
Through the years I have worked with smooth jazz, head banger hard rock, sound effects such as waterfalls, running water (nowadays not my favorite, running water always makes me run to the bathroom), tribal drums and a host of others.
I have always said that when I give a massage I should get as much benefit out of giving the massage as the client on the table getting the massage. With the proper music there is a certain ebb and flow in the bodies movement making the treatment more of a dance than a clinical event. The smooth flowing long strokes, as well as the intense critical trigger point work all have a place in the surrounding music that accompanies a massage treatment.
As I listen to the music, my body begins to move in conjunction with the rhythm. It has the same effect as standing while holding a baby. There is a natural rocking/swaying movement taking place as the session continues. Even as the music changes from song to song, it's an easy adjustment to follow the rhythmical changes as they occur. To stoically stand from place to place as you work on your client will lead to poor postural habits, fatigue, pain and discomfort.
In my education, included in my curriculum was Tai Chi Chuan. It took me a few years to see the true benefits of using the long flowing movements, lowering my center of gravity and relaxing as I move through the treatment. Not only do I find a true connection with my client's energy, I feel that they can feel my energy as the rhythm flows through my touch.
The movements are slow and yet precise. I can deepen my breathing allowing for relaxation throughout the entire massage. This allows me to focus and regenerate during the massage making the treatment less fatiguing, allowing for greater energy to be dispersed.
After years of working in my own private practice, my husband and I relocated from Long Island to Charlotte, North Carolina. My best option for continuing my passion in massage was to join the ranks of therapists working in store front franchised massage businesses while building up a private clientele. This was quite an education. I used to design my own music and burn my own discs.
I went through a Yanni phase, classical music phase, melodic piano, guitar, folk and classic rock. My clients began to request a certain genre and my library grew. The best technological advancement came with Sirius Satellite Radio. I would go to my clients homes and tune into the meditation station or other stations conducive to massage. I am partial to piano or guitar music. Slow melodies in minor keys give the tempo of the massage a very relaxing, sedative almost tranquilizing effect. As I listen to the rhythm and melody of the music, my massage begins to evolve into a symphony and dance of flowing energy. Combining music with the movements of Tai Chi has allowed me to continue my massage for more than 20 years.
There is a certain meditative feeling allowing me to close my eyes and feel deeply into my client's muscles. I let my hands feel what needs to be felt. I let the music permeate the atmosphere allowing for the quintessential experience to begin. Each and every massage is a new adventure, a new exploration into a healing process. I take the journey with my client and together we work through a maze of stress, tension and medical issues.
In the medical field, there are few practitioners that have the privilege of an actual hands on experience with their clients from beginning to end. As massage therapists, we all but guarantee that the person walking into our room will feel better walking out of our room. Through a blend of ambiance, music, knowledge of our craft and empathy, we have the ability to significantly alter a person's day. This is a very satisfying experience. A challenge I accept every day.
Caron Lerner graduated from New York College of Health Professions 1993 and has been actively practicing massage therapy for more than 24 years. She is a licensed massage therapist in North Carolina and New York. Email her at:
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