resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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).
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).
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.
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.
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.
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.
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.
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.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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 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.
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.
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%.
December, 2015, Vol. 15, Issue 12
TDR to Facilitate Venipuncture
By Linda LePelley, RN, NMT
A few years ago, a client who had been receiving intravenous medications regularly complained that she was dreading her next scheduled infusion. She stated that it was bad enough having to sit there for over an hour and a half, but they routinely needed to stick her several times before accessing a vein, and it hurt. It hurt a lot.
Ever believing that massage can alleviate most pain, I offered to work on her antecubital areas, with the hope and expectation that reducing the overall density of the involved tissues could alleviate the pain from multiple sticks. I performed the treatment based on the principles of Tissue Density Restoration (TDR) massage (See "The Seven Principles of TDR Massage," Massage Today, July, 2015.)
Before treatment, the density of the tissues of the antecubital area were elevated, rated at G2 (See "The Tissue Density Grading Scale: A Communication Tool," Massage Today, March, 2014) with slight ridging palpable. After heating the areas and applying the massage, the grade was reduced to G1, with no ridges present. I wasn't disappointed, my client later reported that the entire procedure was painless and I was happily surprised to learn that not only was her nurse able to insert the cannula on the first attempt, but the infusion was completed in 45 minutes.
Since this experience, the occasion to suggest massage to family and clients before routine, expected venipuncture has arisen several times. In each case, whether I administered the treatment or the client did it for themselves, the results have been all positive with no complaints. While these are only a few events, they seem to be repeatable, and are worthy of further investigation. It would not only reduce the pain and anxiety for those being punctured, but if the treatment results in an increase in the rate of infusion, there could also be an increase in the number of patients a facility can treat per day as well. Please note this is not intended for persons who have indwelling ports such as used for dialysis, PICC lines, and the like.
TDR Massage is very effective, but the time required to achieve results can become tedious, so when teaching clients to do this massage for themselves, suggest they do it while watching a show or visiting with a friend, to prevent their becoming bored. Once both ante-cubital areas have been massaged to a tension-free and malleable state, a monthly maintenance routine should be established. Warming the tissues and giving them a brief massage to ascertain that there are no ridges or increase of density will prevent future difficulty with venipuncture.
My Perspective on Pain
TDR Massage is focused entirely on the real and existing state of the tissues that are in pain. In nursing school, I was taught that pain is whatever the one who is experiencing it says it is. At the time, I thought this meant that we should treat everyone's pain, even those who were just imagining it. In the years since then, I have consistently and repeatedly found that tissues which are in a state of pain are associated with a palpable elevation in their density, referred to as Elevated Tissue Density (ETD). I've found and relieved painfully dense tissues in many dozens of people who were thought by other care providers to be imagining or faking their pain. By focusing on restoring the density to a softened and malleable state, the ETD as well as the pain is resolved.
When discussing pain and massage, it is important that the terms being used are understood by all of the communicants involved. When I say that I can feel another person's pain, I am not expressing my emotional or empathetic response to their distress. I am saying that with my hands, I can palpate, measure, document, and treat an actual and real state or condition that exists within the musculoskeletal tissues. Anyone who wishes to do so can also learn to palpate and distinguish tissue that is in pain from that which is not. This kind of "feeling" is in no way an energetic or intuitive sense, it is an actuality. I make no claim of any special gift, only that I pay attention to small details and question everything. Pain is real, and it is palpable, not only by the person who has it, but also by anyone else with an educated touch.
Linda LePelley, RN, NMT is a registered nurse and licensed massage therapist with 19 years of clinical massage experience. She developed Tissue Density Restoration (TDR) Massage, an effective treatment for the pain found in hyper-dense tissues. For more information, visit www.MyHealingHands.com.
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