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Waist Circumference: A Conversation Starter
New estimates suggest more than two-thirds of Americans are either overweight or obese. The medical significance of this statistic is astounding.
Paperwork Done Wrong, Done Right
I was visiting a doctor's office recently and a member of his staff brought a stack of forms to his private office and laid them on the doctor's desk. She informed him he needed to complete the forms for patients and a few third parties.
VF Works / DMX Works Epilogue: Almost Two Decades Later, the Lawsuits Continue
An article in the March 8, 1999 edition of Dynamic Chiropractic examined whether then-VF Works / Nu-Best Franchising was selling its franchises illegally to doctors of chiropractic.
A Brief History of Acupuncture and Oriental Medicine Doctoral Programs
A doctorate in acupuncture and Oriental medicine has been a goal of the profession since its beginnings in the late 1970s. At that time, however, the maturity of the educational institutions and the regulatory environment made it a goal with only a distant completion date.
The Acupuncture Channel System (Part 2)
The primary channels (main channels) are introduced in chapter 10 of the Ling Shu, these channels are referenced in many chapters throughout the Su Wen and the Ling Shu. The primary channels have become the main channel system used in TCM.
Treating the Lower Pelvis (Pt. 2): Midline Structures and Fascia
My previous article [October 2016 issue] outlined evaluation and treatment of pelvic issues involving the sacrotuberous ligament and the pubic symphysis. Now let's discuss two case studies that illustrate how to address additional problematic areas of the pelvis.
Reader Beware: Consider the Source
The aftermath of last year's presidential elections brought a running conversation on the role played by "fake news" that was largely presented via social media.
4 Things Every DC Should Know About Levels of Care & Prevention
As health practitioners, we help people with their health problems and assist them with health promotion and disease prevention.
Latest Cassidy Study on Stroke Risk Published
The latest study to investigate whether a unique association between chiropractic manipulation and risk of cervical artery dissection / stroke exists has yielded similar encouraging findings, with the authors noting "no excess risk of carotid artery stroke after chiropractic care" and no significant risk difference between patients receiving care from a DC or a primary care medical provider.
Gather & Grow
I recently attended a faculty seminar held by one of the acupuncture schools. There was a facilitator who led us through some very interesting experiences. The attendees were a diverse group with varying opinions.
News in Brief
The American Association of Acupuncture and Oriental Medicine (AAAOM) board members recently met with the Korean Customs Service, which is similar to the FDA, to discuss herbal safety and importation issues.
House Calls With Dad
My father was a chiropractor and he did house calls. On Wednesday nights, while my mother attended the weekly women's meeting at the Odd Fellows and Rebekahs hall in our small town, dad loaded up the portable adjusting table, fired up the Pontiac and drove off to treat a few patients in their homes. I went with him.
TCM & the Caregiving Population: Treatment Considerations & Our Vital Role
Informal caregiving is increasingly a reality for many Americans who find themselves providing unpaid care for a loved one or a family member with a long-term, terminal, or chronic illness.
AOM Residency at NUNM
Imagine you're a recent acupuncture graduate, worried about making enough income as you forge your new career and seek more in-depth training in a particular treatment style.
ICA Goes on the Vaccine Offensive
Have you watched the vaccination documentary, "Vaxxed: From Cover-Up to Catastrophe," by Andrew Wakefield MD, director, and Del Bigtree, producer? This is the documentary Robert DeNiro was pressured to remove from his Tribeca Film Festival.
Spiritual Initiation: Opening Your Higher Healing Abilities
People drawn to the field of acupuncture and Oriental Medicine tend to be those who march to the beat of a different drummer.
Correcting Rib Dysfunction: Improve Patients' Pain, Posture and Breathing
As chiropractors, we tend to focus on the spine, and rightly so. Many problems our patients face can be corrected by manipulating the correct spinal level.
Helping Patients With Parkinson's Disease
Parkinson's disease (PD), a long-term degenerative disorder of the central nervous system that mainly affects motor function, has a slow onset over time.
The Large Intestine Official
The large intestine (AKA colon) is the great eliminator, or as J.R. Worsley called it, "The Drainer of the Dregs." Dregs are defined as the remnants of liquid with its sediment left in a container, or the basest, least valuable portion of anything.
Chiropractic in Texas Is Under Attack
The profession of chiropractic faces an unprecedented challenge in Texas, an attack that is more aggressive, sustained and dangerous than anything previously seen. The medical lobby has launched a coordinated, multi-front assault.
Advancing the "Whole Organ" Spine Model
Historically, the human spine has been organized by body region utilizing specific anatomical landmarks and transition zones.
Getting Unstuck: Healing From Trauma With TCM, Qigong & Movement
We all come into this world vulnerable, with seeds to grow into our strength. Some of us — through a combination of good fortune (i.e., family and culture we are born into, constitutional inheritance, or ability to learn) grow with minimal interruption from traumatic injuries and experiences.
March, 2016, Vol. 16, Issue 03
Restore and Prevent Tender Feet
By Linda LePelley, RN, NMT
Massage therapists see many clients with a variety of foot problems such as bunions, plantar fasciitis, tarsal tunnel syndrome, neuromas, etc. Usually, they have already been to their physician, followed by a podiatrist. When (if the exercises, shots, braces and inserts have failed to relieve their pain) they come to see me about one or more of these conditions, they are usually at their desperate wits end to find relief. But this article isn't about those types of foot problems and pain.
Over the years, I have come to notice a pattern of certain clients who suffer from mild pain and tenderness on the bottoms of their feet, yet they rarely mention it of their own accord. For example, a 68-year-old client had been coming regularly for carpal tunnel treatment and pain surrounding a knee replacement. He made the statement, "Now that my hand and knee are good, the only thing I even notice are my tender feet, and I can sure live with those!" When I asked him why he would want to live with it, he said he had been putting up with it for decades. He said that it was just old age and nothing could be done about it.
A 65-year-old woman mentioned that it was getting harder to find shoes soft enough to walk in. When I questioned her about it, I found that she couldn't walk bare foot in her own house because if she stepped on the edge of a carpet or threshold, it felt bad. She said it had gotten to where standing on the tiles in her shower was uncomfortable. I asked why she hadn't mentioned it before and she told me that, "Nothing can be done about it, my mother had it too, so it's hereditary. It's not bad enough to go to the doctor. Besides, no one can do anything about boney feet, and mine just keep getting bonier, like my mother's."
Perhaps it is because I specialize in pain relief massage, that these and other clients of mine may believe that the tenderness in their feet is not serious enough to complain about. They have told me that what they are experiencing is not bad enough to call it "pain," nor is it as bad as the severe pain they have known others to be in, that it is just a nuisance, that it is just old age, and that everyone should expect to have discomfort such as this.
In my twenty years of experience as a massage therapist and nurse, I've found many people believe that chronic, low grade discomfort is a natural phenomenon which they expect and accept; allowing it to become a part of their everyday lives, making good days a little bleaker, and difficult ones a little bit harder to bear. Many of the serious pain issues I deal with started out as small nuisance irritations which, having been ignored for many years, end up being the source of chronic pain.
Tender Foot Restoration
While this is not intended for advanced foot conditions such as those listed above, which can take three or more visits to achieve desired results, this treatment will not injure or aggravate any of them, and might provide them some relief as well. Start with a warm foot bath if available, otherwise wrap feet in warm towels. Ensure that your work area is warm and free of drafts, as working over a warm heating pad is ideal.
Massage the bottoms of the feet and toes, having your client indicate the places that are most sensitive. You will note that these areas may feel like they are quite boney. Keep in mind that even if some of these tissues have atrophied, they are still alive and can be plumped and restored to normal. You can do that by massaging them until the circulation has softened those hardened areas. Follow the principles of Tissue Density Restoration (TDR) massage ("The Seven Principles of TDR Massage," Massage Today, July, 2015).
It is important that you spend at least 45 minutes on each foot, keep them warm, and do not elicit pain greater than a 2 or 3 on the 1/10 pain scale. You will know you are doing it right as you feel hardened areas soften, smooth out, and become pliable. At the same time, your client will be stating that they never thought their foot could feel so much better. You may be tempted to spend less time on each foot once the client states that it no longer hurts when pressed into, but the best, longest lasting results come from rubbing out every tender spot, and taking the time to do it thoroughly. As the tissues on the bottom of the foot respond and the tenderness eases, manipulate the entire foot and ankle, gently, to encourage and improve circulation to the foot, while continuing to work the affected tissues, until they are uniformly softer and without pain.
Both of my clients whose discomfort I described above, and many others with similar conditions, have experienced complete relief of their tender foot discomfort. For my clients who can reach their feet easily, I encourage them to give them a good massage during a bath, or when applying lotion, at least once a month to maintain the cushioning properties. Otherwise, they should schedule a bi-monthly maintenance foot massage.
Click here for previous articles by Linda LePelley, RN, NMT.
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