resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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...
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.
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.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
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.
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.
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.
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.
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.
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."
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!
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.
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.
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.
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."
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.
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.
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.
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.
Massage Combats PTSD
Post-traumatic stress disorder (PTSD) is an anxiety disorder that develops in response to a traumatic event. The event often includes physical and/or psychological harm to an individual or a loved one. Triggers of PTSD include violent personal assaults, natural or man-made disasters, accidents, or military combat. Post-traumatic stress is the inability to dissociate the trauma from the past and live without fear of the future. Evidence demonstrates that massage therapy eases suffering caused by this disorder and assists in the recovery process.
Trauma and PTSD
After the September 11th terrorist attacks on the United States, the perspective of the world changed forever. Since, the Indian Ocean tsunami, the Chilean and Kasuri earthquakes, hurricane Katrina, countless wars and famine, PTSD has risen to unprecedented levels. According to the National Center for PTSD, 7.7 million in the United States have suffered from PTSD.
Since October 2001, approximately 1.64 million U.S. troops have been deployed for Operations Enduring Freedom and Iraqi Freedom (OEF/OIF) in Afghanistan and Iraq, according to a major RAND study.1 Most of the 1.64 million will return home from war without problems and readjust successfully. However, 18.5 percent of all returning service members meet criteria for either PTSD or depression.1
Symptoms include: flashbacks and/or nightmares, avoidance/numbing, a feeling of estrangement from others, hyperarousal/hypervigilance, and a feeling of constantly being in danger. Other common symptoms include: sleep disturbance, physical pain, irritability, depression, suicidal thoughts, and no longer feeling at home in one's body.2
However common the disorder, stigma may hinder individuals from receiving treatment. In 2008, it was reported that only half of military service members who have returned from Iraq with PTSD or major depression have sought treatment.1 Stigma includes factors such as being concerned that one will be viewed or treated differently by peers or military leaders if they are receiving mental health treatment. Other barriers to receiving care include not being able to get time off work, lack of information about where to find help and not having adequate transportation to get to the location where care is available. Stigma and barriers seem to affect both genders, especially males, who are not as likely to pursue professional help as females.3
Sgt. Travis Runnels, Combat Veteran of the 1st Infantry Division, U.S. Army, (himself a sufferer of PTSD) said, “Team strength is emphasized within the units and nobody wants to feel like the loose link. Sometimes a cry for help is confused with being weak, instead of taken for the serious disorder it is. Understand that PTSD needs proper medical treatment and sometimes intervention.” Runnels found that massage and alternative medicine were a real compliment to his conventional treatment. However, for a long time he had a hard time with doctors touching him, let alone someone that he was not comfortable with. Ultimately, at the right time with the correct counseling resources, he was able to control his reactions and unwind enough to the point where he was able to receive massage. “Massage helped me to learn to relax, let my guard down, and begin to feel safe and comfortable within my body and mind,” said Runnels.
Traditional treatment includes pharmacology and psychotherapies, cognitive behavioral programs, exposure therapies, and eye movement desensitization and reprocessing (EMDR). Cognitive behavioral treatments include: psychoeducation, anxiety management, exposure and cognitive restructuring. According to the National Center of PTSD,4 specific cognitive behavioral therapies including prolonged exposure, cognitive processing therapy and EMDR are best used as initial treatments of PTSD. Group and family therapies along with alternative methods continue to be studied.4
Treatment is provided by TRICARE Prime, a health care plan for active duty military personnel, the Veterans Administration and the U.S. Department of Defense (DoD). Since 1998, the DoD has required soldiers to complete a pre-and post-deployment health assessment, and more recently has mandated a post-deployment health reassessment to be completed six months after the service member returns home.5
Based on the combined screening, clinicians identified 20.3 percent of active duty and 42.4 percent of reserve soldiers as requiring mental health treatment, according to a 2007 study.6 Mental health treatment by the Veterans Administration is helping those with PTSD; 49-59 percent of those who had PTSD symptoms identified after the first assessment, report improvements six months later.6 However, those who didn't initiate treatment at that time, tend to get worse. Several community health programs are also becoming more readily available, one being a DE-STRESS program (Delivery of Self-Training and Education for Stressful Situations), that utilizes an interactive Web site to complete an eight-week program designed to help manage and treat PTSD.5
A revolutionary change in the treatment of PTSD has begun with a holistic approach at the Fort Bliss Restoration and Resilience Center in Texas.7 The program, created by clinical psychologist John Fortunato, was launched in the summer of 2007 after a long struggle for funding. His six- to nine-month program includes a rigorous 35-hour treatment week that combines group and individual therapies that include alternative therapies such as: massage, reiki, qigong, tai qi, meditation, yoga, acupuncture, chiropractic, exercise, games, hot-stone therapy treatments and "rehearsal therapy", which includes telling your most painful memories over and over until they lose their power.
Fortunato uses acupuncture in the treatment of anxiety, panic and tension-induced pain. Reiki treatments are used to assist in treating hyperarousal symptoms. According to Fortunato, "In order to stay alive, their bodies have been hyperaroused for so long, that they come back and cannot turn it off. Their body doesn't even remember how to relax again, and because of that they don't sleep and are irritable. ... The massage has helped soldiers sleep."
And the holistic healing approach for soldiers is paying off: 12 of the 37 soldiers have returned to their units and only two have ended up having to take medical discharges from the army.
According to a 2005 study,8 positive changes have been shown in biochemistry following massage therapy including reduced cortisol and increased serotonin and dopamine. By decreasing the clients' cortisol levels with bodywork, a client can reduce the constant feelings of hyperarousal and danger. By increasing serotonin and dopamine in the brain, an ease of suffering and anxiety is felt.8
A study on sexual abuse victims suffering from PTSD conducted by Cynthia Price, concluded victims of PTSD showed a significant decrease in physiological and physical symptoms, after massage and body-oriented therapy (in addition to psychotherapy).9
Alternative medicine, massage and bodywork, along with traditional methods, can help victims of PTSD in the recovery process. With PTSD numbers on the rise, and more troops coming home every day, there are plenty of sufferers in need. In the hands of a well-intentioned therapist, massage for clients with PTSD acknowledges and helps to restore the most basic human needs of safety, trust, control, self-worth and intimacy. When these needs are satisfied in the context of a healthy therapeutic relationship, an individual may not only succeed but re-learn or discover for the first time how to thrive.2
For a comprehensive list of PTSD resources go to: http://ptsdcombat.blogspot.com/2007/01/need-transition-help-free-resources.html.