resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Good Works at the Canandaigua VA
Faculty and students of the Finger Lakes School of Acupuncture and Oriental Medicine (FLSAOM) of the New York Chiropractic College have provided acupuncture to veterans at the Veterans' Administration Medical Center (VAMC) in Canandaigua, New York since September of 2007.
The First (Only) Choice for Spinal Pain
The study on NSAIDs for spinal pain summarized on the front page of this issue is intriguing on a number of levels, the most obvious being the conclusion that "compared with placebo, NSAIDs do not provide a clinically important effect on spinal pain, and six patients must be treated with NSAIDs for one patient to achieve a clinically important benefit in the short-term."
Caring for Refugees in Greece
At the beginning of 2016 I had no idea what was in store for me, but I was looking forward to a personal retreat on the Greek island of Paros; a graduation gift to myself after 22 years of motherhood, and four-plus years of Chinese medicine school.
The Qi Focus: A Guide to Managing Stress
Stress, are you experiencing heightened stress levels? Your own, and your clients? Is Trumpitis getting to you? I recently polled a cluster of acupuncturists, Asian Bodywork Therapists (ABT) and psychotherapy colleagues on the issue.
Treating LBP the Right Way: Think Natural
An updated clinical practice guideline from the American College of Physicians (ACP) recommends spinal manipulation and other non-invasive, non-drug therapies as first options for acute, subacute and chronic low back pain, rather than pain medications, as stipulated in the original 2007 guideline.
Chiropractic: A Great Fit for the White House
Dr. Eric Kaplan is a New York Chiropractic College alumnus; a No. 1 best-selling author whose books include Awaken the Wellness Within and The 5 Minute Motivator; a chiropractor for professional sports teams and elite athletes; and even served as an advisor under the Clinton Administration to the President's Council on Sports & Physical Fitness.
Treating the Terrain of Chronic Sinus Infections
Chronic sinus infections can be stubborn to treat, but the therapeutic path forward can be simplified when utilizing three distinct treatment principles which take into account the terrain of the body, and the way in which microbes grow.
Making Sense of Liver Regulation
In Chinese medicine, the liver has the function of moving and storing qi and blood. In its moving function, the liver smoothly distributes qi and blood to the tendons, muscles and flesh through microcirculation.
Give Your Patients the Ergonomic Advantage
Prolonged sitting contributes to low back pain and is a health risk. When I discuss my POLITE technique practice recommendations with patients, ergonomics may be last, but not least!
Toxicity & Kids: The Importance of Environmental Intake
The old adage is true that children are not little adults. Traditional Chinese medicine (TCM) has long known that the physiology of children is unique, as are the diseases that plague them.
How to Correct a Cuboid Subluxation
Cuboid subluxation is a poorly recognized condition, even though it is not uncommon. It has been described in the literature under various names: cuboid subluxation, cuboid syndrome, locked cuboid, dropped cuboid, cuboid fault syndrome or peroneal cuboid syndrome.
Shedding Light on the Benefits of Heliotherapy
I can't imagine anyone not feeling good strolling in the sun on a beautiful spring day. The sun is responsible for all life on earth and is best illustrated along the equator touting the richest biodiversity on the planet, in stark contrast to the Arctic Circle and South Pole.
Waist Circumference: A Conversation Starter (Part 2)
Now let's discuss the clinical approach to reducing WC and implementation in today's chiropractic practice. The primary intervention centers around dietary modification and lifestyle habits aimed to reduce adiposity, improve insulin sensitivity and ultimately, diminish systemic metabolic dysfunction.
News In Brief
A "Modern" Business Model. Acupuncturists may have a new professional atmosphere to consider, as a new concept is on the horizon - at least for one business.
Scope of Chiropractic Practice: Why Now Is the Time to Expand
In my January article, "Scope of Chiropractic Practice: Is It Time for Change?" I discussed the use of the term primary spine care practitioner, the loss of privileges to diagnose in Texas, and the fact that the definition of "chiropractic" varied from state to state.
5 Ways to Enhance Your Family Practice
Every practice has a personality style. A practice that caters to athletes, PI cases or adults, for example, projects differently to patients than a family wellness practice.
Help Save an Important Chiropractic Landmark
The chiropractic profession has a splendid and varied history. Sadly, many landmarks have been lost to bulldozers and wrecking crews, such as the Ryan Building, Little-Bit-O-Heaven, Spears Chiropractic Hospital, and Clearview Sanitarium.
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
The Chiropractor's Guide to CRISPR
Science magazine's "Breakthrough of the Year" award for 2015 was described as "the gene-editing tool called CRISPR." CRISPR stands for "clustered regularly interspaced short palindromic repeats."
What's Bugging You? Probiotics and Your Health
An estimated 100 trillion microorganisms representing more than 500 different species inhabit every normal, healthy bowel. Gut-dwelling bacteria keep pathogens in check, aid digestion and nutrient absorption, and contribute to immune function.
Insomnia Treatment Based on the Yu Theory
In recent years, acupuncture has risen in popularity as a form of alternative or supplemental medicine for the treatment of many different types of disorders.
NSAIDs No Better Than Placebo for Spine Pain
A meta-analysis of randomized, placebo-controlled trials comparing the efficacy and safety of NSAIDs with placebo for spinal pain concludes that among 6,065 spine pain patients, "NSAIDs reduced pain and disability, but provided clinically unimportant effects over placebo."
When Cancer Involves the Brain (Part 2)
Editor's Note: The first part of this article appeared in last month's issue and ended with intake questions to help assess the disease, and subsequently make a decision about care. Here, Tracy resumes with changes to watch for and other complications.
If there are significant changes in the client's mental status, your health questions may best be directed toward the client's caregiver. If your client's ability to communicate clearly is impaired, it will also be necessary to establish a form of communication for conveying the degree that your work is welcome, and if your pressure or approach are as they should be. Being on the constant lookout for nonverbal clues from the client's body, their facial expressions, their breathing, can help you determine if the work you are doing is being welcomed, and if your pressure or approach is as it should be.
Not all seizures look the same; in my client, seizures were brief, numerous, and nearly unnoticeable. Yet some seizures due to brain involvement can be more serious. Unfortunately, because of space limits, a complete discussion of seizures, treatments, and massage implications are not possible here. However, I will highlight a few.
If your client has a history or possible risk of seizures, ask them in their intake interview questions such as:
One common guideline is to watch the clock and to note the duration of a seizure, so that you can report it to the client's caregiver and to emergency services if they become involved. Seizures that last longer than five minutes require a call to emergency services, as does a seizure of any length occurring in a client that has not identified themselves as having had seizures in their paperwork or intake interview. Do not put anything in the client's mouth during the seizure and move objects out of the way if necessary. Try to keep the client safe until the seizure is over.
If your client experiences headaches, ask if they can identify something that triggers a headache, and then have them avoid that trigger, whether it involves bright lighting, heat, scents … if it is within your control, adapt. Ask which positions are most comfortable for them, and consider an inclined position when supine, rather than a traditional face cradle.
For clients with dizziness or balance problems, you will want to reposition them gently and slowly, especially if they are turning from prone to supine or vice versa. Allow them to turn in small stages, and encourage a slow rise from the table at the end of the session.
Keep your transitions and stroke rhythms smooth, even and slow, nothing jarring or jostling. The same is wise for clients experiencing nausea. Sticking with slow, even speeds and staying away from any strong joint movement may be most comfortable for your client.
Safely adapted, massage has the potential to offer wonderful benefits to someone with brain involvement. It is a form of positive, safe, and comforting touch amidst a scene of diagnostic tests and a variety of treatments. Metastases to the brain means that a client's cancer is in advanced stages, and the treatment options in advanced cancer can be aggressive and difficult for the body to handle. Massage may help to lower a client's stress and anxiety; help with muscle aches that may occur following seizures; help them to sleep; and reduce their headache pain and/or nausea.
Brain involvement is one of many possible presentations to take seriously in oncology massage therapy. It underscores the need to become familiar with a client's whole health picture, as well as implications for massage therapy. A good background in massage for people with cancer is vital. Here's where face-to-face oncology massage training is ideal, and short of that, learning and reading everything you can on cancer, brain involvement, treatments, and effects. Start with the resources at the bottom of this column, but don't stop there. Keep reading, learning, and asking questions of clients and health care providers.
Over the years I have provided and supervised many sessions for clients with brain involvement, including the client I mentioned above. These sessions have been well-received.
We have the chance to make a difference to people dealing with a difficult disease and treatment. With the right information, clinical thinking, and hands-on modifications, we can provide safe, effective work.