resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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!
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.
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.
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.
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.
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.
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.
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.
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...
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.
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.
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.
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.
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.
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.
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.
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.
What Do Your Clients Teach You?
Each person we touch becomes a teacher. If we listen with our ears, eyes and heart, they teach us how to best serve their needs and, in turn, our own. In my work with seniors, I've had many such teachers and one in particular stands out.
I met Ruth fifteen years ago when I was working at a retirement community where I developed a wellness program. Ruth attended a presentation I gave about the benefits of massage for older adults. She won the door prize for a thirty minute massage and immediately scheduled a session. That was the start of a rewarding four-year relationship as Ruth received monthly massages. She also occasionally was a speaker at my workshops, giving others a chance to learn from her experience. I came upon her handwritten outline for one of these talks she called The Human Touch. I share it with you, along with my own insights.
THE HUMAN TOUCH
T. Truthfulness produces trust in each other. Trust develops in the therapeutic relationship with respect, mutual understanding and empowerment of your client to be a partner in their healing and well-being.
H. Help each other feel comfortable during the massage. We do this in several ways. The ambiance of our clinic or studio; the quality of interaction before, during and after the massage, and adapting positioning on the massage table to meet our needs all help create comfort.
E. Equipment can be simple. Many seniors don't tolerate a massage table or chair because of pain or mobility issues. Equipment may consist simply of pillows, towels and a footstool.
H. Human touch is so important. In the United States, nearly half of people 75 and older live alone. Isolation, loneliness and lack of human touch are a reality for many. Ruth often told me that even though she enjoyed the physical benefits of massage that just being touched was what she looked forward to the most.
U. Understand each other. Learn the art of authentic listening. It is listening with presence that goes beyond what your ears hear and what you say in response. It is listening with your heart. It is responding from your authentic self. It is listening for the essence of the interaction and connecting heart to heart.
M. Meaning of the worth of a massage on the mind. Massage is well-known for its positive effect on mood. A compassionate human touch reminds us of our worth, fosters self-care and restores a sense of well-being.
A. Answer the client's questions with assurance. Confidently serving seniors requires specialized knowledge and skills. We must be informed about conditions associated with aging and how to safely work with each individual within our scope of practice.
N. Need for communication. Be frank with each other. Sometimes a client requests a particular modality when, in fact, it isn't in their best interest to honor the request. We need to be comfortable saying no to such requests with a clear explanation our client can understand, then work together to come up with an alternative.
T. Too long of a massage is detrimental to a person with a sensitive body. The "sensitive body" Ruth refers to, comes from her history with severe allergies and chronic pain from spinal deterioration. It's my experience that many seniors tolerate thirty minute sessions well while enjoying the benefits.
O. Be observant of the person's reaction to each massage. Expect changes in the condition of older client's over time and be ready to adjust your approach. Don't get lulled into routine.
U. Use time wisely for the best results. Take more time for the most needed part of the body. Focus the massage to address the client's specific goal. Seniors seek out our services with a particular need in mind, quite often for pain related issues. Taking a targeted approach will result in a more satisfied client.
C. A regular chair works best for my massages. Be prepared with several alternatives to a table massage. Sessions with Ruth took place in her apartment and I positioned her comfortably sitting at her dining room table supported with pillows and sitting on her sofa with her legs and feet elevated on her footstool.
H. Healing of the body. Ruth wrote an account of the physical benefit of her massage. "My neck, back, hands, legs and feet are massaged. I'm so relaxed afterward, I feel like I'm walking in heaven. It helps my entire body. I'm now free from pain in my neck and shoulders. My family and friends see how much straighter my back is."
More Lessons from Ruth
"Besides massage, in order for me to have a well-balanced life, I east plenty of fruits and vegetables, drink plenty of water, walk each day, keep my mind alert by working puzzle, reading, writing letters, playing games, having a good attitude toward life and exchanging fears or worries with loving and helping others. Daily prayer is the most important for me." Not bad advice! Perhaps our elders really are meant for wise counsel.