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Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
Chiropractic Research in Review
Chiropractic Treatment of Lateral Epicondylitis; Cost / Benefit Analysis: Different Doses of SMT for Low Back Pain; Imaging for Occult Rib and Costal Cartilage Fractures; Treating Neck Pain: Thoracic Thrust Manipulation vs. Non-Thrust Mobilization.
A Chinese Medicine Story: An Interview with Mazin Al-Khafaji
Mazin Al-Khafaji's work has interested me for years. In February 2014, we invited him for the second time to speak at the Southwest Symposium in Austin, Texas.
MPA Media Wins 7 Publishing Awards
MPA Media, publisher of Dynamic Chiropractic and DC Practice Insights, among other titles, has been recognized for editorial and design excellence with an unprecedented seven publishing awards by the American Society of Business Publication Editors (ASBPE), the nation's largest organization for business-to-business publications.
A Vibrating Capsule for Constipation? Relevance to Your Chiropractic Practice
The relationship between gastrointestinal (GI) complaints and back pain is not typically written about or discussed.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
9 Common Causes of Thyroid Imbalance and How You Can Help
How you sleep, how easily you wake up, and how much energy and stamina you have during the day are directly related to levels of the thyroid hormones.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
Don't Turn a 2 Into a 10
The Wong-Baker FACES Pain Rating Scale1 is so useful because it can be used by almost anyone. Patients can use the numbers associated with the faces depicted on the scale or select the face that demonstrates their current level of pain from 0-10.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
Why Young People Need Chiropractic Now More Than Ever
According to a recent study published in BMC Musculoskeletal Disorders, "It is now widely acknowledged that neck pain (NP), mid back pain (MBP), and low back pain (LBP) (spinal pain) start early in life and that the lifetime prevalence increases rapidly during adolescence to reach adult levels at the age of 18."
Waking Up the Gluteus Maximus
In previous articles in this series, we expounded on the importance of the gluteus maximus (GM) in athletic performance and protecting the knee from injury. We also know there is a link between iliotibial band syndrome and GM weakness.
CCE Finally Takes a "Baby Step" Toward Reform
During a 16-month period from October 2010 to February 2012, I devoted four separate columns to the heavy-handed attempt by the Council on Chiropractic Education to radically change the chiropractic profession through the accreditation process.
News in Brief
National Chiropractic Health Month: Be Proactive; Collegiate Roundup: Academic Appointments at Parker, Logan.
Gentle and Effective Touch for Frail Elders
While many massage techniques have been found to alleviate pain, foot and leg massage may be especially effective for elders who may not tolerate other forms of massage. Foot massage is non-invasive and considered "boundary-safe," meaning that it respects the personal space and dignity of the elder who may not have experience with receiving massage. It has been my experience that most elders are comfortable with having their feet rubbed. Except for shoes and socks, no other clothing need be removed in order to provide the nurturing effect of skin-on-skin contact.
Massaging the feet is also a powerful gesture of service. There are subtle associations of truly serving the elder when sitting or standing at the feet to provide caring and compassionate touch. The interpersonal dynamic shifts from a caregiver doing a task to serving the person. It conveys honor and respect.
Foot and leg massage contribute to both the alleviation of the physical sensation of pain and the individual's perception of the pain experience. The general benefits include:
Center yourself. If you are calm, the quality of your touch will be enhanced and you will enjoy the session more. Centering need not take but a few seconds. Take a deep breath and ground yourself before initiating the touch session.
Touch Quality and Intention
All forms of touch have quality and intention. The qualities are the physical attributes of your touch. For example, your touch may be warm or cold; firm or light; fast or slow; rhythmic or sporadic. The intention is what you communicate or convey through your touch, such as touch used to communicate caring; to guide someone; to greet a friend.
In the foot and leg massage instruction that follows, the qualities of the touch are:
The intention is to offer non-invasive alleviation of pain and discomfort and provide supportive one-to-one focused attention.
The following protocol represents an effective 10 minute session — five minutes for each foot and leg for an elder who is sitting in a recliner with the footrest elevated. The length of time or number of repetitions that you apply any stroke is determined by the individual tolerance and response of the elder receiving the massage.
First, position the elder to provide support and comfort for the massage. Place a pillow under each arm to support the upper body. Place a towel under the feet to protect recliner upholstery.
Second, begin the massage with focused touch. Focused touch is touch that is given mindfully and with awareness of your intention of why you are providing the massage. It's a time to center yourself; to calm your mind and to focus your attention on the individual you are touching.
The third step is to establish a flowing stroke. Using pressure similar to that used to apply lotion, flow your hands from the knee down the leg, encompassing the entire foot. Repeat two to three times.
Make sure you apply lotion to the leg and make full contact kneading on the leg (modified petrissage). This stroke is using small circular motions with the flat surface of your hand — the palm and the flat surface of your fingers. Using the flat surfaces distributes the pressure, increasing the safety and comfort of massaging the frail body or thin skin. Start distally and work up to the knee. To transition back down you can use a flowing stroke. Massage the foot using full contact kneading with your palms. You may use the full surface of your thumbs in a circular motion on both the bottom and top aspects of the foot. Apply these circular strokes to the entire surface of the foot—heel, arch area and ball of the foot, as well as the top aspect from the toes to the ankle. Gently knead each of the toes if there are no contraindications such as fungal infection.
Then, repeat entire sequence on other leg and foot. After massaging both legs and feet, end the session with a bilateral flowing stroke to bring balance to the two sides of the body. When closing the session, return to the starting point of focused touch so that you end the massage mindfully as when you began.
Precautions and site restrictions for foot and leg massage:
When one or more site restrictions exist, one of the following options can still provide safe benefits through touch. Massage around the affected site. Massage a different part of the body not affected by the condition.
Use only focused touch or holding. Through the power of touch, you become actively involved in a meaningful effort to increase the quality of life of those in your care. And since the gift of touch flows two ways you, too, can enjoy the mutual benefit of touch.