resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Alcohol Consumption Strongly Linked to Risk of Colorectal Cancer
Alcohol intake is one of the primary risk factors for many human cancers, and is strongly associated with cancers of the oral cavity, pharynx, larynx, esophagus, liver, breast, and notably, the colon and rectum.
Drug War Rages in Wisconsin
Based on its actions over the past 15 years (review the sidebar in the app version of this article), controversy and the Wisconsin Chiropractic Association seem to go hand in hand.
The McGill Approach to the Lower Back (Part 1)
Stuart McGill, PhD, brings a unique combination of tools to the table. He is a scientist who also functions as a clinician. He describes himself as a medical consultant who is referred challenging patients. He is both evidence based and practical.
Chronic heightened emotional states create a perfect breeding ground for illness. Through my practice I noted the increasingly obvious relationship between one's mental focus on negative thinking, emotions, resistance to experiencing feelings and disease.
Five Element Acupuncture Can Enhance Your Practice
For eight years I have been teaching and supervising TCM students at an acupuncture college in Colorado, in Five Element acupuncture.
It Pays to be a Foodie
If there is an inner foodie in you, just waiting to burst out—this article is for you! Do you want to know how I know? I'm that girl. My middle name might as well be "Foodie." I love food! And if my patients are any indication, many of them do as well.
Acupuncture Detox as Part of Drug Rehabilitation
In the U.S., more than 2,000 alcohol and drug rehabilitation programs have added ear acupuncture to their practice. The development of the protocol was determined by Lincoln Hospital as it delivered 100 acupuncture treatments daily.
Capturing the Essence of Tai Chi
Over the last 12 years, I have been working on one of the few documentaries about Tai Chi. It's called The Professor: Tai Chi's Journey West and it's about Cheng Man-Ching who moved to New York in the 1960s.
The Bottom Line ... From a Surgeon Who Knows
Regardless of individual relationships between providers, there continues to be a type of Hatfield-McCoy feud between the philosophies of medicine and chiropractic, particularly when it comes to musculoskeletal ailments.
Inspire Your Patients to Make Healthy Choices
Have you tried to get your patients to change their eating habits or their diet and couldn't get them to succeed? Were they confused and unsure of what the right thing was to eat? You are not alone!
Following the Thinking of the Classics
I have heard about the "best time of day" to carry out certain examinations or therapies. For example, I remember making a note years ago that early morning is the best time to take someone's pulses.
Implications of Section 2706: The Non-Discrimination Provision Survey
In late April 2014, NCCAOM diplomates received an email survey with the subject line: "End discrimination against acupuncturists" polling CAM practitioners for a Request for Information from the Department of Health and Human Services, released in mid-March.
The Power of Mu Xiang to Treat Irritable Bowel Disease
Bloating and gas pain is something that everyone has had to deal with at one point or another; however, that's usually reserved for holiday dinners and other large gatherings.
Treating Menopausal Women in Your Practice
I love what I do for a living. It's a great way to trade health for bread. And no topic of health, with the right bedside manner, is taboo.
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!
News in Brief
Foundation for Chiropractic Progress Enrolls Second Group Member; Focus on Chiropractic Education at WFC-ACC Conference in Miami; Are You Ready for Another "Have-a-Heart" Campaign?
Giving Chiropractic Some Much-Needed PR
Public relations has not always been the chiropractic profession's strong suit, a shortcoming that has subjected the profession to countless attacks on its legitimacy and seemingly perpetual confusion among the public and the health care world as to the skills and services doctors of chiropractic provide.
Meat in the Middle
Have you ever wondered what's the truth about meat? Is it really as bad as many people think?
Micro-Needle Dermal Roller Use in the Treatment Room
Recently micro-needle dermal rollers have been getting a lot of media attention. As a practitioner who specializes in acupuncture facial rejuvenation, I know that skin needling with a dermal roller (also known as collagen induction therapy), promotes the natural reproduction of collagen and elastin, making the skin feel smoother and tighter.
Correcting Dysfunctional Movement Patterns – Is Local Treatment Enough?
It is widely believed that mechanical, non-traumatic back pain is largely related to dysfunctional or compensatory movement patterns the body has adopted over time.
Introduce Your Patients to Collagen Induction Therapy
Cutaneous (skin) aging generally occurs from either intrinsic or extrinsic processes. Intrinsic aging results from natural skin tissue damage and degeneration.
The Acupuncture Now Foundation: What Our Profession Needs
Although acupuncture is growing in popularity it continues to be underutilized due to misunderstandings about its true potential. Only a fraction of those who could be helped by acupuncture know enough to seek it out.
Treating Chronic Depression with Acupressure
In Traditional Chinese Medicine there already exists a comprehensive theory linking the body and mind.
"Turn, Turn, Turn"
Many people are credited with saying, "If you remember the '60s, you really weren't there." Given the fact I didn't become a teenager until 1970, I actually do remember the '60s (or at least part of it). And as a child of the '60s, I was, of course, influenced by the music.
Peer Points: Promoting TCM Knowledge
When Elaine Wolf Komarow, LAc, received her first acupuncture treatment in 1989, she said it changed her life. "I felt more aware, calmer, and happier. I was so fascinated by the changes that I began to learn everything I could about the underlying philosophy of Chinese medicine," said Komarow.
Chinese Medicine: The Natural Way to Children's Wellness
As a child, I did not like going to the doctor. For the most part, when I had to go I wasn't feeling good to begin with, and I was heading into a sterile environment to be awkwardly probed by a man in a white coat for a very short, impersonal period of time.
Using Massage to Address Pediatric Digestive Issues
Massage therapists practice hands-on therapeutic techniques to address a variety of medical and non-medical concerns for clients and patients. While teaching therapists of all backgrounds, it is very common that I discover at some point in their professional career, they have learned to use abdominal massage to address digestive concerns, such as constipation. But frequently, they stop using these techniques, or even offering massage for abdominal massage to clients. Many educators present to therapists that this is a very vulnerable body zone/region for clients, and abdominal massage should not be offered unless a client requests it. However, a client may not even know they can request this, so we are essentially performing a disservice by not addressing this very valuable region of the body.
An estimated 42 million people, or 15% of the population, suffers from constipation making it the most common gastrointestinal problem in the United States. In 2004, 6.3 million outpatient visits were due to constipation and 5.3 million prescriptions for constipation medications were written. The National Digestive Diseases Information Clearinghouse defines constipation as, "a condition in which a person has fewer than three bowel movements a week or has bowel movements with stools that are hard, dry and small, making them painful or difficult to pass." Essentially, constipation happens when stool spends too much time in the colon making it dry and compact. When the stool becomes hard, it is much more difficult for rectum muscles to push out of the body, thus creating constipation.
Constipation is often uncomfortable or even painful, based on the length of time and presentation of the person affected by this condition. Roughly 8.9% of the general pediatric population suffers from it on an ongoing basis. Although documentation supports that less than 10% of the pediatric population suffers from constipation, within pediatric cancer patients that rate inflates to nearly 50% to 60%. While direct cancer treatments can cause constipation, it is normally found that opioid use is the number one reason for constipation in this population. In the community of children labeled as having "special healthcare" needs, a study done of group homes found that out of 16 care homes between 29% and 36% of the residents were taking laxatives on a daily basis.
For children who have lower muscle tone, neurological conditions, poor posture, are non ambulatory, confined to bed rest or taking medications, they may be subject to frequent bouts of constipation and slow motility. Stress, anxiety and sense of control are also culprits for children suffering from constipation. Lack of adequate sleep, exercise and balanced diet often contribute to repeat incidents of abdominal upset.
Medical providers and parents use a variety of resources to address pediatric constipation and slow motility. Some treatment plans for addressing pediatric constipation call for the use of laxatives, enemas, suppositories and when the fecal matter is too impacted, surgical procedures are utilized.
One reported problem of using laxatives as an intervention for constipation are side-effects such as increased rate of constipation, fecal impaction, cramping, diarrhea, even more discomfort and electrolyte imbalance. While there are several options in dealing with constipation, one such approach which has been met with great success is the use of gentle, noninvasive abdominal massage.
Benefits of Abdominal Massage
Participants of a Swedish study felt that abdominal massage "influences the whole person" and while initially skeptical, felt comfortable by the end of the study. This study was done with 60 patients all regularly using laxatives to ease bowel symptoms. Significant improvement in bowel movement and reduction in laxative use after eight weeks of weekly 15-minute massages while the control group saw minor improvement but no reduction in laxative use.
A related study took these results but quantified how massage intervention related to financial savings. This study found that 40% of the massaged group felt massage had a good effect. Both self-massage and professional massage interventions showed abdominal massage as cost-effective in the long term and "relevant to consider ... when managing constipation."
A British study found that using abdominal massage as a holistic intervention of people with "special needs" found reduced rates of constipation, reduced use of laxatives and an unexpected finding, interpersonal contact between caregiver and clients who have profound disabilities. This same bond facilitation happens between parent and child, making it especially important for a hospitalized child. Hospital stays and hospital treatments are stressful especially for children, using massage can not only ease stress, help the child sleep better and longer, but can also aid in digestion.
In the healthcare setting, once providers see the benefits of abdominal massage, it has rapidly become one of the most common referrals for pediatric massage amongst hospitalized patients in my practice.
A Pediatric Protocol
As with any massage therapy provided for children, we should always ensure there are no precautions or contraindications to the hands-on therapy prior to begin. In many cases, asking the parents to administer techniques can be quite beneficial when led by a Certified Pediatric Massage Therapist. Children who may express they feel "ticklish" when touch therapy is applied to the abdomen may benefit from having their own hand placed first on the belly, with the therapist or parent's hand placed on top of the child's hand. This method may decrease heightened tactile sensitivities. For children who communicate in a non-verbal fashion, careful observation of non-verbal cues is even more imperative.
Wait approximately 30 minutes after the child has eaten to provide massage therapy techniques on the abdomen and do not perform massage on this region if there is medial equipment present in the body area. With the child relaxing in a safe, properly supported, supine position, you may wish to begin by gently applying a still, nurturing touch to the abdominal area. Be mindful to notice any discomfort or distention.
When making circular strokes on the abdominal area, they should always follow the direction of the child's digestive tract. For the vast majority, this is a clockwise direction moving from the child's right side to left side. Provide massage techniques on the soft areas of the child's abdomen, from the bottom of their rib cage down. Do not put any pressure on the Xyphoid process, the cartilaginous section at the lower end of the sternum, which is not attached to any ribs and gradually hardens during adult life. Practice care and caution to not press too firmly or deeply. If the child asks you to stop, or shows sign of discomfort, stop providing massage. Pediatric massage is always best applied with the child's express permission and with gentle relaxation in mind.
As evidence continues to support the use of non invasive therapies such as pediatric massage, children, families and healthcare providers gain greater access to an integrative approach that can best our clients and patients needs.