resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Uncle Sam Needs You (Part 2)
Where chiropractic care has been used in the military health services, it has been deemed very successful.
Managing Today's Fertility Patient
I recently received an email from one of my fertility patients: "Got my lab results back. FSH is 11, AMH is 0.7. My doctor said these numbers aren't good. I guess I'm infertile. Just as a thought. Just set up an appointment to speak with an adoption agency."
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 2)
As mentioned in part 1, using a flexion-distraction table is a great way to unlock this particular fixation. You have found the stuck segment. You have determined whether it is unilateral, midline or bilateral.
Jingei Diagnosis: An Effective and Powerful Diagnostic
I graduated from the Kotatama Institute under the direction of Drs. Masahilo and Katsuharu Nakazono in 1984. As a student, I was exposed to the practice of most of the various theories and modalites of Oriental Medicine.
Correcting Pelvic Rotation Around the Long Axis: Adjustment Protocol
The pelvis can be considered a ring that can misalign on the sacrum rotating around the long axis. The following is a description of an adjustment that helps to correct sacroiliac rotation around the long axis.
The Heart Protector
On the physical level, the Pericardium is a double-layered sac of fibrous tissue that envelops the Heart. The space between the layers is filled with serous fluid that protects the Heart from external shock or trauma and lubricates to allow for normal Heart movement.
Pulse Diagnosis: What We Know
I am still finding pearls of wisdom from the books and papers that I inherited from my pulse diagnosis mentor Jim Ramholz.
Sports Science: What's in That Drink?
Athletes frequently ask me what the best liquid is to drink during exercise – water or a sports drink? Water provides the necessary hydration, but unfortunately, it lacks the key nutrients to aid in performance and recovery.
Dr. George Goodman and His Legacy to Logan University
Those who knew him called him a revered leader, a visionary and one of chiropractic's biggest advocates. George A. Goodman, DC, Logan University's sixth and longest-serving president, passed away on Sept. 9. He was 70 years old.
Lime Jello on Morphine
Taste is in the eyes... actually the mouth... of the beholder. My food preferences have changed, lightening from the food of my youth. My parents loved heavy eastern European cuisine and I loved it as a child. Now I enjoy leaner, healthier whole foods.
CMT & Stroke Risk: Myth vs. Fact
By now, most of you have probably heard that the American Heart Association recently published a statement regarding the association between cervical dissection (CD) and cervical manipulative therapy (CMT).
The Case for Immunization
As long as I have been a chiropractor, I have seen many in this profession oppose vaccinations. Indeed, it has often been taken as a "given" that to be a principled chiropractor requires a curmudgeon's willingness to hold aloft that banner of opposition.
Simple Ways To Find True Happiness
Patients in our clinics are always seeking happiness. As their health advocate, we need to ensure we inform them that in order to find happiness, they have to make sure to identify what makes them happy in the first place.
Communication 101: Please Explain Yourself!
Twice this past week, I overheard conversations about chiropractic. As you can imagine, it is a topic my ears naturally pick up. In both cases, a patient was talking to a friend about their experience with a chiropractor.
Healing With TCM at San Quentin State Prison
For the prisoners at San Quentin State Prison, life-sentences are the reality of every day life. It is not often that prisoners get the opportunity to use alternative medicine to deal with common ailments they encounter behind bars such as, depression, anxiety and pain.
Essential Orthopedic Testing: Tests That Involve Standing on One Leg
Since these tests have a common mechanism of performance (standing on one leg), there are differential diagnostic concerns during testing. The tests cannot be completely isolated from each other for performance.
Managing Patient Expectations About Acupuncture
Last year, I attended the Pacific Symposium in San Diego for the first time in six or seven years. It was the 25th anniversary of this event, and on one evening there was a panel discussion with the title; "What is Qi?."
Commingling Money: 12 Questions for the ACA About the CHAMP / NCLAF Merger
The American Chiropractic Association recently announced it was merging the National Chiropractic Legal Action Fund and the Chiropractic Health Advocacy and Mobilization Project into a single entity that will support both legal and legislative actions.
AOMA Strengthens Leadership Team
AOMA Graduate School of Integrative Medicine, a leading college of acupuncture & herbal medicine, announced the appointment of Donna LaPoint Hurta, MBA as the new VP of Finance & Operations this Fall.
The Wonders of Light Therapy: An Interview with Wes Burwell
I first met Wes Burwell in 2011 when he was teaching a class on light. Since then, every time I hear him speak, his understanding of the benefits, function and capacity of light has evolved.
The Tao of Gender
If you think gender is as simple as having a new client check off the "male" or "female" box on your intake form, we hope this article will expand your understanding and thus the reach of your health care.
Chiropractic Research in Review
Predicting Pain With Disability in Office Workers; Traction Approaches for Discogenic Cervical Radiculopathy; Intra-Articular Gas Bubbles Following Manipulation; Nonresponsive Chronic Ankle Sprains: Think Tendon Rupture.
Pediatric Massage: Approach for Congenital Muscular Torticollis
Torticollis comes from the Latin words tortus, which means "twisted" and collum, meaning "neck." Congenital muscular torticollis (CMT) is also sometimes referred to as wry-neck, stiff-neck, crooked-neck and twisted-neck. It was first defined in 1912 as "a deformity, congenital or acquired in origin, characterized by lateral inclination of the head to shoulder, with torsion of the neck and deviation of the face." Between 0.3% and 2% of newborns present with congenital muscular torticollis (CMT) which is thought to be a painless condition caused by the unilateral shortening of the sternocleidomastoid muscle (SCM.) The shortening of SCM gives an ipsilateral head tilt and contralateral rotation of the face and chin on the involved side. If diagnosed early enough it can be managed easily, seldom requiring surgery with the best outcomes seen in children between 1 and 4 years of age.
The origin of CMT is still up for debate, wile the most popular theories behind the impairment include intrauterine crowding, muscle trauma during a difficult delivery, soft-tissue compression leading to compartment syndrome and congenital abnormalities of soft-tissue differentiation within the SCM muscle. Histologic studies of resected surgical specimens have demonstrated edema, degeneration of SCM muscle fibers and fibrosis.
There are different presentations of children with CMT, the most common is an obvious head tilt toward the affected side with the chin pointing to the contralateral side. Plagiocephaly, flattening of an infant's head or face, is reported in up to 90% of cases with CMT. Treatment is required to stop unilateral weight bearing which causes deformity of the skull base and cranium which can continue into adulthood.
Assessment of this condition can begin during the pediatric massage intake process of asking parents if their child often tilts their head in one direction, prefers looking over one shoulder instead of turning the head to follow with eyes, difficulty breastfeeding in one position, and displays frustration when attempting to turn their head in one direction. These are possible signs and symptoms of infants, or young children, with torticollis.
As discussed in Nilesh's 2013 article, "Congenital Muscular Torticollis", currently there are three classification groups for children with CMT. Group 1 is the sternocleidomastoid tumor group, which consists of torticollis with a palpable pseudotumor or swelling in the body of SCM. This is a hard, movable mass within the substance of the SCM noted at birth. This mass is usually located in the middle to lower third of the sternal portion of SCM. The pseudotumor usually becomes large after its first noted and then slowly resolves over a period of 5-21 months. This is the most common presentation and contributes to 28.2% to 47.2% of diagnosed cases of CMT in infants. Group 2, known as muscular torticollis, consists of torticollis with tightness of the SCM, but no palpable tumor. The last group, Group 3 (also known as POST), is a postural torticollis without a mass or tightness of the SCM. In an alternative system of classification, pseudotumor of infancy and CMT are described as a separate diagnosis.
Treatment of torticollis is dependent on the age of infant, the severity of torticollis, the diagnosis of plagiocephaly and the possible presence of associated neuromuscular or orthopedic impairment. About 50% to 70% of SCM tumors resolve spontaneously during the first year of life with little to no lifelong symptoms. Physical therapy and the use of massage is often strongly recommended.
Before massage treatment begins, it is important to have the child completely diagnosed by a medical professional. The amount of additional conditions that are associated with torticollis demand a full evaluation and treatment involving extra care. As mentioned earlier in this article, the SCM is most often the muscle that is affected with torticollis. It originates on the medial end of the clavicle and attaches behind the ear. The sternocleidomastoid muscle has the function of both turning the head and assists in tilting from side to side.
With the child in safe position, the pediatric massage therapist, or trained parent, may apply gentle stroking techniques to the lateral, posterior and anterior areas of the unaffected side prior to addressing the affected side. This approach is often helpful is reducing spasms.
Unlike with adult clients, we do not recommend an ivolved stretching protocol with children. Rather, it is best to soften the tissue and use a favorite toy or engagement item to help the children track and turn their own head to follow. This gentle motion will help to monitor comfort level of the client and prevent overstretching the soft tissue.
Incorporate child friendly approaches to engage the child to turn their head from side to side, bring their head to chest and orient to midline. When the child is prone, resting comfortably on their abdomen, encourage the child to lift their head to increase orientation and strength.
Per the American Academy of Pediatrics (AAP) recommendations for sleeping, many parents place their baby on their back to sleep for prevention of SIDS. However, it is just as important that parents incorporate supervised "tummy time." Tummy time or prone to play enable normal developmental progression and can help build muscle in the neck and upper back.
With CMT occurring in one of every 300 live births, it is essential to know simple, natural ways of dealing with this condition. Massage provides an excellent way to gently lengthen affected muscles while encouraging growth and development in children. Additionally, if taught to parents at home, it can provide an excellent was for parent and child to bond.