resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
Keep Seniors Safe: Age-Proofing the Home
I want to give Dr. Claudia Anrig kudos for her Dec. 1, 2014 column, which highlighted safety issues youngsters might encounter in the home.
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.
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!
Viewpoints: Massage Reduces Nonspecific Shoulder Pain, Improves Function
While seemingly universal, pain and stiffness in the shoulders can be a significant cause of disability. Often a pain that does not go away on its own, shoulder complaints tend to linger, sometimes for 12 months or longer.
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.
Striking a Blow to the Medical Monopoly
The U.S. Supreme Court has issued a landmark ruling in North Carolina State Board of Dental Examiners v Federal Trade Commission.
Joint Supplements for Athletes (Part 2)
A fairly recent discovery in nutrition supplemental medicine has proven to be a breakthrough in maintaining athletic joint health. Research suggests a combination of undenatured type-II collagen and tetrahydro-iso-alpha acids helps revitalize joint function and performance in athletes.
How We Can Help the Injured Brain
The majority of patients with mild traumatic brain injuries recover within seven to 10 days. If concussion signs and symptoms continue beyond seven days, the diagnosis changes from acute concussion to post-concussion syndrome.
Older Patients, Stroke Risk and Manipulation
The first population-based study in the United States to evaluate stroke risk following spinal manipulation – and the first involving older adults – suggests that "[c]hiropractic cervical spine manipulation is unlikely to cause stroke in patients aged 66 to 99 years with neck pain.
God and the Chiropractor
My wife went to church last Wednesday night and brought home a CD of the pastor's message. As she handed it to me, she said, "You should listen to this; you'll like it." Our family regularly goes to church and our faith plays a major role in our lives.
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.
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.
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.
Pain Is Only a Piece of the Puzzle
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, etc.
News in Brief
ACA Exec. Vice President Out, Acting EVP In; F4CP Executive Director Retires; New ED Named.
Managing Tibialis Posterior Tendon Injuries
The tibialis posterior is the deepest, strongest and most central muscle of the leg, with fibers originating from the tibia, fibula and interosseous membrane.
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.
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.
What Do You Know About Physician Compare?
Physician Compare is a website that allows consumers to search for and obtain information about physicians and other health care professionals who provide Medicare services.
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."
Treating GERD and Incontinence: Focus on Trigger Points
Gastroesophageal reflux disease (GERD) is defined as the regurgitation of stomach acid in the esophagus. Previously, it was thought that GERD was caused by a hiatal hernia, but recent trials suggest the cause is an inability of the hiatal sphincter to contract normally.
The Difference Between Adult and Pediatric Massage
Many practitioners believe the major difference in providing massage and touch therapy to children is to simply consider that the client is smaller in size, pressure should be lighter and to ask their parents. These are real considerations, but not the only differences in providing massage therapy for children and adult clients.
Massage for Adults
As healthcare professionals, we should always consider each individual client's unique needs and indications for massage therapy, rather than providing a standardized protocol for care. Under the scope of professional massage therapy, therapists working with adults have the ability to employ a variety of techniques ranging from relaxation massage and spa therapies, to structural integration. Therapists may apply more pressure based on client preference, and range of motion may involve larger movement than we would utilize with children.
Typical adults have more developed muscular and soft tissues compared to pediatric clients, and they can tolerate a massage session that incorporates various techniques that are not safe for children. Adults have often spent years developing their individual postures, body mechanics and areas of holding stress-related tension. This can make our therapeutic work take on the more sessions to have similar benefit to what we might see with pediatric clients in fewer sessions.
With adults, verbal communication is different and allows us to have a thorough discussion about their personal interest in seeking touch therapy. The client can help to explain their healthcare related needs, stress management techniques they use at home and may have a better understanding on how to follow any at-home protocol which may assist in their preventive health plan.
Healthcare providers often use the term pediatric to describe children in a healthcare or hospital setting and some will say that word pediatric is an umbrella term that covers all of the patients in that facility from birth to age of discharge from the hospital (often 18 years of age). While others recognize that pediatric is simply defined as the health care of children, which may mean in the hospital setting, but can also refer to children who are developing typically.
Children have different physical, emotional and developmental needs than adults and pediatric massage is designed to address these individual childhood considerations. Some practitioners believe that massage is used to treat medical and healthcare indications, but pediatric massage is also used in conjunction with general healthcare, as an adjunct and preventative method of therapeutic intervention.
For children, we adapt all of our care to be an individual and unique approach. Children are undergoing significant growth, development and physical changes. A child's skin is thinner, more fragile and has more compact sensory receptors. Their bones are not yet fused or ossified and require a more gentle approach. These considerations are important to those practicing hands-on techniques.
Not only do we consider a child's size in our treatment plan, but also employ developmental considerations and age-appropriate language adaptations, as we build trust and rapport. As with every client, we use informed consent and specifically for children, we use a structured permission process. We may use language that may seem elementary to adult clients, but helps us to best connect with those still developing a comprehensive vocabulary.
Some healthcare providers only think of pediatric massage being applied as a modality for children with special healthcare needs. There are specific healthcare-related situations where pediatric massage therapy will be a wonderful part of a therapeutic treatment plan. However, just as adults receive massage therapy for general health and wellness, so do children. Yes, we can use pediatric massage as indicated to treat a variety of healthcare considerations, but dealing with anxiety, stress and insomnia are also concerns for our younger clients.
Considerations for All Clients
Obtaining informed consent and permission prior to beginning a massage session establishes respect and an understanding of the benefits of healthy touch. With children, this may require input from a parent/guardian or other healthcare provider responsible for their medical care.
Adapting techniques to a client's healthcare needs and preferences establishes trust and communication. We must always communicate adaptations and possibilities with the type of therapeutic session we can provide. Many clients do not have a good understanding of the range of modalities and techniques under a massage therapist's scope of practice. When you take the time to explain options and choices to your client, you help to establish the foundation of a successful treatment session. Professional communication is an important consideration with clients of any age.