resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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?
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.
Treating Chronic Depression with Acupressure
In Traditional Chinese Medicine there already exists a comprehensive theory linking the body and mind.
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.
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!
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Meat in the Middle
Have you ever wondered what's the truth about meat? Is it really as bad as many people think?
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!
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.
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.
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.
Educating Massage Clients: What's Appropriate and What's Not
All massage therapy experiences should be provided in a safe, comfortable and trusting environment. No one should ever do anything to your body that you have not given permission for. A therapist should never be sexual in any way with a client. That includes sexual touching, sexually explicit comments to or any sexual act whatsoever. Every well-trained massage therapist understands – or should understand – the guidelines that follow.
After initially greeting a new client, the therapist and client agree on the type of session, if it was not clearly prescribed when booking the appointment. In a spa or wellness setting, a client may have selected a particular type of treatment and this should be clear without discussion. However, the therapist always asks if there are any areas you particularly want worked on or completely avoided.
The extent of the history-taking depends on why the client is there. If they are coming for a relaxation massage, the therapist will ask certain questions to make sure the treatment is safe. At a minimum, the therapist should ask about any surgeries, medical conditions, medication, injuries, pain, skin conditions, allergies to anything the therapist may be using and any sensitive areas. A woman should be asked if she is pregnant.
Who's In Charge?
The client is always in charge. If a therapist of any kind ever does anything that makes a client emotionally or sexually uncomfortable, the client should speak up immediately or just tell the therapist they want to terminate the session and leave. Clients see a massage therapist for many reasons. Some come for a relaxing massage, postsurgical or post-cancer treatment, or for pain or injury treatment. In some types of massage and bodywork, there may be some physical discomfort. Be sure that you and your client have agreed on how much discomfort is okay and how much is too much. For example, if treating for an injury, there may be some discomfort, which is part of the treatment process. If a client comes for some myofascial or Rolfing work, inform them that this kind of treatment, which is very different from massage, can be quite painful.
Nudity and Draping
Every client should undress and dress in private; the state of undress is up to the client. Some clients remain fully clothed except for their shoes. Others wear a hospital-type gown, leave their underwear on or are nude. A client should always be securely covered or draped with a sheet or towel, which should be tucked in or draped in such a way that it will not easily move.
The entire session is about the client and what they need to have in this particular session. How much pressure is used, where the therapist works and doesn't work, and if you talk or remain quiet is all up to the client. It's not about the therapist's needs.
There is a power differential between practitioner and client. The power differential is inherent in any therapeutic relationship. There is an implicit acknowledgment that the practitioner has more knowledge in this area than the client. The power differential exists for the purpose of bringing benefit to the more vulnerable individual. In healthcare, the power differential is amplified by the physical aspects of practice. The client is usually lying down and unclothed, which has the psychological effect of increasing the imbalance of power. Maintaining professional boundaries is the responsibility of the practitioner, even if the client requests or instructs the practitioner to behave otherwise. The practitioner also has a duty to stay aware of how the power differential may affect the client's ability to raise concerns.
Appropriate and Not
A massage therapist should never touch the genital area of the client. This is either sexual abuse or prostitution. In most parts of the U.S., massage of the breast is off limits. In the few states where it is legal, there must be written consent by the client. In other countries (for example, in certain provinces of Canada), where the training is much more extensive, breast massage is part of massage therapy training and is permitted where appropriate. There are cases where breast massage may be indicated. For example, if a nursing mother has a blocked milk duct, breast massage is sometimes indicated. Or if there is a painful post-surgical scar, certain types of massage therapy may be helpful. However, it is never appropriate to perform massage on or touch a woman's nipples.
The area of the upper inner thigh, either in front or back, is an area that is rarely touched. More specifically, the therapist never works within two to three inches of the genital at the inner thigh. It can evoke sexual stimulation, fear or both. It is a private area that is left to intimate partners. The only exception to this guideline is when there is an injury to the muscles or tendons in this area. In this case, the client has come to the therapist to work on this issue and has explicitly agreed to be treated in this area. When this is done respectfully and with draping, it is not a problem. The therapist carefully and securely drapes the client's upper inner thigh with a sheet or towel before working.
The buttock area is generally included in a massage therapy session but doesn't have to be if this is not an area you want worked on. Work on or very close to the anus or motions that clearly open the cheeks of the buttock should never happen.
Reporting an incident: If the client feels their boundaries have been crossed or violated, they should say something immediately. some people freeze physically, emotionally and verbally when they have experienced posttraumatic stress disorder at some time in their life and this could be a problem. Inappropriate actions by therapists can be reported to the police, the Massage Therapy Board of Registration and/or the District Attorney's office. These types of actions cannot be tolerated and do great harm to those in our profession who do an admirable job in helping people live more pain free lives. Make sure your clients are educated as to appropriate behavor for them and for you, so there is no miscommunication or misunderstandings and your practice can continue to thrive.