resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Specialized Pro-Resolving Mediators: 21st Century Inflammation Fighters
Specialized pro-resolving mediators, or SPMs, are a portion of the omega-3 fatty-acid spectrum that have been shown to have a powerful effect on reducing inflammation.
Day in the Life of an Advanced-Practice DC
Can you tell us a little about your background in the profession? Why did you want to become a DC? I studied at Boston University from 1968-1972 as a pre-med student majoring in biology.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
News in Brief
Northwestern Student Honored for Addressing Concussions Head-On; Northwestern Announces New CFO; Life U. to Provide Unique Opportunity.
F4CP Launches New Social Media Campaign
The Foundation for Chiropractic Progress has launched a new service to help member doctors: a social media campaign called "Accelerator."
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Let's Streamline Your Front Desk
Your front office can be your greatest source of efficiency or a constant bottleneck. Increasing the productivity of this area without sacrificing the quality of patient interaction can be a little tricky.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Misconceptions & Opportunities With Medicare
As I speak around the country on how to properly document Medicare patient encounters, I get questions regarding opting out of Medicare. There are many misconceptions about opting out of Medicare, including just what it means to opt out.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
How Many of Your Patients Have Sarcopenia?
Figure 1 demonstrates the typical appearance of sarcopenia in the paravertebral muscles. Have you considered evaluating your patients for this problem? Sarcopenia is the progressive loss of skeletal muscle mass and function that affects the older population.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
Designing a Fitness Plan (Part 4): Blending Pain Relief With Healthy Aging
Pain relief is still the No. 1 reason patients come to my office. However, most of my patients have other goals as well, such as: "I want to lose 10 to 20 pounds"; "I feel old and want to slow down the aging process"; "My doctor says I am becoming a diabetic and need to exercise"; or "I'm tired and want more energy."
Identify & Adjust the Apex Posterior Sacrum
Low back pain involving an apex posterior sacrum (+θX-axis misalignment) typically presents with signs of lumbosacral joint impingement or facet syndrome.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
An Alarming Lack of Accountability
Accountability seems to be a lost quality today. The simple act of taking responsibility and doing the right thing just doesn't happen as often as it should. Maybe it is the litigious nature of our society.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Excited to Share the Science of Chiropractic: An Interview With Dr. Heidi Haavik
Dr. Heidi Haavik has become known in the circle of chiropractic researchers as not only a rising star, but also one willing to do research that can have a major impact in the scientific world and how chiropractic is perceived.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
Making Things Better
If something has been done the same way for 100 or more years, chances are there are new and better ways to do it now that should be considered. While some things never change (and shouldn't), occassionally someone does get an inspiration and truly advances the way to do something. Change is usually slow to be accepted. However, the new thing or method, if valid, slowly becomes accepted, first by the "early adopters" and then by the majorities. Trends always start slow and grow.
We have been doing massage the same way for a long time. When it comes to "just" eliciting a parasympathetic response, the same old way is still valid - lots of effleurage gets the job done. However, most people that come to get a massage have some pain complaint they would like relief from. For 30+ years, our primary tool for addressing "tender points" and "trigger points" has been some form of sustained pressure. Sometimes slight movement was added such as deep friction strokes or superficial myofascial techniques. These techniques have been the main weapons therapists have employed against soft-tissue pain. This is the American Neuromuscular Therapy (NMT) paradigm as developed and taught by Paul St. John starting in the mid-1980's. While effective, it is unpleasant to receive and often damaging to therapist's bodies.
In the 1980's, we knew the primary soft-tissue problem was the involuntary contraction (spasm) causing ischemia and thus pain. Science eventually discovered sensors in the nervous system called mechanoreceptors which when stimulated, could elicit an inhibition response back to their locale in the body. There are many types of mechanoreceptors, each responding to a different type of mechanical stimuli. In most clinical and relaxation massage, we have been stimulating, through our touch, pressure, and movement, only a few types of mechanoreceptors. Primarily the Ruffini End-organs and Interstitial mechanoreceptors that respond to sustained pressure. However, as we tend to apply our sustained pressure in a spot about the size of a thumb, we illicit a relaxation response back to about that sized area. This is wonderful when treating an
There had to be a better way to stimulate the nervous system to down-regulate hypertonic muscles. For decades, people have been trying to utilize the body's reciprocal inhibition mechanisms but were unable to achieve consistent and complete results. They were missing several key approaches necessary to get reciprocal inhibition to create complete and lasting change in a particular (target) muscle. Finally, just like someone had the insight to invent Velcro, an accomplished therapist, Lawrence Woods from Indiana, had the insights that allow massage therapists to quickly and easily stimulate the nervous system in such a way to relax an entire muscle and actually "reset" the local nervous system, normalizing the tonus in an entire muscle, usually within seconds. Not only is it easy to learn, its quick, pain free, and physically easy to perform. Results last as long or longer than traditional massage methods.
This system is called Neural Reset Therapy (NRT). Applicable to pain relief and for athletic performance enhancement therapies, NRT is utilizing up to six types of mechanoreceptors at once, through gentle movements and stimuli. It is truly working smarter instead of harder. A full NRT session creates a much deeper, longer lasting relaxation response than traditional clinical massage treatments. It requires no lubricants and can be done through clothing.
A truly amazing advancement in soft –tissue treatment, NRT is based entirely on neurological laws and anatomical, physiological, and kinesiological principles. It integrates into and with any other styles and forms of massage and bodywork. You owe it to yourself and your patients to learn NRT. It is growing practices by getting people out of pain. It is increasing career lives of veteran therapists because it is so easy to perform.
Check out this evolutionary soft –tissue therapy process at: http://www.neuralreset.net.
Two columns ago, I very poorly expressed a thought and painted with too broad a brush. I was pointing out the internal focus of AMTA-National and managed to offend many chapter volunteers. I was not intending to criticize chapter volunteers and I do not have a problem with them being compensated for their out-of-pocket expenses while serving. They earn it. Please accept my apology.
I commend all the volunteers in this profession and I assure you that most all of them will tell you that their volunteered time was challenging, but enriching and very beneficial to their lives and careers. My volunteer time in AMTA, AFMTE, and the Iowa Board of Massage were the best investments I made in my career. You must get involved to make a difference. All change requires growth and all growth is painful, but nothing ever gets better without change, be it organizations, careers, or individuals. Don't complain, get involved and be the change. Get involved in your state massage board and/or your AMTA state chapter. The establishment will welcome you until you challenge them. So, get involved, become valuable, and then start raising hell. You will make a difference and it is time for change to come – volunteer to be all you can be. Don't volunteer to serve the status quo, volunteer to change it and make life better for all, except the establishment.