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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.
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.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
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?
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.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
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.
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.
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
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.
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.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
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.
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.
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.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
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.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
Relax...the Thai Way!
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By Rebecca Wilkowski
According to the American Massage Therapy Association, people make more visits each year to alternative care practitioners (629 million) than to primary care physicians (386 million). With the cost of health care in the United States estimated to reach $2.2 trillion by 2008, it is no wonder Americans are looking for alternative ways to manage their health.
Recent studies show consumers visit massage therapists 114 million times each year, spending between $4 and $6 billion annually, making massage is one of the fastest growing segments of holistic health care in America today. It can be found everywhere from day spas and chiropractic offices, to health clubs and employee break rooms. The massage explosion can be attributed partly to the growing population of tired and aging baby boomers, and partly to an increased awareness of the effects of stress.
Research has shown that massage therapy has numerous benefits. It can reduce a person's heart rate, as well as systolic and diastolic blood pressure, boost the body's immune system, improve flexibility and range of motion, and assist with relief from stress, chronic pain, anxiety, tension, and depression.
For the majority of Americans, massage is simply a technique for inducing relaxation and stress relief. However, to the nearly 290,000 massage practitioners and students in the U.S., it is much more.
Massage is a generic term, which encompasses a wide range of techniques and styles of bodywork. They can range from relaxing to invigorating and may include hot stones, cold and hot packs or other tools to facilitate the therapeutic effects. While some types of massage use oils or lotions, others are given with the client fully clothed. Depending on the style, massage can be applied with a practitioner's feet, elbows or knees in addition to their hands.
The bodywork technique commonly known as Thai massage is an important component of an entire traditional medical system. Traditional Thai Medicine is a 2,500-year-old system of natural healing developed in the ancient kingdom of Siam, now modern Thailand. Traditional Thai medicine is composed of four major branches: herbal medicine, food cures and nutrition, spiritual practices and the manual therapies of Thai massage, or Nuad Bo'Rarn.
Examining the term Nuad Bo'Rarn is helpful in developing an understanding of this type of bodywork from the Thai perspective. The Thai word Nuad means to touch with the intention of imparting healing. The word Bo'Rarn, derived from the Sanskrit language, means something that is ancient, sacred and revered. Clearly, the intention is to describe something that encompasses a Western notion of massage, but extends far beyond a description of a series of techniques applied to the surface of the body.
Influenced by the rich, ancient traditions of India and China, Thai medicine's development and history are woven into the fabric of the spiritual tenets of Buddhism. Thai medicine was transmitted orally from teacher to student in the same way the treasured texts, or Sutras, of Buddhism were transmitted. Historically, the practitioners of the medicine were Therevada Buddhist monks who practiced their healing at the monasteries, or "Wats".
A key aspect of Buddhist philosophy that is expressed through Thai massage is the concept of Metta. Translated as "loving kindness," Metta is a core component of daily life for each individual seeking awareness on the path described by the Buddha. The practice of Thai massage and other healing work is understood to be a practical application of Metta. Thai massage demonstrates the Four Divine States of Mind as taught in Buddhism: Loving-Kindness, Compassion, Vicarious Joy, and Mental Equanimity. In Thai Therevada Buddhist philosophy, significant emphasis is placed on the practical application of spiritual philosophy; that higher ideals should be brought into everyday life activities and decisions.
Traditional Thai massage is based on an energetic paradigm of the human body/mind. Energy is thought to travel on pathways throughout the body called Sen, with specific points of energy on these pathways called nadis. Thai massage moves energy freely along these pathways, thereby facilitating balance and health.
Thai massage is an interactive therapy involving the gentle stretching of muscles with pressure from a practitioner's palms, thumbs and feet. It is usually performed with the recipient wearing loose fitting clothing while they lay on a cotton mat on the floor. No oils or lotions are used during the 90-minute session. In Thailand, it is not uncommon for sessions to last up to three hours!
In addition to stretching, Thai massage also emphasizes deep abdominal procedures. In Thai medical theory, all the major energy pathways of the body have their origins in the abdomen near the navel. It is believed that the health and vitality of the eyes, ears, nose, and mouth are dependent on the health of the abdominal organs and the unobstructed flow of bio-energy through and away from the abdomen. Whereas most Western massage instruction begins with technical procedures and specific anatomical information, Thai massage instruction begins with the imperative that the practitioner work in a concentrated and meditative state of mind, fully present in each moment. It is believed this level of consciousness can then be imparted to the recipient through the practitioner's touch.
The techniques of Thai massage are applied very, very slowly. It is impossible to work too slowly as long as there is some movement. The slowness of the practice facilitates the tendency toward mindfulness. Because many of the techniques require heightened flexibility of both the practitioner and recipient, the slowness significantly diminishes the chance for injury. With the practitioner working in such a way, they immediately become acutely aware of resistance and any discomfort for the client and are able to stop or amend the procedure before injury occurs.
Proper body mechanics are key in the application of Thai Massage. Often referred to as "assisted yoga", many aspects of a Thai session resemble those of yoga postures. While anyone can receive Thai massage, certain procedures should be eliminated if they are not appropriate for the recipient (i.e., certain stretches of the back and legs would be avoided for individuals with lumbar disc problems).
Thai massage has been utilized for centuries as an important healing tool in the treatment of a wide variety of ailments such as musculoskeletal problems, internal medical problems, neurological complaints and emotional distress. Its benefits include structural alignment, increased flexibility, and decreased muscular and joint tension.
Even for a novice, Thai massage can provide a good opportunity to achieve a state of deep mental and emotional equanimity, profound stress relief, and moments of sweet bliss.
(Published: June 2004)