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News in Brief
Controversial Florida PIP Law Under Review; D'Youville Chiro. Students Learning Art of Co-Managing; And the Award Goes To...; F4CP Recognizes Major Contribution by ChiroTouch.
Why You Should Get to Know the National Vaccine Information Center
Barbara Loe Fisher has been a diligent advocate for providing parents with the information necessary to make informed decisions regarding the usage of vaccinations for their children.
Remembering Joe Weider (1920-2013)
With the death of Joe Weider, the world's most famous body-building visionary, crusader, fitness magazine publisher and icon, on March 23, 2013, chiropractic has lost one of its greatest friends and supporters.
Chiropractic: The Right Choice for Relieving LBP
"Low back pain (LBP) is a common threat to medicine and a reasonable threat to all national health care systems. ... Reducing ineffective treatments is necessary to decrease the LBP associated costs."
Helping Infertility Patients with the Spirit Essence
As many of you know, when it comes to treating infertility, we are dealing with a patient population that is, generally speaking, in emotional turmoil. These patients often experience fear, anxiety, despair, hopelessness, grief and anger.
You are What You Eat Part II: Integrative Protocols
In the previous installment of this article I discussed important ideas concerning gastrointestinal health and foundational ideas from TCM, which can provide key insights into creating effective protocols for healing the gut.
Going Shoeless: The Pros & Cons of Barefoot Running
With the subculture of barefoot runners and the products catering to them growing daily, just about every chiropractor has been asked at one point or another about their opinion regarding barefoot running.
SOAP Notes: It's Time for a Cleaning
I have been planning for some time to write an article about how traditional SOAP notes do not fit chiropractic practice, and the unfairness of holding DCs to a model clearly created for and primarily applicable to medical physicians.
Happenings in Our Evolving Profession
Good things seem to be happening for our profession and recent developments show we are all on board. Talking about being on board, this September The Veterans Express-Purple Heart Tour is expected to make its way out of the station.
What the Science Says About Magnesium Stearate
It's often been said that scientific studies can be used to support just about anything. But discoveries are never made one study at a time.
The Potter's Wheel: Reflections on Practicing in a Technology-Driven World
In my very early years of practice, an older patient named Cora would call me at home, usually late Sunday night after she had consumed an unknown quantity of beer.
Research Abstracts From the Journal of Manipulative & Physiological Therapeutics
Effect of Pain Relief on Lumbar Muscle Function and Activation; Effects of Thrust Amplitude and Duration of HVLA Spinal Manipulation; Immediate Effects of Upper Thoracic Manipulation on Cardiovascular Response.
Peer Points: Stories of Practice Success
When patients go see Arizona-based acupuncturist Jing Liu, it is to get top care from an practitioner well versed in all aspects of Traditional Chinese Medicine.
Herbal Medicine: Go Mainstream
When it comes to practicing herbal medicine in a mainstream setting, there are a number of important points to understand when it comes to prescribing formulas. Some important questions to ask are - what method of prescribing and dispensing is most effective in this setting?
What They Don't Say Could Hurt You
I have written previously regarding the difficulties of drawing information from patients who are poor historians, forgetful or just plain uncooperative. The thought to revisit the topic occurred recently during preparation for an upcoming seminar.
There Are No Secrets: Treating Complicated Conditions with TCM
Including standardized extra points, there are just over 400 acupuncture points on the body. You get 400 and I get 400 - same. Yet, time and time again treatment protocols are coveted as if they were some secret formula only intended for the right and privileged.
Economics of Complementary/Integrative Care
Although this column doesn't usually feature a book review, we're going outside of our usual public health format to discuss a new book written by Patricia Herman ND, PhD.
Some Thoughts on the TMJ
The temporomandibular joint is an interesting and dynamic articulation that can cause a lot of problems.
We Get Letters & E-Mail
Patient Perception and the Farce of "Fast Relief"; A Fly in the Ointment; Persecuted for Choosing to Practice Chiropractic.
Helping Patients Through Pregnancy Loss
There is a lot of focus in the acupuncture world on fertility and helping women get pregnant. It's exhilarating to hear the news that a patient is expecting a baby. The other side of that is pregnancy loss. That includes abortion, miscarriage or stillbirth.
Have a Heart: Say No to Soda
It's not enough that soft drinks and other sugar-sweetened beverages have been linked to cavities and weight gain, among other negative health consequences.
Side Effects From Big Pharma: Wellbutrin – Dangerous for You and Your Baby
Are some of your pregnant patients taking Wellbutrin? If so, it could be a danger to them and their baby. This drug is extremely popular, but it has a serious history.
The Spirits of the Points: The Gall Bladder Official
The Gall Bladder is known as The Official of Decision Making and Judgment. In any given day, this Official makes countless decisions – conscious and unconscious, which influence every aspect of our being.
Energy is a hot commodity. Society pays dearly for it and for the expertise of those who know how to cultivate it.
Correcting Kid Logic in Health Care and Research Design
A recent broadcast on public radio described a fascinating phenomenon known as kid logic.
A Building Block of Healthy Aging
Coenzyme Q10 has gained enormous attention in recent years, and with good reason —it's the Energizer Bunny of the cellular world.
Let's face it – patient evaluation takes time. Unless you are really into the diagnostic evaluation game, you probably have found the formal exam protocol tedious if not downright annoying.
Are They Finally Fixing Medicare Reimbursement?
Even with federal sequestration cuts taking effect in March, including a 2 percent reduction in Medicare reimbursement to health care providers, hope may be on the horizon in the form of a much-anticipated, perpetually suggested overhaul of Medicare's Sustainable Growth Rate formula, which serves as the basis for determining physician reimbursement.
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)