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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.
News in Brief
ACA Exec. Vice President Out, Acting EVP In; F4CP Executive Director Retires; New ED Named.
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.
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.
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.
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.
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.
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.
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.
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 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.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
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."
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!
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.
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.
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.
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.
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.
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.
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.
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.
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)