A Guide to CBD Dosing: The Correlation Between Dose & Potency
There is an abundance of information available about the daily use of whole plant hemp CBD oil to help maintain and support a healthy lifestyle, however there remains a lack of sound guidance on CBD oil dosing.
The Top 5 Strategies to Manage Your Reputation Online
You don't need an acupuncture website anymore! Okay, maybe that statement is a little over the top. But it's not that far from the truth. A recent study on Google searches revealed that 34 percent of all searches resulted in no clicks at all.
Exercise Therapy Following Motor Vehicle Trauma (Pt. 2)
In cases of cervical spine trauma, particularly trauma related to a motor vehicle accident, my plan is to teach the patient one exercise per session and build a progression. This is an effective approach I call an "activation circuit."
A Soy Isoflavone That Packs a Punch: Genistein
Soybeans contains unique substances called isoflavones, most notably genistein and daidzein, which have been shown to block the buildup the dangerous type of testosterone in the prostate gland linked to prostate enlargement and prostate cancer.
Reaching for Our Roots: Healing Digestion With a Simple Traditional Therapy
Are you ignoring a powerful tool in your doctor's bag? Many acupuncturists realize that Spleen Qi deficiency has reached epidemic proportions in the U.S. Yet, we don't prioritize educating our patients about the importance of warm, cooked foods.
VA Chiropractic Reduces Veterans' Use of Opioids?
Utilization of pain medication – particularly opioids – has been massively high in among veterans for decades, but Veterans Administration guidelines that recommend nonpharmacological first-line treatment options create a greater opportunity than ever for VA chiropractors to make a dent in the opioid and overall pain-management crisis.
Knocking Down the Doors: Big Media Success for F4CP
Three articles authored by a DC or a chiropractic organization and promoting the value of chiropractic care – par for the course if you're Dynamic Chiropractic, but if you're Forbes, BOSS Magazine and Becker's Spine Review, three media outlets tailored toward high-level executives and decision-makers, we're talking about an entirely different story.
Bad for the Back! Exercises That Can Prevent Healing
The questions "Who gets well? Who doesn't? Why?" prompted the following observations based on my close to 40 years of chiropractic practice.
Reality Check: Do We Need to Try Harder?
While waiting for a flight to a recent chiropractic event, I overheard the ticket agent at the gate next to mine on his cellphone. His side of the conversation went something like this: "Where are you now? How long before you think you can be at the gate? OK, that will work, see you soon."
Map It: Understanding the Customer's Journey
One of the biggest marketing mistakes most practice owners or administrators make is not putting themselves in their prospective or current patients' shoes. How do they think and feel about you and your practice? What makes them take action?
Goodbye, Year of the Dog: Two-Thousand-Eighteen Comes to a Close
As Year of the Dog (2018) comes to a close we can look back and see the progress this profession has made. For example, the International Classification of Diseases (ICD) added traditional medicine codes, which were released in June.
The Raw Food Debate: Practitioners Discuss Nutrition & TCM
Licensed acupuncturist and fellow blogger Elissa Gonda joins this month's column for a conversation about raw food diets. She brings her perspective on the healing potential of a raw primal diet.
Cynicism and Burnout: It Can Happen to You
Trying to achieve fulfillment as a doctor in today's health care environment is a "rigged game" and physicians are programmed to burn out. At least this is the opinion of Dike Drummond, MD, in his thehappymd.com blog.
Malpractice Insurance: Understanding the Cover Letter
Purchasing medical liability insurance is quick, easy and not terribly expensive. The benefits are clearly listed on a certificate—but do you really know what you are getting with that peace of mind?
2018 Gallup-Palmer Report: Key Findings
The fourth annual Gallup – Palmer College report is out; here are some of the key findings excerpted directly from the executive summary regarding Americans' experiences with chiropractic care relative to the management of neck and back pain:
The Truth About Malpractice Claims Against DCs (Pt. 1)
Over the past 20 years of active practice, I have seen a number of scary case scenarios regarding signs, symptoms and patient presentations in my office. These presentations scream, This patient is going through an event or This patient does not need chiropractic care, they need emergency care.
A New President for AOMA: A Conversation With Mary Faria
Dr. Faria was formerly a health care executive for over 30 years, the last 17 of those years as vice president and chief operating officer of Seton Southwest Hospital in Austin. She chairs the board of Austin Mayor's Health and Fitness Council.
Dietary Supplements That Help Restless Leg Syndrome
It is estimated that 7-10 percent (possibly up to 15 percent) of the U.S. population has restless leg syndrome. It is a bit more common in women than men.
Year in Review: DC's Best of the Best for 2018
As 2018 winds down, let's highlight the most popular articles in Dynamic Chiropractic by month (December – this issue – excluded, of course).
Acupuncture in Hospital Systems: Transitioning From Tolerated to Celebrated
I've had the pleasure of working with Susan Luria, Director of University Hospitals Health Systems Connor Integrative Health Network (CIHN) for the past year on the Integrative Health Policy Consortium (IHPC) Board of Directors and Federal Policy Committee.
VA Choice Claims Denied? Here's How You Can Get Paid
The VA Choice Program (PC3 as well) indeed pays for chiropractic care including manipulation (CMT 98940-98943) and some physical medicine services.
ACA Champions H.R. 7157; ICA Voices Major Concerns
While the American Chiropractic Association recently penned an open letter – signed by not only the ACA, but also the Congress of Chiropractic State Associations, Association of Chiropractic Colleges, Clinical Compass and a number of state associations.
News in Brief
A Comprehensive Model of Spine Care; Dr. Christine Goertz Appointed Vice Chair of PCORI Board of Governors.
Acupuncture is a Science-Based Medicine
A longstanding patient of mine came in for a routine treatment after she recently began seeing a chiropractor for neck pain. She saw him a couple of times and wasn't getting the relief she had hoped for, so he recommended she let him do dry needling.
Electrotherapy Gives Hope for Patients With Spinal Cord Injury
There has been little optimism for recovery from a spinal cord injury because the central nervous system does not repair itself well. The severity of the injury depends on the affected area.
A Simple Miracle: Treatment for Mysterious Foot Pain
Under the old ICD-9 diagnosis codes, there was actually a diagnosis for "adventures in medical mismanagement" to describe patients who had been run down the rabbit hole of poor case management and care. I encountered one of those patients in my office today.
December, 2005, Vol. 05, Issue 12
Stay in Touch With ... Swe-thai: A magical massage for both client and therapist
By Margie Meshew
"Stay in Touch With" is a periodic column designed to provide an overview of a particular technique or modality. If you would like to contribute to this column, please email .
Hands on therapies are the wave of the future.Business is booming and Massage Therapists are busier than ever. Trying to keep up with the demand is a wonderful problem to have, but it's becoming increasingly apparent that massage therapists are in need of a massage as much or more than their clients.
Massage Therapist injuries are on the rise. Some might even say it's becoming an epidemic. Unfortunately, most practitioners will look for ways to alleviate pain and exhaustion after the fact instead of finding ways to prevent it from the beginning. We teach our clients this known fact and yet we as professionals don't necessarily adhere to it ourselves. In essence, we are athletes and just as preparation, form and style are crucial to an athlete's performance and longevity, the same applies to any hands-on practitioner. For that reason, it would only make sense for us to examine our performance the same way any professional athlete would. We need to do all we can to reduce the strain on our bodies enabling us to work longer and more effectively without sacrificing the client's treatment. Let's start by examining the same three principles and how they pertain to Massage Therapists: Preparation (Stretching, Center Ourselves, Breathe Control); Form (Posture, Alignment); and Style (Combining Forces, Using Slower Movements).
Although these crucial points might seem basic to most practitioners, what we know and what we do often are two entirely different things. Western practitioners can benefit tremendously by incorporating eastern philosophies into their daily routine. This is what inspired the creation of Swe-Thai Massage.
Swe-Thai is a unique style of massage that magically blends the ancient Eastern knowledge of a highly revered form of medical massage with specific, advanced soft tissue therapies. Swe-Thai is not just performing Thai massage on the table, but blending many of its techniques and theories with proven and highly effective Western treatments. The Swe-Thai routine was designed specifically to treat general neck and back conditions. When utilized properly, the biomechanically correct techniques allow the therapist to perform much more concentrated work without sacrificing their palpatory integrity. While other types of massage therapy might use similar techniques, the magic found in Swe-Thai massage is not just in the techniques but more so in the unique marriage of eastern and western hands-on therapies.
The ancient healing art of Traditional Thai Massage dates back over 2,500 years and was considered a spiritual practice connected directly to the teachings of Buddha. Its earliest roots lie not in Thailand, but in India. Thai Massage was traditionally performed with a mat on the floor in many of the temples of Thailand. The client would remain fully clothed except for the feet. Clothing needed to be loose enough to allow for flexible movement. Typically, no lubrication is used in this 2 to 2 1/2 hour routine. The techniques commonly used in Traditional Thai Massage consist of pressure being applied to energy lines, the treatment of acupressure points and passive yoga style stretching. The energy lines in Traditional Thai Massage are referred to as sen lines. It's within those lines that the acupressure points are found and treated. In theory, over 72,000 of these lines exist in a person's body, although only the 10 main lines typically are treated. Because Thai Massage works with the energy body, the sen lines are the basis for this form of medical massage.
Traditional Thai Massage often is referred to as Yoga Massage. There is a distinct connection between Hatha Yoga and Traditional Thai Massage. Many of the postures found in Thai Massage have an undeniable similarity to Hatha Yoga. This beneficial style of stretching is a large part of Thai Massage.
The giving of a Thai Massage is understood to be the physical application of loving kindness known as "Metta." It should be performed in a meditative state of mind, which eventually will enable the Thai Massage Practitioner to develop an innate intuition to better treat the specific needs of each individual person. The master teachers of Thailand continually reinforce this method of working slowly and in a meditative state of mind. Also, extremely important is the use of proper body mechanics which consist of working always with a straight spine, straight arms and using the weight of your body to press down.
Practitioners at work in Thailand make it quite apparent that size and strength have little to do with their ability to apply the correct pressure. At first glance, it might even appear as if they are performing an effortless meditative dance rather than a highly effective therapeutic massage.
With this in mind, let's look at how the marriage of Western and Eastern philosophies applies to the three principals mentioned earlier and how they are incorporated into the Swe-Thai Massage routine.
Preparation: At ITM (Institute of Thai Massage) in Chiang Mai, Thailand, it's customary for the Thai Practitioner to warm up for the day with an hour Yoga/ Tai Chi routine. Stretching and meditation is beneficial not just to warm up and prepare the body, but also the mind. Even as little as 15 minutes of stretching will help prepare you for your days work and minimize the chance of injury or strain to your body. Some Swe-Thai Massage techniques require a moderate amount of flexibility, so some type of warm up is essential.
To center and ground one's self, proper breathing is essential. It's believed that a deep controlled breath in through the nose and out through the nose is considered not only cleansing, but also creates power, endurance and relaxation for the practitioner. In order to perform the Swe-Thai Massage effectively and induce a meditative state of mind, the therapist needs to work slowly and methodically.
Form: By incorporating these new postural habits into your hands-on therapy, your body will experience an amazing supply of energy and resilience. 1. Always try to position your body over your working hand. 2. Maintain a stable and comfortable base for yourself by trying to keep your pelvis aligned with your shoulders and your spine straight. 3. Bracing your body against the table aids in the protection of your lower back.
Style: Combining two forces allows for optimal movement and strength. For example, taking a client into a stretch in and of itself could be strenuous on your body, depending on the client's flexibility and size. By applying a popular Thai Massage technique known as a forearm roll with that stretch, the client receives two techniques in one, flowing movement and the strain to your body has been diminished. This technique is just one example of many that make Swe-Thai Massage so unique. Slower movements require the therapist to focus on the area being treated and the client. This simple process is the core of Swe-Thai Massage.
In conclusion, regardless of what path you've chosen to walk as a Therapist, remember your body is your primary tool. If you treat it well and use it correctly, you will have a long and prosperous career.
Margie Meshew has been a licensed massage therapist since 1989, and has been teaching massage for more than 12 years. She is a Traditional Thai Massage instructor and received her teacher certification from the Institute of Thai Massage in Chiang Mai, Thailand. In 2001, she developed Swe-Thai Massage, which became the subject of her first top-rated video. In addition to massage, she is a certified Hatha Yoga instructor and is Reiki I & II certified. Her latest work, Table Thai, A Comprehensive Massage Routine now is available on video.
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