The Opioid Crisis Hits Home: An Acupuncturist's Inside Perspective of Addiction Treatment
My husband and I have four grown children, but we still sleep with a phone next to our night stand just in case they need us. But nothing could have prepared us for a 1 a.m.
Power of the Talk: A Simple Way to Attract New Patients
One of the most effective ways to bring patients in predictably, especially if you enjoy teaching, is by doing talks. Talks can also bring in another stream of income beyond just seeing more patients one on one.
Who's the "Father of Corrective Traction" in Chiropractic?
History teaches that a Presbyterian minister, Samuel Weed, coined the name for the profession of chiropractic from the Greek cheir for "hand" and praktos for "done."
How to Reduce Metabolic Endotoxemia
Approximately 50 percent of the Western population suffers from a condition known as metabolic endotoxemia (ME). The condition is characterized by increased serum endotoxin concentration during the first five hours of the post-prandial period.
The Medicine of Peace in a Land of Conflict
We often read about violence, despair, and political stalemate between Israelis and Palestinians. It's easy to feel overwhelmed and pessimistic. And yet there are Israelis and Palestinians working together to transform conflict into cooperation.
Weight Watchers Goes Wellness
Goodbye Weight Watchers, hello "WW." The company has changed its name to reflect its new WW brand not only on its website, but also on every aspect of its public expression, including every studio.
ACA, ICA at Odds Over H.R. 7157
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.
Winter Joint Health: Looking at Seasonal Influences
One of the most common clinical issues I see during the winter season is joint / muscle pain. These issues often appear due to the activities of winter sports or may appear due to seasonal influences on old chronic injuries.
An East & West Perspective on Sleep
You, your patients, and people all over the world are sleeping less. In 1979 a team led by American psychiatrist Daniel Kripke did a large-scale study of over a million people, which indicated that most people slept between 7-8 hours.
Dehydration ... A Commonly Overlooked Etiology
Water covers 71 percent of the earth's surface. It's found in every living organism and is considered the "universal solvent," yet we take it for granted as the foundation for optimal health.
Historic Farm Bill Provisions Legalize Hemp ... and CBD?
Until recently, hemp was classified as a Schedule 1 drug per the federal Controlled Substances Act, putting it in the same class as marijuana (and heroin, by the way).
Electromagnetic Hypersensitivity and the Science of EMFs
Movement of planet Earth's molten iron core generates a weak static geomagnetic field that varies in strength over millennia but currently ranges from 0.25 to 0.65 gauss. This is the native field in which all life has evolved.
3 Tips to Get New Patients After a Talk
One of the most effective ways to bring in new patients predictably, especially when an acupuncturist enjoys teaching, is by doing talks. It can also bring in another stream of income, beyond just seeing more patients one-on-one.
Differentiating Qi Under the Needle (Part 2)
While classic sages have said a lot on this topic, I will share my own experience with the sensations under the needle with you. You, in turn, will also need to gain your own understanding of them through daily clinical observation, thinking, and practice.
Neuroscience 101: Understanding Opioid Addiction and How Chiropractic Can Help
Opioids now account for nearly two-thirds of all overdose-related deaths in the U.S. This insidious bane is no respecter of gender, age, race or ethnicity, with nearly all categories experiencing increases.
Case Study: Forefoot Pain
Patient presents with a history of forefoot pain. Discomfort has become worse in the past six months. He has difficulty completing his four-hour shifts as a part-time hairdresser.
Pain in the Butt (Pt. 1)
Many of my patients (and probably many of yours) come in with pain and/or tenderness in the buttock region. First, I assess where the painful and/or tender spots are located and what these points represent.
Flying Into the Year of the Pig: Making Way for the Impossible
The first of the new year has passed, and some of our New Year's resolutions may have already come and gone. Fortunately, we will celebrate the Chinese New Year this month, and will welcome in the Year of the Pig.
Quickie Seminar Adjustments Have No Place in Chiropractic
Recently, I observed chiropractors treating each other in the vendor area at the annual meeting of a chiropractic association. "Quickie" chiropractic adjustments and other hands-on procedures were administered without appropriate history taking, physical examination, diagnosis or informed consent.
The Role of TCM When Treating Mental Illnesses
Mental illness is common in the U.S., nearly 20 percent of adults live with a mental illness which vary in degree of severity—ranging from mild to moderate, to severe. It is not exaggerated to say that mental illness is an epidemic.
Simple Screening Tests for Stroke and Other Brain Lesions
The drift test, arm rolling and finger rolling are three useful assessments in the identification of upper motor neuron dysfunction.
Top Social Media Do's & Don'ts for Chiropractors
For years, health care practitioners have avoided embarking on the social media highway, primarily due to patient HIPAA privacy issues and the time needed to give the process due diligence.
Outcomes for Any Occasion
Outcome assessment tools (OATs) are a necessary part of documentation and patient care. They are used to show patient progress and help practitioners show changes as a result of their treatment interventions.
Quick Sacroiliac Assessment: Treating Different Types of Pain
The lower back is a generator for a number of types of pain. The lower back involves several different articulations – the lumbar spine with vertebral bodies, discs, and facets – the sacroiliac joints – and the lumbosacral junction.
Know Your Clinical Flags: 5 Different Colors to Consider
In health care, the term red flag is used to describe signs and symptoms that can indicate the presence of serious health conditions. These conditions generally carry an increased likelihood for serious complications, disability or even death.
September, 2014, Vol. 14, Issue 09
Gentle and Effective Touch for Frail Elders
By Ann Catlin, LMT, NCTMB, OTR
While many massage techniques have been found to alleviate pain, foot and leg massage may be especially effective for elders who may not tolerate other forms of massage. Foot massage is non-invasive and considered "boundary-safe," meaning that it respects the personal space and dignity of the elder who may not have experience with receiving massage.It has been my experience that most elders are comfortable with having their feet rubbed. Except for shoes and socks, no other clothing need be removed in order to provide the nurturing effect of skin-on-skin contact.
Massaging the feet is also a powerful gesture of service. There are subtle associations of truly serving the elder when sitting or standing at the feet to provide caring and compassionate touch. The interpersonal dynamic shifts from a caregiver doing a task to serving the person. It conveys honor and respect.
Foot and leg massage contribute to both the alleviation of the physical sensation of pain and the individual's perception of the pain experience. The general benefits include:
Center yourself. If you are calm, the quality of your touch will be enhanced and you will enjoy the session more. Centering need not take but a few seconds. Take a deep breath and ground yourself before initiating the touch session.
Touch Quality and Intention
All forms of touch have quality and intention. The qualities are the physical attributes of your touch. For example, your touch may be warm or cold; firm or light; fast or slow; rhythmic or sporadic. The intention is what you communicate or convey through your touch, such as touch used to communicate caring; to guide someone; to greet a friend.
In the foot and leg massage instruction that follows, the qualities of the touch are:
The intention is to offer non-invasive alleviation of pain and discomfort and provide supportive one-to-one focused attention.
The following protocol represents an effective 10 minute session — five minutes for each foot and leg for an elder who is sitting in a recliner with the footrest elevated. The length of time or number of repetitions that you apply any stroke is determined by the individual tolerance and response of the elder receiving the massage.
First, position the elder to provide support and comfort for the massage. Place a pillow under each arm to support the upper body. Place a towel under the feet to protect recliner upholstery.
Second, begin the massage with focused touch. Focused touch is touch that is given mindfully and with awareness of your intention of why you are providing the massage. It's a time to center yourself; to calm your mind and to focus your attention on the individual you are touching.
The third step is to establish a flowing stroke. Using pressure similar to that used to apply lotion, flow your hands from the knee down the leg, encompassing the entire foot. Repeat two to three times.
Make sure you apply lotion to the leg and make full contact kneading on the leg (modified petrissage). This stroke is using small circular motions with the flat surface of your hand — the palm and the flat surface of your fingers. Using the flat surfaces distributes the pressure, increasing the safety and comfort of massaging the frail body or thin skin. Start distally and work up to the knee. To transition back down you can use a flowing stroke. Massage the foot using full contact kneading with your palms. You may use the full surface of your thumbs in a circular motion on both the bottom and top aspects of the foot. Apply these circular strokes to the entire surface of the foot—heel, arch area and ball of the foot, as well as the top aspect from the toes to the ankle. Gently knead each of the toes if there are no contraindications such as fungal infection.
Then, repeat entire sequence on other leg and foot. After massaging both legs and feet, end the session with a bilateral flowing stroke to bring balance to the two sides of the body. When closing the session, return to the starting point of focused touch so that you end the massage mindfully as when you began.
Precautions and site restrictions for foot and leg massage:
When one or more site restrictions exist, one of the following options can still provide safe benefits through touch. Massage around the affected site. Massage a different part of the body not affected by the condition.
Use only focused touch or holding. Through the power of touch, you become actively involved in a meaningful effort to increase the quality of life of those in your care. And since the gift of touch flows two ways you, too, can enjoy the mutual benefit of touch.
Click here for previous articles by Ann Catlin, LMT, NCTMB, OTR.
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