Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
July, 2015, Vol. 15, Issue 07
Have Chronic Headaches? Get a Massage
By Massage Therapy Foundation Contributor
Contributed by Jolie Haun PhD, EdS, LMT; Beth Barberree BA, RMT; Derek Austin, PT, DPT, MS, BCTMB, CSCS
Chronic headaches can be debilitating. Though it seems intuitive that massage therapy may be an effective treatment for chronic headaches, little research has been conducted to validate the use of massage therapy for managing chronic headaches.In this month's research review provided by the Massage Therapy Foundation, we take a closer look at one research team's attempt to examine massage therapy as a nonpharmacological approach to treating chronic headaches. Quinn and colleagues conducted a pilot study with individuals to "determine whether a regimented massage therapy program could have beneficial effects on the frequency, intensity, and duration of pain associated with chronic tension headache."
Though the cause of chronic headaches is unclear, evidence cited by Quinn and colleagues suggests that these headaches may originate from sustained contraction of head and neck muscles, resulting in local nutrient deficiencies due to ischemia. Ischemia can generate trigger points within muscles, which can remain contracted for an extended period of time and collectively result in a tension headache. Because the activation of myofascial trigger points has been implicated as a cause of headaches, the authors focused on the role of trigger points in treatment of chronic headaches with the hypothesis that reducing trigger point pain may result in decreased headache pain. Quinn and colleagues suggest massage treatments that aim to increase blood flow to tissue may reduce the activity of a trigger point. Thus, it is possible that headaches that have this origin may be reduced with massage therapy.
Ten chronic tension headache sufferers participated in an 8-week study beginning with baseline headache measures recorded for the first 4 weeks that allowed each participant to serve as his or her own control. In the remaining 4 weeks, the participants received 30-minute massage therapy sessions twice a week. Each participant was asked to complete a nightly logbook in which they recorded their number of headaches, intensity of most severe headache, and duration of longest headache for each day. Headache intensity was measured using a visual analog scale (0–100mm; 0 = no pain; 100 = most pain).
The treatments were directed toward neck and shoulder muscles, specifically the "upper trapezius, sternocleidomastoid, suboccipital, splenius capitis, levator scapulae, and temporalis." The massage protocol consisted of six distinct phases within the 30-minute time frame: preparatory tissue warm-up; myofascial release; axial cervical traction; trigger point therapy procedure; facilitated stretching techniques; and session closure. The full article provides complete detail of each of these phases of the treatment protocol.
Due to incomplete data, data was analyzed for four of the original ten participants. Within-subject analyses (i.e. participants are their own control) indicated headache frequency was significantly reduced within the first week of the massage protocol, which held for the remainder of the study. Though not statistically significant, duration of headaches decreased during the massage treatment period (p = .058). Headache intensity was unaffected by massage treatments.
Anecdotally, on four occasions when a participant began the massage session with a headache, the headache was alleviated by the end of the 30-minute treatment. This suggests that massage administered during a headache episode might result in immediate beneficial effects and that patients should be instructed in appropriate self-massage techniques.
Overall, Quinn and colleagues suggest, "The muscle-specific massage therapy technique used in this study has the potential to be a functional, nonpharmacological intervention for reducing the incidence of chronic tension headache." Notably, they suggest the protocol was successful in reducing pain associated with chronic tension headache, but they cannot state the massage portion directed at relieving trigger point activity was the causative agent rather than the stretching or relaxation techniques.
Implications for Research and Practice
The most impressive aspect of this study is the highly standardized massage treatment protocol. The authors recognize that the protocol complicates the question of which component of the treatment was most effective. While this research does not clarify what is the most effective massage technique for headaches, the overall protocol was shown to be effective at treating chronic headache symptoms. The authors suggest that treatment protocols validated for their efficacy can be later examined to determine which aspects of massage have a clinically significant therapeutic contribution.
Though this pilot study is unique in its examination of chronic headaches with a highly standardized protocol, its usefulness is greatly limited by its extremely small sample size. With only four subjects used for analysis, there is almost no power – proof of validity – in the findings. Though this may sound discouraging at first, it is important to realize that small studies such as this one provide foundational knowledge to determine if a large scale study is warranted. In the case of this pilot study, data indicate that the use of massage therapy as a nonpharmacological treatment for chronic headaches is worthy of further exploration.
Practitioners now have a data to support the recommendation of massage therapy for the treatment of clients with chronic headache pain. Furthermore, maybe the greatest contribution of this publication is the detailed protocol. Massage and bodywork practitioners may find the detailed protocol used in this study useful for delivering a standardized treatment in their own practice. This study, and others like it, continue to support the ever-expanding scope of conditions for which massage therapy can be delivered as an effective nonpharmacological adjunctive treatment to alleviate pain and suffering.
Are you interested in learning more about the uses of massage therapy to alleviate pain and promote wellness? To learn more about the effects of massage therapy, you can review the Massage Therapy Foundation review article archives, read accepted MTF Research Grant abstracts, or search PubMed for massage therapy studies.
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