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Spotlight on Acupuncture Research at IRCIMH
Acupuncture and Traditional Chinese Medicine were well-represented at the International Research Congress on Integrative Medicine and Health (IRCIMH)- 2014 which took place in Miami from May 13–16.
Healing With Simple, Healthy Food
When it comes to your health, there is no better way to take control and create positive outcomes than by focusing on diet and lifestyle. As chiropractors, you know the power that regular self-care has for your patients.
The Gluteal-Knee Connection
The underlying causes of knee pain and dysfunction are rarely isolated to the knee. The knee is a relatively stable joint with limited intrinsic ability to adapt to aberrant motion.
Primary Lateral Sclerosis: A Condition With a Chiropractic Connection
Primary lateral sclerosis (PLS) is a slowly progressive, adult degenerative disease of the upper motor neurons characterized by progressive spasticity or stiffness. It is a clinical diagnosis that has been avoided because it is (largely) a diagnosis of exclusion.
F4CP: New Campaign to Promote Chiropractic as a Career
The F4CP has announced a "targeted cooperative campaign" that will engage doctors of chiropractic and chiropractic students, as well as chiropractic colleges, chiropractic media, state associations and vendors, to encourage DCs to recommend a chiropractic career to patients, family and friends.
Talking to Skeptical MDs: "Just the Facts, Ma'am"
The first lesson in public speaking is to know your audience. This is particularly applicable when talking to skeptical medical doctors about chiropractic. You have to understand where they are coming from and speak the language they understand.
Super Bowl Chiropractor
With opening night of the 2014 National Football League season only a month away, what better time to talk to Dr. Jim Kurtz, team chiropractor for the defending Super Bowl champion Seattle Seahawks?
Best Practices for Website Success
If one asked 10 years ago whether a website was relevant I was the first to suggest no. Yet as the world moves increasingly towards electronic information there is a dire need to have a website for your practice. Your website is actually your electronic calling card.
Getting Athletes Back in the Game: Low-Level Laser Therapy for Sports Injuries
Sports injury rehabilitation is all about getting back in the game quickly and with optimal health. A relatively new tool for the treatment of sports injuries is finding global success, and it is doing so in a fast, efficient way.
Offline Marketing Techniques: Opportunities to Help Grow Your Business
In a world becoming increasingly dominated by connected devices, when we think of marketing, we often think of online and social media marketing. Considerable attention is given to Facebook and Twitter, as well as CPC [cost-per-click] advertising.
Healing With Hope
Ella is a Gulf War veteran and a survivor of military sexual trauma. Like hundreds of veterans, Ella was on 11 different medications for depression, anxiety, insomnia, irritable bowel syndrome and chronic pain.
Not Another Typical Drug Company Lawsuit
It's becoming more common to see drug manufacturers negotiate "false claims" settlements for millions and billions of dollars.1-2 Most of these settlements have to do with violations in the marketing of the drugs they produce and sell.
Post-Concussion Patient Care: Relevance of the Chiropractic Adjustment
There is a widespread understanding within the profession of the general guidelines for care of the concussion patient. These include guidelines for physical and cognitive rest, return to normal activities and so forth.
Deciphering The New CMS 1500 Claim Form
Q: I am confused on using the new 1500 form, particularly Block 14 and Block 15. What is required and how do I properly fill these out? And do I actually have to use this new form or may I continue using the old version?
Looking Back: Abstracts From Chiropractic History
D.D. Palmer's Technique for the Posterior Apical Prominence; An Early Attempt to Achieve Consensus on Subluxation; Chiropractic Subject Headings: Past, Present and Future; Mabel Palmer: A History of Chiropractic That Almost Wasn't.
The Kidney Official
The Kidney is known as the Official Who Controls the Waterways. In Western medical terms, a major function of the Kidneys is to filter the blood. Every day, a person's kidneys process about 200 liters of blood to sift out about two liters of waste and excess water.
Hazards in the Environment Making Your Patients Sick
Working both separately and together, Western and Chinese medicine have many successes in the treatment of the myriad diseases that afflict human beings in modern times.
Resolving Medial Arch Suspicions: The Navicular Drop Test
Healthy feet have three distinct arches: medial longitudinal, lateral longitudinal and anterior transverse.
Medical Qigong for the Heart: Part II
Chinese Medicine is rich in commentary regarding the emotions and how they affect our qi.
Advice for Young Doctors
When I began practice, I was just shy of my 25th birthday. I was young and I looked it. I had been told this would be a problem when starting a practice – and it was. Older patients often paused when they entered for care.
The Acupuncture Success Express
Time is passing very quickly these days. We are atoms half the way through the year of the horse. You could call it "horse racing season" for this profession. Perhaps it is time for reinvention during this time.
Inside Liver Failure, Cirrhosis and Cancer
The Liver belongs to Wood in Five Element Theory and is in charge of Dispersing and Expanding which means all the processing and detoxifying of harmful substances such as medications and chemicals require the efforts of the Liver.
January, 2014, Vol. 14, Issue 01
Help Wanted: A Call for More Oncology Massage Specialists
By Mia Miller, LMT
I am eager to see a dramatic rise in the number of massage therapists specializing in oncology massage. Consider this a call to action. Reviewing Gayle MacDonald's opening to her book Medicine Hands, "As patients travel the road of the cancer experience, they will have pain that the best medications cannot totally alleviate, their self image will be shattered, they will suffer from lost relationships, anxiety about the future and possibly a sore back from lying too long on a gurney." Here, she describes the deep and penetrating unease that is familiar to many with cancer.She doesn't say it exactly but, as a therapist, I see this as an invitation to utilize the power of presence when with a patient to affirm the fact this person we hold is dealing with more than a physical battle, but a threat that is often enigmatic and silent, difficult to share but with skilled touch, capable of being acknowledged and soothed for a time. It's teachers like Gayle MacDonald (through her texts) and Tracy Walton (her class) who have set the tone for much of my practice of oncology massage and encouraged me to use the movement of my hands over a sore back to both ease pain while affirming and celebrating the life of another.
An Early Career Choice
I discovered my desire to work with clients going through cancer when I was still in training at the Swedish Institute in New York, so the seed was planted early on in my career. I was in a clinical strategies class and writing a research paper on Hodgkins Lymphoma when I was introduced to a young lady in her mid-20's, who two years prior received this same diagnosis. She agreed to share her experience with me. During our afternoon together, I came to know better the various forms of psychological and physical distress she'd suffered as she went through treatment; the neuropathy that lingered in her hands and forearms, the weight and hair loss, ongoing GI distress, chronic fatigue and anxiety, poor sleep, hardened shoulders and increasing neck tension. She knew I was finishing up my training in massage therapy and lamented as she said, "I wish I had known I could have been getting massage when I was going through treatment." I heard her aching for the kind of care we can provide.
Within a year, I was in Seattle training with Tracy Walton in order to be clinically prepared to serve this growing population. I was so clear on the efficacy of the work we therapists could do and the need for our inclusion in comprehensive cancer care. After my oncology massage training, I came back to Los Angeles charged and ready to apply all I had been exposed to and to implement the protocols and think through the various options for treatment. I instantly felt I could establish a meaningful rapport with the various intake questions I had learned to ask and the critical pause of giving space for clients to share their difficult experiences. Many clients felt they could open up when asked to share the side effects of chemotherapy they'd been trying to manage or hopeful when wondering, could our work together help them feel less anxious or sleep better later that night?
Taking the Journey
Around this same time, I volunteered at Roze Room Hospice where many of my referrals were at the end stage of cancer, a wonderful plane in which to be introduced to the deeper emotional connection of our work. It seemed serendipitous that most of the children I saw at Children's Hospital of Los Angeles were in the rehab unit with a cancer diagnosis and finding their way to a new normal. The families were often right there during the massage and were sometimes soothed by the work in a vicarious way or able to learn a technique or two from me to try later on. I see how introducing comforting, skilled touch brings families together in a unique way and allows for a way to communicate without traditional dialogue.
Oncology massage allows me to think critically and problem solve, while engaging real nuances of our hands-on work in a way that is very energizing and provocative. I enjoy the need to monitor my pace and pressure particularly when I am establishing a baseline with a first time client. I honor the compromised lymphatic system and work mindfully in quadrants of the body that have even one lymph node removed so as to protect against lymphedema. I approach my work with more attention in several special ways and this benefits both of us. It's wonderful to see clients gain freedom of movement after scar tissue has been realigned or light up as they describe that after reconstruction their tissue begins to feel less and less like a separate part of them. There are countless examples of the many ways we help our clients as they journey through cancer and treatment, these are only a few.
The professional experiences I describe allowed me to get comfortable and gain some initial confidence, but in a strange way I felt I was on a little island. I know this is not unique to providing oncology massage, as many therapists in private practice feel the effects of working alone from time-to-time, but this growing concern of mine was bigger than that. I had this sense there weren't a lot, if any, therapists around me that were laser focused on providing massage for those going through cancer or if there were, they weren't particularly visible or easy to find. I knew that Memorial Sloan Kettering in New York City had doctors, patients, therapists, support staff, a whole community dedicated to integrating our manual therapy into the care they provided. This kind of environment seemed ideal and I wanted an equivalent here in Los Angeles. I longed for a community of colleagues as there is power in association.
I was aware of the Society for Oncology Massage (www.S4om.org) and how it serves to link therapists to each other and the wider public. I am very comforted by this organization's mission. I have yet to attend their annual Healing Summit which would certainly allow for networking with others who share this passion. I did decide to look up therapists on S4OM's locator service and called the one lady listed in my area. I met her and we talked over coffee. My resolve continues to solidify with each individual I meet that shares their experience and expertise with me.
While I found my passion to provide clinically sound bodywork in the context of cancer, it became more apparent on a purely practical level, that there just might not be enough of us trained and ready to meet the need. I can't even count the number of hospitals, clinics and oncologists treating cancer in Los Angeles alone and if we consider they need us to support their patients, then my initial conclusion seems obvious; there need to be more of us. As integrative medicine gains ground in our changing healthcare system, we will be in high demand. Clients who have already experienced the healing work we do, offer very specific anecdotal evidence to anyone in earshot. As massage therapists, we know how our work brings equilibrium and relaxation to our clients' body's and minds. I think the power of our skilled touch can have a profound impact, perhaps an even greater concentrated effect when mitigating the symptoms, challenges and side effects of cancer and cancer treatment.
Do you want to be challenged in a new way and increase both your curiosity and compassion as you work? Do you want to transform and improve the delivery of health care with your very own hands? Find an oncology massage certification course today and get started! You will be humbled by your increased ability to serve those in their critical time of need. The very act of showing up for another with a equal portion of skilled touch, clinical reasoning and an open heart will amaze and transform you both. I hope you'll join us as we expand and transform the parameters of caring for others through cancer today and tomorrow.
Mia Miller is a specialist in oncology massage and runs her private practice, Somatic Space, in Los Angeles, Calif. She is a passionate proponent of integrative medicine and a therapist at City of Hope and Children's Hospital Los Angeles. Visit her website: www.somaticspace.com.
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