resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Problem With Prolonged Sitting
We need to constantly talk to our patients about spending less time sitting and about what can go wrong with poor sitting postures. The fact is we sit too long in repetitive malpositions.
Let the Patient Tell Their Story
Often when a patient presents with an injury, they want to tell their story. People by nature like to talk about themselves, particularly when they're worried about their health.
Medicalization and Mindfulness
The past several years have seen a veritable explosion of research on mindfulness. Research abstracts we've published in each issue of Health Insights Today under the heading "Mind-Body News" have increasingly reported on studies about mindfulness interventions.
A Glimpse Into China's Top Brain Hospital
The sounds of the city pass through the open window are overwhelming the microphone - car horns, construction machinery - and then there's the family at the adjacent bed talking loudly on cell phones, yet you can still hear the faint beep of our patients monitoring equipment.
The Truth About Herbs
I appreciate the effort and research put into the article written in the June issue of Acupuncture Today regarding pesticides and Chinese herbs.
The Spirit of the Point
After receiving a large amount of positive feedback on my San Zhen Protocols series, I have decided to focus this article on some relevant clinical aspects of acupuncture therapy prior to moving on to San Zhen Protocols III.
When Big Pharma Meets Chinese Medicine
Earlier this year, Bayer made a media splash with their decision to buy the Dihon Pharmaceutical Group Co., a Chinese TCM manufacturer.
Thoughts to Live By
When speaking to your patients about their health make sure to ponder the following points and have them assess if they are making themselves even more sick by the thoughts they have about life. Are these some of the traits and thoughts that your patients might have?
History of Animal Acupuncture: Part II
In Part I of this article, I had gone back to 1969 and tried to describe the atmosphere and events of that year that engulfed many of the younger generation, some who were all the core members of the National Acupuncture Association.
Get Ready For AOM Day
This year, AOM Day 2014 falls on Friday, (October 24th). This is a great opportunity to make your AOM Day celebration or event even bigger by extending it throughout the weekend!
News in Brief
NBCE Launches Computer-Based Testing Era; California Chiropractors Get Expanded DOT Exam Privileges; New Jeff Hays Documentary.
A Healthy Dose of Failure is Vital to Your Success
As an acupuncturist I tend to see people after they have already suffered for years and "tried everything." They are so desperate for some relief that they want to know everything about how to get better, right now.
Thoracolumbar Syndrome: The Great Mimic
The thoracolumbar junction is a common area of joint dysfunction. The most obvious cause is dysfunctional breathing or lack of diaphragmatic breathing. Treating this breathing problem will ultimately be the long-term cure for the syndrome.
Healing Community Trauma in Israel and Palestine
It's the beginning of August and Israel and Hamas have just agreed to a 72-hour ceasefire after a month of brutal fighting. In the last four weeks, 1,830 Palestinians and 67 Israelis have been killed.
Rethinking GMO: Less Panic, More Context
Some of you may have noticed that after writing parts 1 and 2 of “Genetic Modification of Organisms for Human Consumption” a while back [Nov. 15, 2013 and Jan. 1, 2014 issues], part 3 never appeared.
Uncle Sam Needs You
Scrutiny into the Department of Veterans Affairs (DVA) continues to grow after efforts to reform the DVA by the former Secretary of Veterans Affairs, Eric Shinseki, were deemed "a stunning period of dysfunction" by Senate Minority Leader Mitch McConnell (R-Ky.).
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 1)
When we think of lower back pain, we tend to think in terms of the lower lumbar spine and the SI joint. These joints and their discs are obviously important. However, we tend to miss fixations that occur just above – in the upper lumbar spine. Three questions come to mind: 1) Why is the upper lumbar spine so important? 2) Why do we miss the fixations here? 3) How can we adjust them?
MPA Media Wins Seven Publishing Awards
MPA Media, publisher of Acupuncture Today, among other titles, has been recognized for editorial and design excellence with an unprecendented seven publishing awards by the ASBPE, the nation's largest organization for business-to-business publications.
Help Secure Our Future by Sharing It
The National Board of Chiropractic Examiners (NBCE) conducts one of the most comprehensive surveys of the U.S. chiropractic profession every 4-5 years.
Improving Our Political Effectiveness
The November 2014 elections are right around the corner; members of Congress, governors and state legislators are all running. Now is a good time to talk frankly about our overall political involvement.
The Science Behind Happiness
Are you happy right now? Whether yes or no, there are a myriad of reasons why you feel that way. A whole academic discipline has developed to find out what causes or obstructs happiness, and how to amplify it.
April, 2014, Vol. 14, Issue 04
Familiar Client, Fresh Perspective
By Debbie Roberts, LMT
The following is an example of a true story about one client's journey through treatment and how easy it can be to ignore valuable signs and information when something is out of balance and needs medical attention.We are always glad when a client has given us their trust and continues a long term relationship with us. We strive to maintain a good, solid, profitable aand reputable practice. Pose to yourself this question: do I keep an objective eye on each visit even after 5, 10, 15 or 20 years of the same client? To help keep you doing just that, let's discuss the important pieces of information that are beneficial. In addition, we will also explore applied kinesiology as a worthwhile assessment tool.
Client Case Study
The weekly relaxation client came in complaining of back pain. She explains, "it is a gnawing, nagging, dull ache that seems to have taken up home in my back." Well that sound's typical of this client because she is a young mother. Since beginning with you, she has changed jobs and added two children to the mix. You give her back more attention and try some different modalities to address the issue and she leaves feeling better and certainly refreshed. But the problem begins when she comes in week after week and the pain doesn't seem to be resolving. Some weeks the complaint of pain didn't seem so bad and she gave the impression the massage was helping. Again, the trouble is that the complaint is not really changing only the fact that she is dealing with it. You rationalize that she must be under so much stress it is making the back pain worse. You do take notice that it seems like the complaint has been going on for several weeks.
You decide on the next visit to do a structural assessment of the low back and her pelvis. The findings indicate the pelvis to be a little anteriorly rotated. You address the issue and she leaves feeling better however she comes back again the following week with the same complaint. So, you make a referral to a chiropractor. He thinks the issue is not enough deep tissue work. He suggests another therapist to address the knots in her lumbar region, but nothing is completely helping. Now, the question becomes how long do you watch this pattern continue?
You decide the next visit to use applied kinesiology. Using the assessment, you find that the back pain indicates some energy disruption around her female organs. She has had a past history of fibroid tumors in her ovaries but it was a long time ago when she filled out any health history form so you don't remember this valuable piece of information. This is a missed opportunity to correlate your new findings with her past history. You lightly mention that your assessment indicates there is something disrupting the energy flow around her female organs. She is not knowledgeable of what that really means. So she doesn't remind you of her past history with fibroids. You don't push the issue for her to see another medical professional because at times she seems to get better.
She comes in the next week and you try a different modality thinking that maybe this one is the missing piece. No need to do the applied kinesiology assessment again because you are sure it must be something musculoskeletal out of balance. The issue goes unresolved for more than 6 months. Finally, in desperation, she went to a medical doctor and they did a series of tests and found a cantaloupe size tumor around her ovary. Everyone who treated her was well intentioned, but somehow missed that this time her back pain was something more than her usual chronic back pain.
How To Avoid This Mistake
A health history form should be updated on a regular basis. This keeps your objectivity and helps you avoid becoming too accustomed with the client. The new complaint was not treated like a new client. After filling out a new health history form, the client should have had a structural assessment, as well as an applied kinesiology assessment to look for functional imbalances.
An assessment at every visit should have been done. When the findings of the assessment are not changing, that lets you know whatever modality of therapy you have chosen is not resolving the issue. Refer out.
Correlating a health history form and an evaluation is important in case the pathology you find would need another medical professional involved and requires a referral. If the pain doesn't go away and the assessment doesn't change over two to four weeks tops, refer out. Don't keep treating, we are only a part of the process.
Whether you have a long standing practice or want to develop one, there is extreme importance of keeping a fresh perspective on the clients you treat. People's bodies are always changing and it seems these days at rapid rates. The longer you have a regular client, the higher the percentage that something in their body can and will change. Assuming their new pain complaint is old stuff that has just resurfaced can be dangerous for you and the client. Have you ever studied a sunrise or a sunset, it happens every day but it is never the same. Your objectivity of the client coming in week after week should be a similar point of view. The client shows up at the same time every week, but they are not the same cellular structure they were the week before. Physically, mentally and chemically they are a different human being than their last visit with you. Doing some form of an assessment each visit reassures your dedication to accuracy and helps keep you alert to a new symptom or new problem. The other dangerous thing here is losing your objectivity to the findings. When the pain doesn't go away and the assessment never gets better STOP the insanity. There is something wrong that may need more medical attention.
As the preacher completed his sermon, the other preacher listened closely. He found it odd that for the third week in a row the preacher was giving the same sermon. So he asked him, why didn't you give a new message this week, you gave that same message last week and the week before. "Good question, glad you asked" It is because even though everyone heard the message, only some people acted on it and changed while other people are still doing the same things. When the congregation not only hears the message, but acts on it, I will quit giving the same message.
We all know the definition of insanity is doing the same thing over and over and expecting different results. This is what we can become guilty of if we become too familiar with our clients and don't take a fresh view point each and every time they walk into the room. When is the last time you had your clients fill out a new health history form? When is the last time you did a structural and functional assessment on your clients? You don't have to make it complicated. Just tell yourself this is a NEW complaint, so this is virtually a NEW client. What would you do with a new client? Follow that same protocol and start with a fresh health history form, a fresh assessment, see if anything correlates with their past history, listen closely to see if things are really getting better or remaining the same and make a referral if necessary. When in doubt always refer out.
Applied Kinesiology was developed in the mid 1960's by Dr. George Goodheart, a second generation chiropractic physician from Detroit. Dr. Goodheart noted that each muscle in the body is related to a specific organ. He found that each organ shared reflex points and acupuncture circuits with a specific muscle or muscles. Treating a weak muscle in a number of ways to turn on reflex points and acupuncture circuits would return strength to a previously weak muscle and the function of a related organ.
Utilizing muscle testing procedures, one can find weak muscle "energy" because of an imbalance in the specific organ they relate to. When doing muscle testing, you are feeling for a locking in place of the muscle and not complete weakness. It should be explained that this is not a contest of strength and that gradual pressure is used.
There are four major categories of muscle weaknesses:
What is an alarm point? The alarm points are reflex points associated with the meridians. In Chinese philosophy, it was believed that if disease occurred in the internal organ associated with the meridian, the alarm point would become tender. When tenderness is present upon light pressure, the meridian is considered to be overactive; and upon deep pressure underactive.
How to use the alarm points:
Touch for Health is a book that has been around for a long time which is a great resource of study on the use of applied kinesiology. Just remember that all findings should be correlated with standard diagnostic methods, such as laboratory tests, x-rays and even MRI's.
Click here for more information about Debbie Roberts, LMT.
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