resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
A House Divided?
The American Chiropractic Association's House of Delegates voted on 30 resolutions at its annual business meeting in Washington D.C., but two in particular took immediate center stage due to their controversial nature.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Turning a Blind Eye to History – and Reality
The American Medical Association is taking the Supreme Court's Feb. 25, 2015 decision exactly as it always does – by turning a blind eye to history, legal precedent and reality.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
Functional Hip Impingement (Part 1)
Every time I sit down to write an article, I realize how much more there is to know about musculoskeletal pain. I also learn something new every time. (I want to give special thanks to Lucy Whyte Ferguson for assisting with this article.)
Term Limits: What's in a Word?
It was the French historian and philosopher Voltaire who once declared the Holy Roman Empire was neither holy nor Roman nor an empire.
Sleep, Less Sleep or No Sleep?
I had a dream I wasn't getting enough sleep. It was a very realistic dream, even though I was probably slightly awake and not really deep dreaming. Most likely I had been dozing, caught in that twilight of sleep and wakefulness.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Low Back Pain in Professional Golf: A Common Muscular Relationship
Every sport creates its own unique demands on the body. Some sports require such a myriad of body positions that assessing pathology is often difficult and unpredictable.
A View From the ER
The University of Western States has inked an innovative agreement with local nonprofit health system Legacy Health whereby UWS sports-medicine fellows can experience observational clinical rotations in emergency-room settings within the Legacy system.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Talking to Patients About Lumbar Facet Denervation (Medial Branch Neurotomy)
Lumbar facet denervation, more appropriately termed medial branch neurotomy (MBN), is a procedure that may be considered when patients suffer from recalcitrant non-radicular axial back and/or leg pain.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
Optimism = Compassion = Trust
A randomized clinical trial recently published online in JAMA Oncology examined how patients viewed their doctor based upon how the practitioner presented bad news to the patient.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Applying the Thin Skull Principle
The "thin skull" principle, also known as the "you take your victim as you find them" principle, is a legal principle that can be summed up by the following statement.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
The Difference Between Adult and Pediatric Massage
Many practitioners believe the major difference in providing massage and touch therapy to children is to simply consider that the client is smaller in size, pressure should be lighter and to ask their parents. These are real considerations, but not the only differences in providing massage therapy for children and adult clients.
Massage for Adults
As healthcare professionals, we should always consider each individual client's unique needs and indications for massage therapy, rather than providing a standardized protocol for care. Under the scope of professional massage therapy, therapists working with adults have the ability to employ a variety of techniques ranging from relaxation massage and spa therapies, to structural integration. Therapists may apply more pressure based on client preference, and range of motion may involve larger movement than we would utilize with children.
Typical adults have more developed muscular and soft tissues compared to pediatric clients, and they can tolerate a massage session that incorporates various techniques that are not safe for children. Adults have often spent years developing their individual postures, body mechanics and areas of holding stress-related tension. This can make our therapeutic work take on the more sessions to have similar benefit to what we might see with pediatric clients in fewer sessions.
With adults, verbal communication is different and allows us to have a thorough discussion about their personal interest in seeking touch therapy. The client can help to explain their healthcare related needs, stress management techniques they use at home and may have a better understanding on how to follow any at-home protocol which may assist in their preventive health plan.
Healthcare providers often use the term pediatric to describe children in a healthcare or hospital setting and some will say that word pediatric is an umbrella term that covers all of the patients in that facility from birth to age of discharge from the hospital (often 18 years of age). While others recognize that pediatric is simply defined as the health care of children, which may mean in the hospital setting, but can also refer to children who are developing typically.
Children have different physical, emotional and developmental needs than adults and pediatric massage is designed to address these individual childhood considerations. Some practitioners believe that massage is used to treat medical and healthcare indications, but pediatric massage is also used in conjunction with general healthcare, as an adjunct and preventative method of therapeutic intervention.
For children, we adapt all of our care to be an individual and unique approach. Children are undergoing significant growth, development and physical changes. A child's skin is thinner, more fragile and has more compact sensory receptors. Their bones are not yet fused or ossified and require a more gentle approach. These considerations are important to those practicing hands-on techniques.
Not only do we consider a child's size in our treatment plan, but also employ developmental considerations and age-appropriate language adaptations, as we build trust and rapport. As with every client, we use informed consent and specifically for children, we use a structured permission process. We may use language that may seem elementary to adult clients, but helps us to best connect with those still developing a comprehensive vocabulary.
Some healthcare providers only think of pediatric massage being applied as a modality for children with special healthcare needs. There are specific healthcare-related situations where pediatric massage therapy will be a wonderful part of a therapeutic treatment plan. However, just as adults receive massage therapy for general health and wellness, so do children. Yes, we can use pediatric massage as indicated to treat a variety of healthcare considerations, but dealing with anxiety, stress and insomnia are also concerns for our younger clients.
Considerations for All Clients
Obtaining informed consent and permission prior to beginning a massage session establishes respect and an understanding of the benefits of healthy touch. With children, this may require input from a parent/guardian or other healthcare provider responsible for their medical care.
Adapting techniques to a client's healthcare needs and preferences establishes trust and communication. We must always communicate adaptations and possibilities with the type of therapeutic session we can provide. Many clients do not have a good understanding of the range of modalities and techniques under a massage therapist's scope of practice. When you take the time to explain options and choices to your client, you help to establish the foundation of a successful treatment session. Professional communication is an important consideration with clients of any age.