resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Chronic heightened emotional states create a perfect breeding ground for illness. Through my practice I noted the increasingly obvious relationship between one's mental focus on negative thinking, emotions, resistance to experiencing feelings and disease.
Are You Ignoring the 10,000-Hour Rule?
Having trained interns and mentored new practitioners, it has been my observation that their No. 1 clinical concern is adjusting skills. Their second clinical concern is their ability to read X-rays. Physical diagnostic skills are a distant third.
Meat in the Middle
Have you ever wondered what's the truth about meat? Is it really as bad as many people think?
Inspire Your Patients to Make Healthy Choices
Have you tried to get your patients to change their eating habits or their diet and couldn't get them to succeed? Were they confused and unsure of what the right thing was to eat? You are not alone!
Following the Thinking of the Classics
I have heard about the "best time of day" to carry out certain examinations or therapies. For example, I remember making a note years ago that early morning is the best time to take someone's pulses.
Micro-Needle Dermal Roller Use in the Treatment Room
Recently micro-needle dermal rollers have been getting a lot of media attention. As a practitioner who specializes in acupuncture facial rejuvenation, I know that skin needling with a dermal roller (also known as collagen induction therapy), promotes the natural reproduction of collagen and elastin, making the skin feel smoother and tighter.
The Power of Mu Xiang to Treat Irritable Bowel Disease
Bloating and gas pain is something that everyone has had to deal with at one point or another; however, that's usually reserved for holiday dinners and other large gatherings.
Treating Menopausal Women in Your Practice
I love what I do for a living. It's a great way to trade health for bread. And no topic of health, with the right bedside manner, is taboo.
Are You Ready for the 2016 Patient?
In October, Apple released its iOS 8 operating system for the iPhone and iPad. The new system includes Health, a new app that will interface with an ever-growing number of other apps.
Introduce Your Patients to Collagen Induction Therapy
Cutaneous (skin) aging generally occurs from either intrinsic or extrinsic processes. Intrinsic aging results from natural skin tissue damage and degeneration.
Treating Chronic Depression with Acupressure
In Traditional Chinese Medicine there already exists a comprehensive theory linking the body and mind.
It Pays to be a Foodie
If there is an inner foodie in you, just waiting to burst out—this article is for you! Do you want to know how I know? I'm that girl. My middle name might as well be "Foodie." I love food! And if my patients are any indication, many of them do as well.
Avoiding "Just a Pop Doc" Syndrome
Yes, it's harsh. Patients don't like to admit it. They have an unspoken plan when they first visit you: to come one time, get rid of their pain and then get rid of you. They know it's unrealistic, but they'd like to pay nothing for this service.
DC App – The Next Generation
According to a survey by technology firm CDW, health care professionals gain approximately 1.2 hours per day in productivity simply by using a tablet computer in practice.
We Get Letters & Email
Is It Time for a Popeye Moment? The Flaw in Recommending Chiropractic as a Career.
Capturing the Essence of Tai Chi
Over the last 12 years, I have been working on one of the few documentaries about Tai Chi. It's called The Professor: Tai Chi's Journey West and it's about Cheng Man-Ching who moved to New York in the 1960s.
Peer Points: Promoting TCM Knowledge
When Elaine Wolf Komarow, LAc, received her first acupuncture treatment in 1989, she said it changed her life. "I felt more aware, calmer, and happier. I was so fascinated by the changes that I began to learn everything I could about the underlying philosophy of Chinese medicine," said Komarow.
The Death of the Travel Card
As long as I have been in practice, the travel card has stood as the primary style of documentation for chiropractic. It is quick, simple and direct. Unfortunately, the rules have changed.
Solving the Pain Puzzle
Legendary former New York Yankees baseball player Yogi Berra once said, "You can observe a lot just by watching." He would have been a great chiropractor. We are trained to become experts with our hands: palpation, adjusting, soft-tissue release, etc.
Step by Step: Long-Term Treatment of Soft-Tissue Injuries Combines Skill and Care
Treating soft-tissue injuries with long-lasting results starts the moment an individual enters the office. When it comes to pain, the only thing that matters to the patient is relief.
Home Safety: Help Families Avoid Common Injury Hazards at Home
These days, many parents childproof their homes before a baby is even mobile. You will see an array of electrical outlet covers, bumpers on the corners of the coffee table and safety latches on the cupboards.
Why Drugs and Supplements Can't Cure Disease
Chronic diseases are the outcome of disease-promoting, goal-oriented behaviors. So, the notion that diseases can be cured with drugs or supplements should be abandoned. Hypertension is the best example of this.
The Acupuncture Now Foundation: What Our Profession Needs
Although acupuncture is growing in popularity it continues to be underutilized due to misunderstandings about its true potential. Only a fraction of those who could be helped by acupuncture know enough to seek it out.
Implications of Section 2706: The Non-Discrimination Provision Survey
In late April 2014, NCCAOM diplomates received an email survey with the subject line: "End discrimination against acupuncturists" polling CAM practitioners for a Request for Information from the Department of Health and Human Services, released in mid-March.
Foundation for Chiropractic Progress Announces First Group Member
The Michigan Association of Chiropractors has joined the Foundation for Chiropractic Progress as its first group member.
Acupuncture Detox as Part of Drug Rehabilitation
In the U.S., more than 2,000 alcohol and drug rehabilitation programs have added ear acupuncture to their practice. The development of the protocol was determined by Lincoln Hospital as it delivered 100 acupuncture treatments daily.
Chinese Medicine: The Natural Way to Children's Wellness
As a child, I did not like going to the doctor. For the most part, when I had to go I wasn't feeling good to begin with, and I was heading into a sterile environment to be awkwardly probed by a man in a white coat for a very short, impersonal period of time.
Make Low-Level Laser Therapy Part of Your Evidence-Based Practice
Low-level laser therapy (LLLT), also referred to as photobiomodulation, has been increasingly utilized in the clinical setting over the past decade.
Treating Acute and Chronic Neck Pain With Ischemic Compression and Exercise
There are many reasons not to manipulate the neck with cavitation: the patient is too old, their neck is too tight, etc. But the most common reason is that plenty of patients are afraid of "the crack," mostly because of the bad publicity about that procedure.
News in Brief
Life to Open Branch Campus in Italy; Northwestern Research Arm Benefits From Big Donation.
Pediatric Massage: Approach for Congenital Muscular Torticollis
Torticollis comes from the Latin words tortus, which means "twisted" and collum, meaning "neck." Congenital muscular torticollis (CMT) is also sometimes referred to as wry-neck, stiff-neck, crooked-neck and twisted-neck. It was first defined in 1912 as "a deformity, congenital or acquired in origin, characterized by lateral inclination of the head to shoulder, with torsion of the neck and deviation of the face." Between 0.3% and 2% of newborns present with congenital muscular torticollis (CMT) which is thought to be a painless condition caused by the unilateral shortening of the sternocleidomastoid muscle (SCM.) The shortening of SCM gives an ipsilateral head tilt and contralateral rotation of the face and chin on the involved side. If diagnosed early enough it can be managed easily, seldom requiring surgery with the best outcomes seen in children between 1 and 4 years of age.
The origin of CMT is still up for debate, wile the most popular theories behind the impairment include intrauterine crowding, muscle trauma during a difficult delivery, soft-tissue compression leading to compartment syndrome and congenital abnormalities of soft-tissue differentiation within the SCM muscle. Histologic studies of resected surgical specimens have demonstrated edema, degeneration of SCM muscle fibers and fibrosis.
There are different presentations of children with CMT, the most common is an obvious head tilt toward the affected side with the chin pointing to the contralateral side. Plagiocephaly, flattening of an infant's head or face, is reported in up to 90% of cases with CMT. Treatment is required to stop unilateral weight bearing which causes deformity of the skull base and cranium which can continue into adulthood.
Assessment of this condition can begin during the pediatric massage intake process of asking parents if their child often tilts their head in one direction, prefers looking over one shoulder instead of turning the head to follow with eyes, difficulty breastfeeding in one position, and displays frustration when attempting to turn their head in one direction. These are possible signs and symptoms of infants, or young children, with torticollis.
As discussed in Nilesh's 2013 article, "Congenital Muscular Torticollis", currently there are three classification groups for children with CMT. Group 1 is the sternocleidomastoid tumor group, which consists of torticollis with a palpable pseudotumor or swelling in the body of SCM. This is a hard, movable mass within the substance of the SCM noted at birth. This mass is usually located in the middle to lower third of the sternal portion of SCM. The pseudotumor usually becomes large after its first noted and then slowly resolves over a period of 5-21 months. This is the most common presentation and contributes to 28.2% to 47.2% of diagnosed cases of CMT in infants. Group 2, known as muscular torticollis, consists of torticollis with tightness of the SCM, but no palpable tumor. The last group, Group 3 (also known as POST), is a postural torticollis without a mass or tightness of the SCM. In an alternative system of classification, pseudotumor of infancy and CMT are described as a separate diagnosis.
Treatment of torticollis is dependent on the age of infant, the severity of torticollis, the diagnosis of plagiocephaly and the possible presence of associated neuromuscular or orthopedic impairment. About 50% to 70% of SCM tumors resolve spontaneously during the first year of life with little to no lifelong symptoms. Physical therapy and the use of massage is often strongly recommended.
Before massage treatment begins, it is important to have the child completely diagnosed by a medical professional. The amount of additional conditions that are associated with torticollis demand a full evaluation and treatment involving extra care. As mentioned earlier in this article, the SCM is most often the muscle that is affected with torticollis. It originates on the medial end of the clavicle and attaches behind the ear. The sternocleidomastoid muscle has the function of both turning the head and assists in tilting from side to side.
With the child in safe position, the pediatric massage therapist, or trained parent, may apply gentle stroking techniques to the lateral, posterior and anterior areas of the unaffected side prior to addressing the affected side. This approach is often helpful is reducing spasms.
Unlike with adult clients, we do not recommend an ivolved stretching protocol with children. Rather, it is best to soften the tissue and use a favorite toy or engagement item to help the children track and turn their own head to follow. This gentle motion will help to monitor comfort level of the client and prevent overstretching the soft tissue.
Incorporate child friendly approaches to engage the child to turn their head from side to side, bring their head to chest and orient to midline. When the child is prone, resting comfortably on their abdomen, encourage the child to lift their head to increase orientation and strength.
Per the American Academy of Pediatrics (AAP) recommendations for sleeping, many parents place their baby on their back to sleep for prevention of SIDS. However, it is just as important that parents incorporate supervised "tummy time." Tummy time or prone to play enable normal developmental progression and can help build muscle in the neck and upper back.
With CMT occurring in one of every 300 live births, it is essential to know simple, natural ways of dealing with this condition. Massage provides an excellent way to gently lengthen affected muscles while encouraging growth and development in children. Additionally, if taught to parents at home, it can provide an excellent was for parent and child to bond.