resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Build Muscle With Infant Massage
From the time a baby is born, they are reaching major developmental changes on a regular basis. Some of these come through self-exploration, while others are encouraged by outside stimuli.
One of the first major infant development milestones is around four months of age with the ability to control head movement. Motor control develops in a "cephalocaudal" fashion, meaning baby first gains control of her head, then her shoulders and then her abdomen and so on down to her feet.
Building Upper Back Strength
Due to baby gaining control of her head first, it is imperative to build muscular strength in the upper back to support the head, which in turn will aid in development of motor control down the body. Keep in mind that an infant/toddler's head is heavier and larger in proportion as compared to the rest of their body size.
Since the concern of Sudden Infant Death Syndrome (SIDS) we have moved away from letting our babies sleep on their stomachs; coupling this with swings and child seats, modern infants are not developing those vital upper back muscles as early as needed.
Exercise for Baby
Providing exercises and gentle massage for infants that center around building upper back strength is imperative. Not only will it strengthen baby's neck, back and trunk muscles, it can help with cognitive and visual development, and prevent both flathead syndrome and torticollis.
Typically, infant massage is performed by parents who have been trained by a certified infant massage teacher. In some cases, a parent can be trained to perform massage that is useful to encourage this type of growth and development, while other times certified pediatric massage therapist provide the therapeutic massage treatment.
Prior to beginning any treatment, a full health history and thorough assessment should be performed. Always take into consider any known precautions and contraindications, and when necessary seek advice from the child's health care provider.
Always practice precaution to the umbilical cord stump, and recognize that as long as baby is comfortable, she can safely play on her stomach. It can be important to incorporate tummy time exercises.
Tummy time exercises are performed by placing baby on her stomach while awake and supervised. This exercise can help develop strong head, neck and shoulder muscles, while at the same time promote motor skills. Tummy time can also help in preventing flathead (positional plagiocephaly).
These exercises are essential in building the strength and coordination needed for rolling over, crawling, reaching, and playing. By starting to train these muscles early, it will enable baby to feel more confident on her stomach as she grows.
Don't just focus on tummy time but use this opportunity to increase their ability to reach and play as well. Arranging toys in a circle around her will promote reaching in different directions and singing or cooing to baby will encourage engagement.
Comfort for Baby
If baby is uncomfortable or cannot support herself on her forearms use a rolled up towel or blanket as a bolster under baby's chest, position her arms over the roll with hands stretching out. Always make sure to have baby's chin in front of the bolster to prevent any airway blockage and always supervise baby during bolstering. Changing the texture and color of the bolster or blanket that baby is lying on will help engage babies senses.
Similar to pediatric massage, it is important to watch for non-verbal cues and pay attention to baby's requests to be done or change positions. Short but frequent bouts of play will prevent tiring and enable the baby to build strength confidently.
Introducing Baby to Therapy
When it is time to introduce massage therapy, we typically begin by positioning baby on their abdomen, or while holding them securely, so they may support their own head. With the baby safely positioned, apply gentle, still touch to begin to warm soft tissues, followed by small, circular massage strokes on both sides of the back.
Practice caution, while at the same time using very gentle pressure. Do not provide touch therapy techniques directly, or within short distance, to the baby's spine. After applying gentle circular massage, follow by stroking from shoulders to lower-back with a gentle pressure. Alternate stroking with closed fingers three times, followed by stroking with open fingers three times.
If the baby is receiving the massage well, continue this alternating stroking for three repetitions of each style of stroke. After these stroking motions, repeat the gentle circular strokes down the back from shoulder towards low back, and finish with a still, calming touch.
Improving upper back muscles is such an important part of infant development and can be incorporated easily into other everyday activities such as diaper changes, towel drying or during infant massage. Try adding in the "tummy time" position when massaging an infant.
Teaching the Parents
When teaching parents, encourage them to start with several minutes a day until baby is able to do 20 minutes a day, even if it is broken up into intervals. Remind parents to take precautions with all exercises especially if the child is elevated (on a bed or changing table.)
Above all, for the therapy and exercises to achieve best results and received in the most relaxed fashion by the child, it is imperative that we listen to and respect the infant's cues. An infant will know when they are done with a certain activity or exercise.