resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Misconceptions & Opportunities With Medicare
As I speak around the country on how to properly document Medicare patient encounters, I get questions regarding opting out of Medicare. There are many misconceptions about opting out of Medicare, including just what it means to opt out.
Day in the Life of an Advanced-Practice DC
Can you tell us a little about your background in the profession? Why did you want to become a DC? I studied at Boston University from 1968-1972 as a pre-med student majoring in biology.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
F4CP Launches New Social Media Campaign
The Foundation for Chiropractic Progress has launched a new service to help member doctors: a social media campaign called "Accelerator."
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
An Alarming Lack of Accountability
Accountability seems to be a lost quality today. The simple act of taking responsibility and doing the right thing just doesn't happen as often as it should. Maybe it is the litigious nature of our society.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Identify & Adjust the Apex Posterior Sacrum
Low back pain involving an apex posterior sacrum (+θX-axis misalignment) typically presents with signs of lumbosacral joint impingement or facet syndrome.
Specialized Pro-Resolving Mediators: 21st Century Inflammation Fighters
Specialized pro-resolving mediators, or SPMs, are a portion of the omega-3 fatty-acid spectrum that have been shown to have a powerful effect on reducing inflammation.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Excited to Share the Science of Chiropractic: An Interview With Dr. Heidi Haavik
Dr. Heidi Haavik has become known in the circle of chiropractic researchers as not only a rising star, but also one willing to do research that can have a major impact in the scientific world and how chiropractic is perceived.
Let's Streamline Your Front Desk
Your front office can be your greatest source of efficiency or a constant bottleneck. Increasing the productivity of this area without sacrificing the quality of patient interaction can be a little tricky.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
Designing a Fitness Plan (Part 4): Blending Pain Relief With Healthy Aging
Pain relief is still the No. 1 reason patients come to my office. However, most of my patients have other goals as well, such as: "I want to lose 10 to 20 pounds"; "I feel old and want to slow down the aging process"; "My doctor says I am becoming a diabetic and need to exercise"; or "I'm tired and want more energy."
How Many of Your Patients Have Sarcopenia?
Figure 1 demonstrates the typical appearance of sarcopenia in the paravertebral muscles. Have you considered evaluating your patients for this problem? Sarcopenia is the progressive loss of skeletal muscle mass and function that affects the older population.
News in Brief
Northwestern Student Honored for Addressing Concussions Head-On; Northwestern Announces New CFO; Life U. to Provide Unique Opportunity.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
Assessing and Treating Tennis Elbow
The most common elbow injury is a strain to the common extensor tendon which controls the wrist, but begins at the elbow. This injury is commonly known as "tennis elbow." Tennis elbow earned its name because many tennis players suffered from this injury.
This is an injury which is not exclusive to those who play racket sports. It is very common in people who use their hands and wrists a great deal in their occupations. The involved muscles are used frequently to grip and lift objects.
You use them when you open doors, paint a wall, screw and unscrew jar lids and turn a screwdriver. Most people with this injury experience pain with activities such as shaking hands, washing dishes, wringing a cloth or lifting a teapot.
Tennis Elbow Anatomy
Tennis elbow means that there is a slight tear or inflammation of one particular muscle tendon unit, frequently near where it connects to the bone at a place medically known as the teno-periosteal junction.
Among the muscles at the outside of the elbow joint, there are two very closely associated muscles: the extensor carpi radialis brevis (See Figure 1) and extensor carpi radialis longus (See Figure 2). Both of these muscles share the common tendon which attaches to the bone at the outside of the elbow (the humerus), the tendon fibers of the longus extend a little further up the attachment to the bone than do the brevis.
Of the various sites of injury the most common is in the common tendon close to its attachment to the bone. The pain is felt at the lateral aspect of the elbow with activities involving the wrist joint and may extend from the outside of the elbow into the forearm as far as the wrist.
To locate the exact area of attachment, lean sideways against a wall and bend your arm as though you were going to shake hands with someone. Push your elbow against the wall. The knobby bone you feel pressing into the wall is called the lateral epicondyle of the humerus and is the area where the common tendon attaches to the elbow. This is often the site of the injury.
A little probing with your finger will confirm that this is the spot or you may find it a little lower down the arm in the tendon itself. The muscle bellies of the brevis and longus and their tendons pass down the forearm. The brevis attaches at the back of the hand just beyond the wrist joint while the longus continues on into the fingers.
In addition to the teno-periosteal junction the injury may also occur in the main part of the tendon, called the body of the tendon, or at what's called the musculo-tendinous junction, which is where the tendon and the muscle join each other. The final place of injury with a tennis elbow may be in one or both of the muscle bellies of these two muscles.
How and Why?
This bothersome and frequently long-term injury is extremely common. It regularly afflicts people who lift heavy objects, scrub floors, wait tables, and, of course, play racquet-sports. When racquet enthusiasts get tennis elbow, it's usually because the muscle-tendon unit is fatigued due to repetitive stress or a sudden excessive strain applied to the muscle tendon unit.
It can also occur by falling onto the elbow or bumping the elbow against a wall or another surface with some force. This causes a sudden muscle contraction which tears a few of the fibers of any part of the muscle tendon unit. An inflammatory response occurs. Then adhesive scar tissue develops, often becoming chronic.
Tennis elbow may occur suddenly. The pain may be so severe that you may be forced to stop what you are doing. Tennis elbow may also come on slowly in a milder form initially and then become severe. In this case, the tendon has suffered many minor micro-tears over a period of time by particular repetitive activities, eventually resulting in a severe, painful tennis elbow if you continue to use it.
Where the common tendon attaches at the outside of the elbow it is in close proximity to several other muscles and tendons which control the wrist and fingers. The close proximity of these structures makes it likely that extraneous scar tissue formation which accompanies this injury will bind several structures together.
This binding together with scar tissue inhibits the individual function of the different structures making healing more difficult.
Ask the client to straighten the elbow and bend their wrist upwards as if they were a policeman saying, "Stop." Now, place the other hand at the back of their upturned hand and attempt to push the upturned hand forward while they resist. Use slight force, at first; as it is usually all that is needed to reproduce the pain. Pain at the outer side of the elbow during this test with associated weakness indicates a tennis elbow is present. The pain causes the weakness.
This method for treating any soft tissue injury must always be combined with the appropriate rehabilitative exercises. Friction therapy is designed to break up the unwanted and unnecessary scar tissue which accompanies most soft tissue injuries causing them to become chronic. The rehabilitative exercises are necessary to prevent the reformation of adhesive scar tissue and to rehabilitate the injured muscles and tendons.
This friction technique is best done in a sitting position. Bend the client's arm at a 90-degree angle and supinate the forearm. While holding the forearm with one hand, place the thumb tip or index finger of your other hand at the lateral edge of the lateral epicondyle of the injured elbow. To check that your hand placement is correct, move your thumb medially onto the tendon and ask the client to raise and lower the hand, as in the test. If you are in the right place, the tendon will tighten under your thumb or index finger. Press down on the tendon attachment at the elbow and apply friction in a medial direction only. Repeat this for 5 to 10 minutes with interruptions as needed for the client's comfort. After frictioning, massage the entire arm extensively, especially the extensor surface of the forearm.
These two exercises which are done throughout the day will limit the formation of extraneous scar tissue and help it to change from a matted network of fibrous tissue into a useful, pliable scar.