Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
Exploring and Learning from the Gift of Life
I'm grateful to have had the opportunity to teach cadaver dissection classes and workshops with Stephen Cina at the New England School of Acupuncture over the past seven years, first through the Sports Medicine Acupuncture Program and later as a NESA elective course.
Can Acupuncture Treat Knee Pain?
Recently, an article in the Journal of the American Medical Association concluded that, "neither laser nor needle acupuncture conferred benefit over sham for pain or function" among older chronic knee pain patients.
Abdominal Acupuncture for Eye Healing: The Sacred Turtle and Ba Gua Map
Our ideas about western medicine have shifted in recent decades, while the public is asking more from health care providers.
Medicine as Metaphor
The practice of medicine is both an art and a science. We study and learn the system so that when the time comes to apply it, there is a greater possibility of successfully helping others.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Adding Microneedling to Your Clinic for Results and Profit
Microneedling has taken the beauty world by storm over the last 10 years. Under the names dermaroller, microneedling or skin needling you will see these treatments listed in the services of nearly every fashionable beauty salon and day spa in the country.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
The Source-Luo Point Combination, Part 3
Dr. Nguyen Nghi (NVN) was born in Vietnam and is one of the most important scholars, writers, teachers and practitioners of modern time. Many of his theories and applications are the source of modern teachers from Europe and the United States.
Melatonin: A Promising Natural Agent in the Prevention of ALS
A number of years ago, experimental studies suggested melatonin could block key steps in the development of Alzheimer's disease, primarily by acting as a brain antioxidant and inhibiting the build-up of beta-amyloid plaque in the brain.
Online Marketing Basics: Google Ranking, Part 1
We all know there is so much opportunity with online marketing. And, let's face it, if you don't have a presence online with a website and social media, you are probably not where you want to be.
The Roots of TCM in Depression Treatment
In traditional Chinese medicine, there is historical precedent for the treatment of so-called "Shen" (Heart-Mind) disorder, or disorder/dysregulation of the spirit, which is also considered as distinct but not separate from the cognitive function of the brain.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
The Art of Creating a Healing Space
I always advise my graduates to examine their group practice or treatment rooms with fresh eyes after they leave my CE workshops. I tell them, "Ask yourselves - is your space qi filled, welcoming and healing? Or is it cold and clinical?"
Merger Creates New Model of Care
Two San Francisco powerhouses of holistic healing, the American College of Traditional Chinese Medicine (ACTCM) and California Institute of Integral Studies (CIIS), are merging. Together they are building a visionary approach to applied integral health.
The Integrative Medicine Puzzle: Putting the Pieces Together
The conversation is changing in the broader healthcare community with patients actually moving the discussion toward more integrative topics. Patients today want to know their options.
Colon Health and TCM
I still remember many years ago, the loud "Yuck" from my wife at the time when we were together watching the Chinese movie "Last Emperor."
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
June, 2009, Vol. 09, Issue 06
The Importance of Scar Tissue Release Therapy
By Marjorie Brook, LMT, CIMI
Scar tissue therapy is generally overlooked by health professionals because the extent of physiological effects scars can have on the body have never really been acknowledged. As massage therapists, we know that the slightest restriction in the elaborate matrix of fascia can have major repercussions from one end of the body to the other.A simple scar from a childhood accident to major surgery can have a lifelong effect both physically and mentally for your client. Scar tissue has the potential to spread in any direction including internally throughout the body. It can also restrict movement or function anywhere in the body from a joint to an organ.
Scar tissue release therapy is extraordinarily simple to learn, easy to apply and yields powerful results that can prevent a lifetime of compensation, complications and pain. I have been a licensed massage therapist for more than 12 years and in all that time, a reoccurring theme seems to have prevailed. The presence of scar tissue can have a lifelong physiological effect on the body -- a fact that seems to have eluded traditional health care professionals. This realization combined with my clinical experience, education, teaching and research, has led to developing methods that improve upon existing fascial techniques for scar tissue release.
During the course of my career I've treated many patients whose problems could be traced back to a scar they had forgotten they even had. Almost everyone has a scar. While not every scar presents a problem, often they can. This is due to the fact that the body is one large, three-dimensional piece of fascia that envelops us like an intricate spider web. Any kink, pull or restriction in one area affects the whole matrix.
Scar Tissue & Adhesions
Scar tissue and adhesions are the result of our body's natural healing process and it occurs both internally and externally. The process, if working correctly, is supposed to eliminate the scars and adhesions once the wound is healed. In some cases, a person's body does not breakdown the scar tissue. The adhered tissue continues to spread which can trigger a cascading effect of compensations throughout the body.
Scars are areas of fibrous tissue that have replaced normal skin, or other tissue, after injury. A scar results from the biologic process of wound repair (protective, useful barrier) in the skin and other tissues of the body. Scar tissue is never as functional as the original tissue it has replaced. With the exception of very minor lesions, every wound (both internal and external) results in some degree of scarring.
Adhesions are bands of scar tissue that anchor and support the wound. It binds together all tissue it comes into contact with. Adhesions may be thought of as internal scar tissue. Although adhesions can occur anywhere, the most common locations are within the stomach, pelvis and heart. (For a comprehensive list of specific types of scar tissue and adhesions go to www.brookseminars.com/resources.)
Cases of Scar Tissue Treatment
Scar tissue release therapy is extraordinarily simple to learn, easy to apply and yields powerful results that can prevent a lifetime of compensation, complications and pain. The therapy is a series of fascial techniques that release and realign the restrictive tissue from the starting point (visible scar) to the end point (where the line of frozen fascia stops). This release system differs from traditional methods because it approaches the multi-faceted matrix of fascia three dimensionally.
I have used this therapy with success for clients who range in age (from children to seniors) and who have experienced a broad scope of problems. In many cases, the results have been achieved within one to three sessions. Below are the stories of three clients who have experienced dramatic results (client names have been changed to protect their identities):
Another client for general relaxation massage referred "Laura" to me. Prior to starting our first session she forewarned me (out of being embarrassed) that her leg was "scary" looking due to vein removal surgery she'd had several years prior. I've seen and helped many clients with scar tissue resulting from vein removal surgery but was stunned at hers. Starting about two inches above her knee all the way down to the middle of the foreleg was a scar every inch and a half - with skin puffing up in between. It looked as though she had been bitten by a shark. In addition to the physical scarring, she experienced pain in her knee and down her leg (which made it difficult to keep up with her four boys). As you would imagine these scars not only affected her physically, but emotionally as well. She was very self-conscious of their appearance, so uneasy that she had not worn shorts since the surgery. She was frustrated that she couldn't keep up with her mother's walking pace while out shopping. And she was angry because her doctor told her nothing could be done, "it just healed that way." But after just one scar treatment session Laura experienced relief physically. By the end of three sessions the swelling was gone, the scars were reduced and Laura was thrilled. Laura's scars have faded by 85 percent. She now wears shorts and was able to actually go skiing with the boys for the first time in four years!
"Debbie," 35, came to me several years ago for help with what she thought was carpal tunnel syndrome. After observing a large scar on Debbie's wrist I inquired as to its origin. When she was nine years old she had put her hand through a window chasing her brother. After working on her hand for two sessions, scars from the glass cuts were reduced visibly by about 80 percent, she obtained range of motion back in her hand/wrist and the numbness was gone.
Another regular massage client one day inquired about my services for his 10-year-old son "Bobby." Bobby, who is very active in sports, was born with a clubfoot and was experiencing a lot of pain in the Achilles tendon of his good leg. After three surgeries his foot was locked in an inverted position causing him to walk on the outside edge of the foot. He was also scheduled for a fourth in a series of seven surgeries. After a thorough evaluation it was clear that it was not the deformity of Bobby's club foot that was holding his foot in this position - but the scar tissue and adhesions from the past surgeries which was wrapped around the ankle into the arch of the foot and up the back of the Achilles tendon. Due to the inversion of the foot, Bobby was using his hip flexors to move his leg forward. After working on Bobby's good leg, I asked his parents if it would be all right if I worked on the other foot. Much to the parent's shock after the first session of treatment, Bobby's foot released about 90 degrees. Upon seeing her son stand with his foot almost flat on the ground Bobby's mom said half in shock and half in anger, "Why didn't the doctors tell us to work on the scars? We would have done it everyday!" I continued to work with Bobby for almost two years. Along with continued work on removing the extensive scar tissue, he needed stretching and strengthening sessions to retrain the muscles in the atrophied leg and throughout his hip. While his foot will always be stunted from his deformity he never did have that fourth surgery.
It is my hope that with modern science starting to recognize the importance of fascia and the effects of scar tissue on the body that scar tissue release will be brought to the forefront of therapy. Massage therapists can make significant and long-lasting changes in the health and well-being of their clients by incorporating scar tissue release therapy into their treatments. It is my experience that this therapy can play a major supportive and therapeutic role in helping anyone living with the physical, emotional and mental effects of scar tissue and adhesion restrictions.
Marjorie Brook has been a nationally certified, New York State LMT since 1997. She is an advanced AIS practitioner/instructor who teaches nationwide, as well as in Canada and Europe. Marjorie offers continuing education courses in Active Isolated Stretching and Strengthening, Scar Tissue Release, and Body Mechanics through her company at www.brookseminars.com.
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