Archive for April, 2009

Apr 29 2009

Massage and Bodywork to Reduce Fatigue and Build Your Practice

Fatigue is the most frequently seen symptom in clinical practice. Learn how to implement a therapeutic protocol to support clients suffering from fatigue while enhancing the value of your services.

Nicole Cutler, L.Ac.

The explosion of research centering on the benefits offered by massage therapy clearly demonstrates the modality’s ability to reduce fatigue:

• As published in Alternative Therapies for Health and Medicine, hospital nursing and physician staff members were provided massage therapy, relaxation therapy and music therapy. All of these therapies significantly reduced anxiety, depression and fatigue as well as increased vigor.

• As published in the Journal of Chronic Fatigue Syndrome, patients with chronic fatigue syndrome experienced a reduction in depressed mood, fatigue, anxiety and stress hormone (cortisol) levels immediately following massage therapy.

• As published in the Journal of Clinical Rheumatology, massage therapy (as compared to transcutaneous electrical stimulation) improved sleep patterns and decreased pain, fatigue, anxiety, depression and cortisol levels in adults with fibromyalgia.

• As published in the Journal of Nursing Research, acupressure followed by leg massage eases fatigue and depression in people with end-stage renal disease.

Acupressure for Fatigue
While there are just as many variations of fatigue as there are ways to help it, acupressure provides a solid theoretical basis and effective means for its treatment. Traditional Chinese Medicine thoroughly chronicles and seeks to balance energy flow within the body’s meridians. This intricate system of healing has been thoroughly studied and relied upon by acupuncturists, but massage therapists performing acupressure can also utilize this vast pool of therapeutic information.

Traditional Chinese Medicine discovered that when performed excessively, certain activities strain the energetic balance in specific meridians. This strain can result in weakened immunity and fatigue. Administering acupressure to specific points along these meridians can correct the offending imbalance and increase the client’s energy.

According to Michael Reed Gach, PhD’s book, Acupressure’s Potent Points, the following activities can result in fatigue:

• Excessive standing damages the bladder and kidney meridians, which can cause fatigue and low backaches. To restore these meridians, stimulate the following points:

Bladder 23 – located approximately two-finger widths lateral to the lower border of the spinous process of the second lumbar vertebrae, on the quadratus lumborum muscle.

Bladder 52 – located approximately four-finger widths lateral to the lower border of the spinous process of the second lumbar vertebrae, on the quadratus lumborum muscle.

Kidney 27 – located in the depression on the lower border of the clavicle, approximately three finger widths lateral to the sternum.

Kidney 3 – located in the depression between the medial malleolus and tendo-calcaneus, level with the tip of the medial malleolus.

• Excess sitting can damage the stomach and spleen meridians, contributing to fatigue, anemia and digestive disorders. To restore these meridians, stimulate the following points:

Stomach 36 - located four finger breadths below the eye of the knee, one finger breadth lateral to the anterior crest of the tibia, in the tibialis anterior muscle.

Spleen 6 – located four finger breadths directly above the tip of the medial malleolus, on the posterior border of the medial aspect of the tibia.

• Excess lying down can damage the large intestine and lung meridians, which can cause fatigue, respiration difficulties and elimination problems. To restore these meridians, stimulate the following points:

Large Intestine 4 – located in the web on the dorsum of the hand, between the first and second metacarpal bones, approximately in the middle of the second metacarpal bone on the radial side. Note: This point is contraindicated during pregnancy.

Large Intestine 11 – When the elbow is flexed, in the depression at the lateral end of the transverse cubital crease, midway between the lateral epicondyle of the humerus and the biceps brachii tendon.

• Excess use of your eyes (as in close desk work) or emotional stress can damage the small intestine and heart meridians, causing fatigue. Pressure or tapping on the following can restore balance in these meridians:

Conception Vessel 17 – located on the anterior midline, level with the fourth intercostal space, on the sternum.

Heart 3 to 7 – runs along the palmar aspect of the forearm, in a line from Heart 7 (the ulnar end of the transverse wrist crease, on the radial side of the tendon flexor carpi ulnaris), to Heart 3 (in the depression between the medial end of the transverse cubital crease and the medial epicondyle of the humerus).

• Excess physical exertion can damage the gallbladder and liver meridians, which can cause cramps, spasms and fatigue. To restore these meridians, stimulate the following points:

Liver 3 – located in the web on the dorsum of the foot, in the depression distal to the junction of the first and second metatarsal bones.

Gallbladder 34 – located in the depression anterior and inferior to the head of the fibula.

Asking the proper questions of a client during an intake interview can reveal excessive activities in their lifestyle that may be creating a fatigue-causing imbalance. For example, a client experiencing fatigue who sits at a computer all day likely has imbalances in the spleen, stomach, heart and small intestine meridians. Applying acupressure to the points most likely to balance these meridians could provide enormous therapeutic benefit. Massage therapists can take advantage of Traditional Chinese Medicine’s knowledge in a hands-on, healing manner to conquer the typical clinical struggle with fatigue.

References:

Field, T., Quintino, O., Henteleff, T., Wells-Keife, L., & Delvecchio-Feinberg, G., Job stress reduction therapies, Alternative Therapies in Health and Medicine, 1997.

Field, T, Sunshine, W., Hernandez-Reif, M., Quintino, O., Schanberg, S., Kuhn, C., & Burman, I. Chronic fatigue syndrome: Massage therapy effects on depression and somatic symptoms in chronic fatigue syndrome, Journal of Chronic Fatigue Syndrome, 1997.

Gach, Michael Reed, PhD, “Acupressure’s Potent Points”, Bantam Books, 1990.
Liangyue, Deng, et al., “Chinese Acupuncture and Moxibustion”, Foreign Languages Press, Beijuing, 1987.

Rho, Yi-Ching, RN, Shiow-Luan Tsay, RN, PhD, Acupressure for Fatigue and Depression in End-Stage Renal Disease, Journal of Nursing Research, 2004.

Sunshine, W., Field, T., Schanberg, S., Quintino, O., Fierro, K., Kuhn, C., Burman, I., and Schanberg, S., Fibromyalgia benefits from massage therapy and transcutaneous electrical stimulation, Journal of Clinical Rheumatology, 1996.

Posted by Editors at 11:51 AM

© 2009 Institute for Integrative HealthCare Studies. This work is reproduced with the permission of the Institute. www.Integrative-Healthcare.org

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Apr 29 2009

Expand Your Practice: Offering Massage to Hospital Patients

Published by Ross under Massage Therapy

Research and empirical evidence is finally catching up with the United States healthcare system, opening up new and exciting opportunities to massage therapists who were previously restricted to allopathic healthcare practitioners. Learn what steps bodyworkers can take to enter the rich and rewarding niche of a hospital setting.

Nicole Cutler, L.Ac.

Health Forum, a subsidiary of the American Hospital Association on behalf of the American Massage Therapy Association (AMTA), administers a bi-annual poll of hospitals across the United States regarding the programs they offer. The 2006 results of this survey demonstrate that the number of hospitals offering massage therapy has increased by more than 33 percent in a two-year span. As hospitals represent the epitome of allopathic medicine, this surge represents how alternative medicine, and specifically massage therapy, has been accepted into mainstream health care in the United States.

This survey discovered that massage therapy is among the most popular complementary and alternative medical therapies offered in hospitals. Of the 1,007 hospitals that responded to the survey, 82 percent offering complementary and alternative medicine include massage among their care options. Seventy-one percent of hospitals with massage therapy programs offer massage for patient stress management and comfort, while 67 percent claim the utilization of massage therapy for pain management. Fifty-two percent say they provide massage for cancer patients and 67 percent offer massage to their staff for stress management. According to the survey, hospitals also use massage therapy for:

• Improving mobility and movement (52 percent)
• Pregnancy (51 percent)
• Part of physical therapy regimen (50 percent)
• Hospice or end-of-life care (37 percent)
• Edema (33 percent)
• Infants (24 percent)
• Post-operative care (25 percent)
• Pre-operative care (17 percent)

The effectiveness of massage therapy in alleviating the symptoms of a number of medical conditions has been demonstrated in on-going research and clinical studies. Massage has been proven effective in boosting the body’s immune system, reducing blood pressure, alleviating post-operative pain, easing alcohol withdrawal symptoms and reducing chronic back pain. Recent studies have also associated massage therapy with substantial relief of symptoms in cancer patients, such as pain, fatigue, stress, anxiety, nausea, and depression.

The following four suggestions will help bodyworkers prepare for working within a hospital environment:

1. Learn an energetic modality. The medications and conditions belonging to many hospital patients place circulatory and deep tissue restrictions on bodywork. The Institute’s Healing Energy and Touch distance learning course is based on an energetic massage method developed for the ill and elderly. For additional guidance, consult the textbook Massage for the Hospital Patient and Medically Frail Client.

2. Become familiar with as many massage contraindications as possible. Since communicating with physicians is a must within a hospital setting, speaking intelligently about safety precautions will only improve the trust both the patient and physician have in your services. Additionally, knowing when to stop and provide a referral to a doctor helps you uphold the ‘do no harm’ oath. The Institute’s Deep Vein Thrombosis distance learning course is an excellent step along this path.

3. Study your client’s medications. Pharmaceutical drugs can significantly impact massage. Since a majority of hospital patients take medications, a handy reference tool such as the Pharmacology Guide for Massage Therapy can help you make educated choices for the ideal massage strokes based on a client’s medications.

4. Protect yourself emotionally. Some very intense situations can arise when working in a hospital setting. You may work with people who are very sick and have extreme depression. Read the article, The Four Steps of Energetic Separation for Bodyworkers to become familiar with maintaining boundaries when working with this population.

As the number of hospitals offering massage therapy increases, so does the opportunity for employment in these well-established institutions. The skills to succeed as a hospital massage therapist lay only in the concentrated effort to enhance one’s education. Whether consulting relevant articles, enrolling in continuing education courses or referencing a book or guide, the resources available to bodyworkers to help meet the increasing demand for hospital massage therapists are plentiful.

Recommended Study:
Healing Energy and Touch
Pharmacology for Massage
Deep Vein Thrombosis

References:

Engebretson, Julie, Studying the Benefits of Massage for Advanced Cancer Patients, Massage Today, May 2006.

Feather, Kathryn, Hospitals Starting to Recognize the Value of Massage Therapy, Massage Today, May 2006.

www.massagemag.com, Hospital-Based Massage Grows by 30 Percent,
Massage Magazine Inc., 2006.

Posted by Editors at 10:32 AM
© 2009 Institute for Integrative HealthCare Studies. This work is reproduced with the permission of the Institute. www.Integrative-Healthcare.org

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Apr 29 2009

How You Can Help Treat de Quervain’s Tendonitis

Published by Ross under Massage Therapy

Medically referred to as de Quervain’s tenosynovitis or de Quervain’s tendonitis, this painful condition affects the tendon responsible for the use of the thumb. Learn the causes and symptoms for this repetitive stress injury and the various treatments you can use for clients who turn to you for help.

Nicole Cutler, L.Ac.

The irritation and inflammation associated with this condition is typically caused by repeated tendon friction caused by excessive use of the thumb. Those at risk for developing a repetitive stress injury typically partake in the following:

• Awkward or unnatural body posture. Each joint in the body has a neutral position, where staying within its range of motion is least likely to cause injury. Any deviation from the neutral position puts increased strain on body tissues.
• Use of excessive force to perform a task. Examples of excessive force are pounding on piano keys or hammering harder than necessary to drive nails.
• Extended periods of static work. Static work requires muscular effort without movement taking place. Instead of the circulation created from movement, static work contracts muscles, preventing blood from reaching tissues to nourish cells and carry away waste products. Over time, this lack of circulation causes muscle tissue to lose its ability to repair microtraumas. Examples of static work include sitting at a desk for long hours, holding the arms overhead to paint a ceiling and repeated text messaging. This last example of static work is why de Quervain’s is becoming more commonly referred to as Blackberry Thumb.

Symptoms
Symptoms of de Quervain’s include:

• Radial pain or soreness upon thumb or wrist movement from the thumb to the forearm. Pinching, grasping and similar movements may aggravate the pain.
• Pain when a fist is made.
• Swelling and tenderness at the base of the thumb and the radial side of the wrist.
• Feeling or hearing squeaking (crepitus) as the thumb’s tendon slides through its sheath.
• Numbness in the back of the thumb and index finger, caused by the swollen tendon rubbing on a nerve.
• A fluid-filled cyst in the same region as the swelling and pain.
• Difficulty moving the thumb and wrist during activities involving grasping or pinching.

In reference to de Quervain’s tendonitis, Alan Hedge, the director of the Human Factors and Ergonomics Laboratory at Cornell University, says “Eventually you get to the point where you won’t be able to grip anything. Your ability to grip an object depends very much on the thumb — the thumb is the most powerful of the digits, so when movement of the thumb becomes painful you can’t hold on to things.”

Specialized Test
While orthopedic diagnosis is outside a massage therapist’s scope of practice, being familiar with the Finkelstein test physicians use for de Quervain’s evaluation can be useful. Conduction of the Finkelstein test is done by asking the client to fold their thumb across the palm of the affected hand and then bend the fingers over the thumb. A person with de Quervain’s will experience sharp pain when the wrist is bent toward the ulnar side. Feeling pain about three inches above the forearm may indicate a condition called intersection syndrome. This is similar to de Quervain’s tenosynovitis, but affects a different area of the wrist and requires different treatment.

Treatment
Depending on the type of practitioner seen and the severity of the de Quervain’s, many treatment options exist. Typically, combinations of the following ten options are recruited:

1. Resting the thumb. This allows for microtrauma healing and inflammation recovery. Complete rest should last no longer than two to three days, because range of motion and muscle strength must be maintained.

2. Thermal Application. Applying ice packs to reduce swelling and inflammation or gentle heat to increase circulation.

3. Medicine. Taking an anti-inflammatory medicine such as ibuprofen to reduce pain and inflammation.

4. Injections. Corticosteroids may be injected into the area by a physician to lower inflammation and swelling. In some cases, local anesthetics may also be given by injection.

5. Splinting. Wearing a splint covering the wrist and thumb protects the area from aggravating activity.

6. Transcutaneous electrical nerve stimulation (TENS). TENS involves the use of a patient-controlled portable device that sends mild electrical impulses through injured tissues via electrodes placed over the skin. It is reported to relieve pain in 75–80% of patients treated for repetitive motion disorders.

7. Surgery. Severe cases may require surgical intervention for nerve decompression, tendon release, and repair of loose or torn ligaments.

8. Acupuncture. Studies funded by the National Center for Complementary and Alternative Medicine (NCCAM) since 1998 have found that acupuncture is an effective treatment for pain related to repetitive motion disorders.

9. Massage. Most effective for de Quervain’s are techniques found in sports massage, Swedish massage, shiatsu and neuromuscular therapy. Massage increases the circulation that stagnates in static injuries, increases the thumb and wrist’s range of motion and can breakdown scar tissue contributing to pain and numbness.

10. Physical Therapy. Rehabilitative exercises and stretches help speed recovery and prevent re-injury.

Prevention
Similar to most repetitive stress injuries, some suggestions for preventing de Quervain’s includes:

• Taking frequent breaks from repetitive tasks.
• Regularly engaging in stretching and strengthening exercises for the wrists and hands.
• Adopting an ergonomic work environment.
• Practicing proper wrist alignment and posture during all daily tasks.
• Avoiding repeated keystrokes with only one thumb (practice ambidexterity).

Technology
The burgeoning text messaging and video game markets are spawning millions of new de Quervain’s cases. As technology creates smaller devices for us to master, the accompanying repetitive motion injuries involve smaller, more specific locations. While computers are infamous for their propensity towards carpal tunnel syndrome, the miniaturization of products has coined the terms ‘Blackberry thumb’, ‘nintendonitis’ and ‘iPod finger’.

Entrepreneurs are recognizing this trend and using creativity to bring therapeutic massage to those who need it. Several Hyatt Regency Spas across the country are now offering Blackberry Thumb Massage for their guests. A hotel news release describes a session; “First, hands are warmed up with soothing rocks and an aroma hot towel. Next, kneading and compressions loosen muscles and warm oil is applied with firm strokes. The therapist then kneads and stretches deltoids, biceps, triceps, flexors and extensors, and uses an acupressure massage technique on hands and arms. The 30-minute treatment culminates with an aroma hot towel cleanse on each hand.’”

As of yet, there are no detailed statistics on how many people are suffering from this condition but doctors are reporting seeing a significant increase in de Quervain’s. The American Society of Hand Therapists has issued a consumer alert, warning users of small gadgets that heavy thumb use can lead to swelling of the sheath around the tendons in the thumb.

Being familiar with the terminology, symptoms, causes, treatments and prevention will aid massage therapists in recognizing this repetitive motion injury. While you may not wish to replicate the Hyatt’s ingenious approach to thumb pain, awareness of technology’s thumb tapping repercussions may spur you to create the ultimate in Blackberry Thumb bodywork relief.

Recommended Study:
Sports Massage
Swedish Massage
Shiatsu Anma
Neuromuscular Therapy

References:

www.abcnews.go.com, Spa Offers Relief for Blackberry Thumb, Jonathan Silverstein, 12/22/05, ABC News Internet Ventures, 2006.

www.answers.com, Repetitive Motion Disorders, The Gale Group Inc., 2005.

www.blackberrycool.com, Hyatt Introduces Massage for Blackberry Thumb Sufferers, BlackBerry Cool, April 3, 2006.

www.ergocise.com, Pinpoint Your Pain, ergocise.com, 2006.

www.holisticmatters.net, New Technology Brings New Physical Issues, Gini Maddocks, holisticmatters.net, 2006.

www.innerwestmassage.com.au, Blackberry Thumb!, innerwestmassage.com.au, 2006.

www.mayoclinic.com, De Quervain’s Tenosynovitis, Mayo Clinic Staff, Mayo Foundation for Medical Education and Research, April 4, 2006.

www.med.umich.edu, De Quervain’s Tenosynovitis, Pierre Rouzier, MD, McKesson Corporation, 2005.

Posted by Editors at 01:54 PM

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© 2009 Institute for Integrative HealthCare Studies. This work is reproduced with the permission of the Institute. www.Integrative-Healthcare.org

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Apr 29 2009

Critical Alert: The Swine Flu Pandemic – Fact or Fiction? (AA)

By Dr. Mercola

American health officials declared a public health emergency as cases of swine flu were confirmed in the U.S. Health officials across the world fear this could be the leading edge of a global pandemic emerging from Mexico, where seven people are confirmed dead as a result of the new virus.

On Monday April 27th, the World Health Organization (WHO) raised its pandemic alert level to four on its six-level threat scale,1 which means they’ve determined that the virus is capable of human-to-human transmission.

The number of fatalities, and suspected and confirmed cases across the world change depending on the source, so your best bet — if you want the latest numbers — is to use Google Maps’ Swine Flu Tracker.
Several nations have imposed travel bans, or made plans to quarantine air travelers2 that present symptoms of the swine flu, such as:

Fever of more than 100
Coughing
Runny nose and/or sore throat
Joint aches
Severe headache
Vomiting and/or diarrhea
Lethargy
Lack of appetite
Top global flu experts are trying to predict how dangerous the new swine flu strain will be, as it became clear that they had little information about Mexico’s outbreak. It is as yet unclear how many cases occurred in the month or so before the outbreak was detected. It’s also unknown whether the virus was mutating to be more lethal, or less.

Is This the Pandemic Health Officials Have Been Waiting for?

Folks, you can expect to see a lot of panic over this in the near future. But I wouldn’t be too hasty — this isn’t the first time the public has been warned about swine flu. The last time was in 1976, right before I entered medical school and I remember it very clearly. It resulted in the massive swine flu vaccine campaign.

Do you happen to recall the result of this massive campaign?

Within a few months, claims totaling $1.3 billion had been filed by victims who had suffered paralysis from the vaccine. The vaccine was also blamed for 25 deaths.

However, several hundred people developed crippling Guillain-Barré Syndrome after they were injected with the swine flu vaccine. Even healthy 20-year-olds ended up as paraplegics.

And the swine flu pandemic itself? It never materialized.

More People Died From the Swine Flu Vaccine than Swine Flu!

It is very difficult to forecast a pandemic, and a rash response can be extremely damaging.

As of Monday April 27, the worldwide total number of confirmed cases was 82, according to WHO, which included 40 cases in the U.S., confirmed by the Centers for Disease Control. But does that truly warrant the feverish news headlines?

To put things into perspective, malaria kills 3,000 people EVERY DAY, and it’s considered “a health problem”… But of course, there are no fancy vaccines for malaria that can rake in billions of dollars in a short amount of time.

One Australian news source,3 for example, states that even a mild swine flu epidemic could lead to the deaths of 1.4 million people and would reduce economic growth by nearly $5 trillion dollars.

Give me a break, if this doesn’t sound like the outlandish cries of the pandemic bird-flu I don’t know what does. Do you remember when President Bush said two million Americans would die as a result of the bird flu?
In 2005, in 2006, 2007, and again in 2008, those fears were exposed as little more than a cruel hoax, designed to instill fear, and line the pocketbooks of various individuals and industry. I became so convinced by the evidence AGAINST the possibility of a bird flu pandemic that I wrote a New York Times bestselling book, The Bird Flu Hoax, all about the massive fraud involved with the epidemic that never happened..

What is the Swine Flu?

Regular swine flu is a contagious respiratory disease, caused by a type-A influenza virus that affects pigs. The current strain, A(H1N1), is a new variation of an H1N1 virus — which causes seasonal flu outbreaks in humans — that also contains genetic material of bird and pig versions of the flu.

Interestingly enough, this version has never before been seen in neither human nor animal, which I will discuss a bit later.

This does sound bad. But not so fast. There are a few reasons to not rush to conclusions that this is the deadly pandemic we’ve been told would occur in the near future (as if anyone could predict it without having some sort of inside knowledge).

Why a True Bird- or Swine Flu Pandemic is Highly Unlikely

You may not know this, but all H1N1 flu’s are descendants of the 1918 pandemic strain. The reason why the flu shot may or may not work, however, from year to year, is due to mutations. Therefore, there’s no vaccine available for this current hybrid flu strain, and naturally, this is feeding the fear that millions of people will die before a vaccine can be made.

However, let me remind you of one very important fact here.

Just a couple of months ago, scientists concluded that the 1918 flu pandemic that killed between 50-100 million people worldwide in a matter of 18 months — which all these worst case scenarios are built upon — was NOT due to the flu itself!4

Instead, they discovered the real culprit was strep infections.

People with influenza often get what is known as a “superinfection” with a bacterial agent. In 1918 it appears to have been Streptococcus pneumoniae.

Since strep is much easier to treat than the flu using modern medicine, a new pandemic would likely be much less dire than it was in the early 20th century, the researchers concluded.

Others, such as evolutionary biologist Paul Ewald,5 claim that a pandemic of this sort simply cannot happen, because in order for it to occur, the world has to change. Not the virus itself, but the world.

In a previous interview for Esquire magazine, in which he discusses the possibility of a bird flu pandemic, he states:

“They think that if a virus mutates, it’s an evolutionary event. Well, the virus is mutating because that is what viruses and other pathogens do. But evolution is not just random mutation. It is random mutation coupled with natural selection; it is a battle for competitive advantage among different strains generated by random mutation.

For bird flu to evolve into a human pandemic, the strain that finds a home in humanity has to be a strain that is both highly virulent and highly transmissible. Deadliness has to translate somehow into popularity; H5N1 has to find a way to kill or immobilize its human hosts, and still find other hosts to infect. Usually that doesn’t happen.”

Ewald goes on to explain that evolution in general is all about trade-offs, and in the evolution of infections the trade-off is between virulence and transmissibility.

What this means is that in order for a “bird flu” or “swine flu” to turn into a human pandemic, it has to find an environment that favors both deadly virulence and ease of transmission.

People living in squalor on the Western Front at the end of World War I generated such an environment, from which the epidemic of 1918 could arise.

Likewise, crowded chicken farms, slaughterhouses, and jam-packed markets of eastern Asia provide another such environment, and that environment gave rise to the bird flu — a pathogen that both kills and spreads, in birds, but not in humans.

Says Ewald:

“We know that H5N1 is well adapted to birds. We also know that it has a hard time becoming a virus that can move from person to person. It has a hard time without our doing anything. But we can make it harder. We can make sure it has no human population in which to evolve transmissibility. There is no need to rely on the mass extermination of chickens. There is no need to stockpile vaccines for everyone.

By vaccinating just the people most at risk — the people who work with chickens and the caregivers — we can prevent it from becoming transmissible among humans. Then it doesn’t matter what it does in chickens.”

Please remember that, despite the fantastic headlines and projections of MILLIONS of deaths, the H5N1 bird flu virus killed a mere 257 people worldwide since late 2003. As unfortunate as those deaths are, 257 deaths worldwide from any disease, over the course of five years, simply does not constitute an emergency worthy of much attention, let alone fear!

Honestly, your risk of being killed by a lightning strike in the last five years was about 2,300 percent higher than your risk of contracting and dying from the bird flu.6 I’m not kidding! In just one year (2004), more than 1,170 people died from lighting strikes, worldwide.7

So please, as the numbers of confirmed swine flu cases are released, keep a level head and don’t let fear run away with your brains.

So is the Swine Flu Getting More or Less Dangerous?

On Sunday, April 26, The Independent reported that more than 1,000 people had contracted the swine flu virus in Mexico, 8 but by the afternoon that same day, Mexican President Calderon declared that more than two-thirds of the 1,300 thought to have contracted the disease had been given a clean bill of health and sent home.9

Additionally, the number of actual confirmed cases appears to be far lower than reported in many media outlets, leading me to believe that many reporters are interchanging the terms “suspected cases” and “confirmed cases.” According to the World Health Organization’s Epidemic and Pandemic Alert and Response site; as of April 27, there are:

40 laboratory confirmed cases of A(H1N1) in the U.S. — 0 deaths
26 confirmed cases in Mexico — 7 deaths
6 confirmed cases in Canada — 0 deaths
1 confirmed case in Spain — 0 deaths
Additionally, nearly all suspected new cases have been reported as mild.

Personally, I am highly skeptical. It simply doesn’t add up to a real pandemic.

But it does raise serious questions about where this brand new, never before seen virus came from, especially since it cannot be contracted from eating pork products, and has never before been seen in pigs, and contain traits from the bird flu — and which, so far, only seems to respond to Tamiflu. Are we just that lucky, or… what?

Your Fear Will Make Some People VERY Rich in Today’s Crumbling Economy

According to the Associated Press at least one financial analyst estimates up to $388 million worth of Tamiflu sales in the near future10 — and that’s without a pandemic outbreak.

More than half a dozen pharmaceutical companies, including Gilead Sciences Inc., Roche, GlaxoSmithKline and other companies with a stake in flu treatments and detection, have seen a rise in their shares in a matter of days, and will likely see revenue boosts if the swine flu outbreak continues to spread.

As soon as Homeland Security declared a health emergency, 25 percent — about 12 million doses — of Tamiflu and Relenza treatment courses were released from the nation’s stockpile. However, beware that the declaration also allows unapproved tests and drugs to be administered to children. Many health- and government officials are more than willing to take that chance with your life, and the life of your child. But are you?

Remember, Tamiflu went through some rough times not too long ago, as the dangers of this drug came to light when, in 2007, the FDA finally began investigating some 1,800 adverse event reports related to the drug. Common side effects of Tamiflu include:

Nausea
Vomiting
Diarrhea
Headache
Dizziness
Fatigue
Cough
All in all, the very symptoms you’re trying to avoid.

More serious symptoms included convulsions, delirium or delusions, and 14 deaths in children and teens as a result of neuropsychiatric problems and brain infections (which led Japan to ban Tamiflu for children in 2007). And that’s for a drug that, when used as directed, only reduces the duration of influenza symptoms by 1 to 1 ½ days, according to the official data.

But making matters worse, some patients with influenza are at HIGHER risk for secondary bacterial infections when on Tamiflu. And secondary bacterial infections, as I mentioned earlier, was likely the REAL cause of the mass fatalities during the 1918 pandemic!

Where did This Mysterious New Animal-Human Flu Strain Come From?

Alongside the fear-mongering headlines, I’ve also seen increasing numbers of reports questioning the true nature of this virus. And rightfully so.
Could a mixed animal-human mutant like this occur naturally? And if not, who made it, and how was it released?

Not one to dabble too deep in conspiracy theories, I don’t have to strain very hard to find actual facts to support the notion that this may not be a natural mutation, and that those who stand to gain have the wherewithal to pull off such a stunt.

Just last month I reported on the story that the American pharmaceutical company Baxter was under investigation for distributing the deadly avian flu virus to 18 different countries as part of a seasonal flu vaccine shipment. Czech reporters were probing to see if it may have been part of a deliberate attempt to start a pandemic; as such a “mistake” would be virtually impossible under the security protocols of that virus.

The H5N1 virus on its own is not very airborne. However, when combined with seasonal flu viruses, which are more easily spread, the effect could be a potent, airborne, deadly biological weapon. If this batch of live bird flu and seasonal flu viruses had reached the public, it could have resulted in dire consequences.

There is a name for this mixing of viruses; it’s called “reassortment,” and it is one of two ways pandemic viruses are created in the lab. Some scientists say the most recent global outbreak — the 1977 Russian flu — was started by a virus created and leaked from a laboratory.

Another example of the less sterling integrity of Big Pharma is the case of Bayer, who sold millions of dollars worth of an injectable blood-clotting medicine to Asian, Latin American, and some European countries in the mid-1980s, even though they knew it was tainted with the AIDS virus.

So while it is morally unthinkable that a drug company would knowingly contaminate flu vaccines with a deadly flu virus such as the bird- or swine flu, it is certainly not impossible. It has already happened more than once.

But there seems to be no repercussions or hard feelings when industry oversteps the boundaries of morality and integrity and enters the arena of obscenity. Because, lo and behold, which company has been chosen to head up efforts, along with WHO, to produce a vaccine against the Mexican swine flu?

Baxter!11 Despite the fact that ink has barely dried on the investigative reports from their should-be-criminal “mistake” against humanity.

According to other sources,12 a top scientist for the United Nations, who has examined the outbreak of the deadly Ebola virus in Africa, as well as HIV/AIDS victims, has concluded that the current swine flu virus possesses certain transmission “vectors” that suggest the new strain has been genetically-manufactured as a military biological warfare weapon.

The UN expert believes that Ebola, HIV/AIDS, and the current A-H1N1 swine flu virus are biological warfare agents.

In addition, Army criminal investigators are looking into the possibility that disease samples are missing from biolabs at Fort Detrick — the same Army research lab from which the 2001 anthrax strain was released, according to a recent article in the Fredrick News Post.13 In February, the top biodefense lab halted all its research into Ebola, anthrax, plague, and other diseases known as “select agents,” after they discovered virus samples that weren’t listed in its inventory and might have been switched with something else.

Should You Accept a Flu Vaccine — Just to be Safe?

As stated in the New York Times14 and elsewhere, flu experts have no idea whether the current seasonal flu vaccine would offer any protection whatsoever against this exotic mutant, and it will take months to create a new one.

But let me tell you, getting vaccinated now would not only offer no protection and potentially cause great harm, it would most likely be loaded with toxic mercury which is used as a preservative in most flu vaccines..

I’ve written extensively about the numerous dangers (and ineffectiveness) of flu vaccines, and why I do not recommend them to anyone. So no matter what you hear — even if it comes from your doctor — don’t get a regular flu shot. They rarely work against seasonal flu…and certainly can’t offer protection against a never-before- seen strain.

Currently, the antiviral drugs Tamiflu and Relenza are the only drugs that appear effective against the (human flu) H1N1 virus, and I strongly believe taking Tamiflu to protect yourself against this new virus could be a serious mistake — for all the reasons I already mentioned above.

But in addition to the dangerous side effects of Tamiflu, there is also growing evidence of resistance against the drug. In February, the pre-publication and preliminary findings journal called Nature Precedings published a paper on this concern, stating15:

The dramatic rise of oseltamivir [Tamiflu] resistance in the H1N1 serotype in the 2007/2008 season and the fixing of H274Y in the 2008/2009 season has raised concerns regarding individuals at risk for seasonal influenza, as well as development of similar resistance in the H5N1 serotype [bird flu].

Previously, oseltamivir resistance produced changes in H1N1 and H3N2 at multiple positions in treated patients. In contrast, the recently reported resistance involved patients who had not recently taken oseltamivir.

It’s one more reason not to bother with this potentially dangerous drug.

And, once a specific swine flu drug is created, you can be sure that it has not had the time to be tested in clinical trials to determine safety and effectiveness, which puts us right back where I started this article — with a potential repeat of the last dangerous swine flu vaccine, which destroyed the lives of hundreds of people.

Topping the whole mess off, of course, is the fact that if the new vaccine turns out to be a killer, the pharmaceutical companies responsible are immune from lawsuits — something I’ve also warned about before on numerous occasions.

Unfortunately, those prospects won’t stop the governments of the world from mandating the vaccine — a scenario I hope we can all avoid.

How to Protect Yourself Without Dangerous Drugs and Vaccinations

For now, my point is that there are always going to be threats of flu pandemics, real or created, and there will always be potentially toxic vaccines that are peddled as the solution. But you can break free of that whole drug-solution trap by following some natural health principles.

I have not caught a flu in over two decades, and you can avoid it too, without getting vaccinated, by following these simple guidelines, which will keep your immune system in optimal working order so that you’re far less likely to acquire the infection to begin with.

Optimize your vitamin D levels. As I’ve previously reported, optimizing your vitamin D levels is one of the absolute best strategies for avoiding infections of ALL kinds, and vitamin D deficiency is likely the TRUE culprit behind the seasonality of the flu — not the flu virus itself.
This is probably the single most important and least expensive action you can take. I would STRONGLY urge you to have your vitamin D level monitored /sites/articles/archive/2002/02/23/vitamin-d-deficiency-part-one.aspx to confirm your levels are therapeutic at 50-70 ng.ml and done by a reliable vitamin D lab like Lab Corp.

If you are coming down with flu like symptoms and have not been on vitamin D you can take doses of 50,000 units a day for three days to treat the acute infection. Some researchers like Dr. Cannell, believe the dose could even be as high as 1000 units per pound of body weight for three days.

Avoid Sugar and Processed Foods. Sugar decreases the function of your immune system almost immediately, and as you likely know, a strong immune system is key to fighting off viruses and other illness. Be aware that sugar is present in foods you may not suspect, like ketchup and fruit juice.

Get Enough Rest. Just like it becomes harder for you to get your daily tasks done if you’re tired, if your body is overly fatigued it will be harder for it to fight the flu. Be sure to check out my article Guide to a Good Night’s Sleep for some great tips to help you get quality rest.

Have Effective Tools to Address Stress . We all face some stress every day, but if stress becomes overwhelming then your body will be less able to fight off the flu and other illness.

If you feel that stress is taking a toll on your health, consider using an energy psychology tool such as the Emotional Freedom Technique (EFT), which is remarkably effective in relieving stress associated with all kinds of events, from work to family to trauma. You can check out my free, 25-page EFT manual for some guidelines on how to perform EFT.

Exercise. When you exercise, you increase your circulation and your blood flow throughout your body. The components of your immune system are also better circulated, which means your immune system has a better chance of finding an illness before it spreads. You can review my exercise guidelines for some great tips on how to get started.

Take a good source of animal based omega-3 fats like Krill Oil. Increase your intake of healthy and essential fats like the omega-3 found in krill oil, which is crucial for maintaining health. It is also vitally important to avoid damaged omega-6 oils that are trans fats and in processed foods as it will seriously damage your immune response.

Wash Your Hands. Washing your hands will decrease your likelihood of spreading a virus to your nose, mouth or other people. Be sure you don’t use antibacterial soap for this — antibacterial soaps are completely unnecessary, and they cause far more harm than good. Instead, identify a simple chemical-free soap that you can switch your family to.

Eat Garlic Regularly. Garlic works like a broad-spectrum antibiotic against bacteria, virus, and protozoa in the body. And unlike with antibiotics, no resistance can be built up so it is an absolutely safe product to use. However, if you are allergic or don’t enjoy garlic it would be best to avoid as it will likely cause more harm than good.

In this particular case, I’d also recommend you stay away from hospitals unless you’re having an emergency, as hospitals are prime breeding grounds for infections of all kinds, and could be one of the likeliest places you could be exposed to this new bug.

Click here to view References

[x]
1 World Health Organization, Epidemic and Pandemic Alert Response, Current WHO Phase of Pandemic Alert, http://www.who.int/csr/disease/avian_influenza/phase/en/index.html

2 Welt Online, April 28, 2009, http://www.welt.de/english-news/article3625539/Asian-countries-take-measures-against-outbreak.html
3 News.com.au, April 27, 2009, http://www.news.com.au/story/0,23599,25392380-2,00.html 4 Emerging Infectious Diseases February 2009; 15(2):346-7, http://www.ncbi.nlm.nih.gov/sites/entrez?orig_db=PubMed&db=pubmed&cmd=Search&term=%22Emerging%20infectious%20diseases%22%5BJour%5D%20AND%202009%5Bpdat%5D%20AND%20Klugman%5Bauthor%5D

5 Esquire, April 26, 2009, http://www.esquire.com/features/best-n-brightest-2005/ESQ1205B&BEWALD_244?src=digg

6 CDC, Lightning-Associated Deaths 1980-1995, http://wonder.cdc.gov/wonder/PrevGuid/m0052833/m0052833.asp 7 NationMaster.com, Mortality–Lighting, http://www.nationmaster.com/red/pie/mor_vic_of_lig-mortality-victim-of-lightning 8 The Independent, April 26, 2009, http://www.independent.co.uk/life-style/health-and-wellbeing/health-news/pandemic-fears-as-flu-kills-68-1674368.html

9 Reuters, April 26, 2009, http://www.reuters.com/article/topNews/idUSTRE53P23920090426 10 Associated Press, April 27, 2009, http://www.google.com/hostednews/ap/article/ALeqM5hceWV2_Cu7yoSvw9iNYZ90-qnCyQD97R2FVG3 11 Infowars.net, April 27, 2009, http://www.infowars.net/articles/april2009/270409Baxter.htm 12 Online Journal, April 27, 2009 http://onlinejournal.com/artman/publish/article_4631.shtml 13 FredrickNewsPost.com, April 22, 2009, http://www.fredericknewspost.com/sections/news/display.htm?StoryID=89293 14 The New York Times, April 26, 2009, http://www.nytimes.com/2009/04/27/world/27flu.html?_r=3&pagewanted=1
15 Nature Precedings, hdl:10101/npre.2009.2832.1, Emergence and Fixing of Antiviral Resistance in Influenza A Via Recombination and Hitch Hiking, Henry L. Niman, http://precedings.nature.com/documents/2832/version/1

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Apr 27 2009

Cranial-Sacral Therapy’s Wide Range of Applications

Lying within their scope of practice in the majority of regulated states, massage therapists can fortunately utilize cranial-sacral therapy to the benefit of their clients. See how adding this modality to a bodywork treatment plan can greatly enhance your ability to address a variety of client ailments.

by Nicole Cutler, L.Ac.

Based on the belief that the cranial bones are not fused, American osteopath William Garner Sutherland developed cranial-sacral therapy in the 1930s. Previous to Sutherland’s work, medical practitioners believed that the cranium’s sutures permanently mended the skull bones together, forming an immobile casing for the brain. Careful examination of the skull’s sutures reveals zipper-like lines designed to allow for the subtle movement of the cranial bones.

Sutherland proposed that skull bones move in unison with the rhythmic flow of cerebrospinal fluid surrounding the brain and spinal cord. Cerebrospinal fluid is responsible for nourishing and protecting the central nervous system. Just like energy, blood or lymph circulation, the flow of cerebrospinal fluid can become blocked. Cranial-sacral therapy is primarily comprised of subtle and gentle techniques to release any blockages inhibiting the free flow of cerebrospinal fluid. Adjusting the cranial bones restores mobility to this enclosed system and reduces stress on all of the involved tissues.

Each organ, muscle or tissue within the body is linked to a precise area of the cranial-sacral system through its nerve pathway and associated fascial connections. These nerve and fascial connections facilitate diagnosis and treatment for many dysfunctions. Once a restriction in the central nervous system is identified, cranial-sacral therapy can free it.

Cranial-sacral therapy can be learned easily and incorporated into any bodywork session. While this technique can benefit just about anyone, it is especially helpful for the following conditions:

1. Headaches can have a multitude of causes, but are generally accompanied by a circulatory restriction within the cranium. Freeing those restrictions can be a powerful technique to relieve frontal, vertex, temporal, parietal and occipital headaches.

2. Head injuries typically occur following some type of blow to the head. The force from the impact can misalign any number of cranial bones, disturbing the cerebrospinal fluid circulation and causing pain. The gentle manipulation of cranial-sacral therapy can relieve pain by realigning skull bones to open previously restricted fluid flow.

3. Ear infections typically arise from stagnation of fluids in the middle ear. Due to a lack of drainage through the eustachian tubes, fluid accumulates in the middle ear. Congestion of the eustachian tube may be a result of compression or distortion during the birth process or can be due to an accumulation of mucus. Cranial-sacral treatment can remove obstructions and ensure the drainage of fluids.

4. Birth trauma can cause many common childhood conditions such as colic and attention deficit disorder. During the forceful compression of the head twisting through the narrow birth canal, the cranium of a newborn is designed to adapt and flex for its dramatic entrance into the world. However, intense compression of this delicate structure over many hours can push the cranial bones up against each other, distorting the shape of the head. While normal and unavoidable, cranial bones that remain distorted may prevent the proper formation of the skull, affecting development of the brain or impinging on nearby nerves and blood vessels. Cranial-sacral therapy is safe on children and can realign the misaligned cranium.

5. Temporal Mandibular Disorder (TMJ) involves tension and misalignment of the mandible and temporal bones. Cranial-sacral therapy’s adjustments to the mastoid, temporal, zygomatic and sphenoid bones can provide TMJ relief.

6. Insomnia and Anxiety may not be associated with misalignment of the skull, but cranial-sacral therapy’s invigoration of cerebrospinal fluid can bring someone with anxiety or insomnia significant relief. Since cranial-sacral therapy is inherently relaxing, it has been used to ease anxiety and insomnia.

7. Autism has been shown by recent medical research in Canada to be associated with reduced blood supply to the temporal and frontal lobes of the brain. An association has also been made between autism and restricted mobility of the temporal and frontal bones, restricting blood flow to these areas of the brain. It is this association that makes the gentle application of cranial-sacral therapy ideal for treating autism.

8. Seizures occur when hyperexcitable nerve cells in the brain fire abnormally. Keeping the cerebrospinal fluid flowing without restriction to bathe the brain keeps nerve cells nourished. This nourishment has the benefit of reducing the susceptibility of seizures.

Widely applicable, cranial-sacral therapy can be an extremely valuable technique to include in a massage therapy session. As recognition of cranial-sacral therapy increases, so will the number of consumers requesting the modality in their sessions.

Recommended Study:
Cranial-Sacral Therapy

References:

Attlee, Thomas, Cranio-sacral therapy and the treatment of common childhood conditions, The Health Visitor, July 1994.

Upledger, John, DO, OMM, Easing Seizures, Massage Today, August 2006.

www.altguide.com , Cranio-sacral therapy, Oliver Nash, The Alternative Guide, 2006.

www.bbc.co.uk, Cranial Osteopathy, Jacqueline Young, BBC, 2005.

www.healing-arts.org, CranioSacral Therapy, The Healing Center On-line, 2006.

Posted by Editors at 08:41 AM
© 2009 Institute for Integrative HealthCare Studies. This work is reproduced with the permission of the Institute. www.Integrative-Healthcare.org

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Apr 27 2009

Hypertension: Massage Indication or Contraindication?

Published by Ross under Massage Therapy, contraindications

Being a responsible massage therapist often means combining information from various sources to arrive at an educated conclusion. In the case of treating a client with hypertension, choosing the best way to proceed can be tricky. While modern research touts its ability to reduce blood pressure, massage therapy is also one of the most commonly taught contraindications for hypertension.

Nicole Cutler, L.Ac.

Hypertension, or high blood pressure, is a serious condition affecting one in four American adults. Blood pressure is the force of the blood pushing against the walls of the arteries. Each time the heart beats, it pumps blood into the arteries. Blood pressure is at its maximum at this time; this is known as the systolic blood pressure. When the heart is at rest between beats, blood pressure falls; this is known as the diastolic pressure. Hypertension is defined as an average systolic blood pressure above 140 mm Hg, a diastolic blood pressure above 90 mm Hg, or both. Although there aren’t many noticeable signs of hypertension, it increases the risk of both heart disease and stroke.

The Contraindication
When a person has hypertension, excessive pressure is exerted against their blood vessel walls. An activity that might increase an already heightened intra-vascular pressure risks rupturing the blood vessel, a potentially dangerous scenario. One of the physiological effects of massage, especially a circulatory massage, is blood circulation augmentation.

Massage frees tissue congestion by moving stagnant blood out of a tightened area and flooding it with new, fresh blood. An increase in blood circulation can increase intra-vascular pressure. This is the reasoning behind a massage therapist’s caution with a hypertensive client.

The Irony
While many new therapists adhere to the contraindications as if they were absolute, there is considerable evidence to the contrary. Overwhelming evidence demonstrates that massage therapy can reduce blood pressure:

• As early as 1999, researchers from the Touch Research Institute, the University of Miami School of Medicine and Nova Southeastern University in Florida conducted the study “High blood pressure and associated symptoms were reduced by massage therapy”. In this study, participants with controlled hypertension were randomly assigned to either a massage therapy group or a progressive relaxation group. Results showed that while both groups had lower anxiety levels and lower levels of depression, only the massage therapy group showed decreases in sitting diastolic and systolic blood pressure as well as cortisol stress-hormone levels.

• Published in 2005, researchers at the University of South Florida tested the effects of a regularly applied back massage on the blood pressure of patients with clinically diagnosed hypertension. Based on significant point reductions in both systolic and diastolic pressure readings, researchers concluded that regular massage lowers blood pressure in people with hypertension.

• As a result of the general understanding that massage lowers blood pressure, a 2006 National University of Health Sciences study sought to determine blood pressure changes following different types of therapeutic massage modalities. Researchers determined that Swedish massage had the greatest effect in reducing blood pressure readings, while potentially painful techniques, such as trigger point therapy, might have the opposite effect.

According to medical massage expert, Boris Prilutsky, massage’s mobilization of skin, connective tissue, muscle tissue and the periosteum, stimulates receptors that send messages of relaxation to the central nervous system. These reflexes cause vasodilation, resulting in decreased blood pressure and heart rate.

Practicing Sensibly
What is a practitioner to do when a client presents with high blood pressure? Conventional texts claim this condition to be a contraindication to massage, while research consistently demonstrates massage can be helpful to someone with elevated blood pressure. With conflicting information about working with hypertensive clients, massage therapists must take this investigation one step further before making their decision. The following suggestions will help devise an action plan:

• If a client’s high blood pressure is not controlled, get permission from their healthcare practitioner prior to massage. Determining if their blood pressure is controlled will require extra effort during the intake process. Some clients may be alarmed at a request to consult with their doctor, but explaining your concerns will foster their trust in you. When in doubt, always seek the permission from the physician treating a client with high blood pressure.

• When working with hypertension, choose massage modalities to encourage the relaxation response in lieu of intense and possibly painful techniques. Examples of modalities particularly suited for relaxation and hypertension include Swedish massage, cranial-sacral therapy and reflexology.

Whenever conflicting information places you in a professional quandary, further evaluation is required. This is certainly the case in administering massage to a client with high blood pressure. Although massage therapy will likely increase the circulation within the blood vessels, relaxing strokes will concurrently dilate those vessels. The net result of massage’s simultaneous circulation enhancement and vessel dilation is a reduction in body tension and blood pressure. The danger of enhanced circulation is typically only dangerous when a person’s blood pressure is not controlled, requiring the client’s physician to give a massage therapist the green light to commence with bodywork.

Recommended Study:
Swedish Massage
Cranial –Sacral Therapy
Reflexology

References:

Cambron JA, Dexheimer J, et al., Changes in Blood Pressure After Various Forms of Therapeutic Massage, Journal of Alternative and Complementary Medicine, January/February, 2006.

Gottlieb, Bill, New Choices in Natural Healthcare, Rodale Press, Inc., 1995.

Olney CM, The Effect of Therapeutic Back Massage in Hypertensive Persons, Biological Research for Nursing, October 2005.

Prilutsky, Boris, Medical Massage and Control of Arterial Hypertension, Massage and Bodywork, August/September 2003.

www.massagemag.com, High Blood Pressure Reduced by Massage Therapy, Massage Magazine, Inc., 2001.

www.umm.edu, Hypertension, A.D.A.M., Inc., 2006.

Posted by Editors at 02:16 PM

© 2009 Institute for Integrative HealthCare Studies. This work is reproduced with the permission of the Institute. www.Integrative-Healthcare.org

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Apr 27 2009

Massage for Eye Health

Published by Ross under accupuncture, shiatsu

Stronger prescriptions and surgery are not the only options for improving eyesight. Learn how massage therapists with knowledge of Traditional Chinese Medicine can aid clients in their efforts to improve and support the health of their eyes.

Nicole Cutler, L.Ac.

While a significant percentage of our society experiences declining vision, there appears to be a limited understanding of what can be done about it. In addition to corrective lenses or surgical procedures, massage therapists with an understanding of Traditional Chinese Medicine (TCM) can make a substantial contribution to the maintenance of sight. Principles of TCM can guide bodyworkers in choosing acupressure locations to therapeutically support client eye health.

General TCM Theory for the Eyes
Although massage therapists are not intended to be TCM diagnosticians, the following principles will be of value to enhancing assessment and acupressure skills.
According to TCM, diseases involving the eye are closely related to a liver imbalance. Whenever studying TCM theory, it is important to recall that a reference to an organ may include the actual organ, but also takes into account the accompanying meridian and its energy. So while an eye disorder may correspond to a liver imbalance, the liver itself may actually be healthy.

In addition to the liver’s primary role in vision, the eye is nourished by all of the internal organs in the body. Specifically, the health of different parts of the eye reflects the health of the following organ systems:

• The pupil and lens of the eye reflect kidney health
• The sclera reflects lung health
• The arteries and veins, as well as the inner and outer canthus, reflect heart health
• The flesh around the eye reflects spleen health
• The cornea and iris reflect liver health

Because an imbalance in any of the internal organs can be witnessed in different parts of the eye, taking note of a person’s eyes can help in choosing a protocol. Abnormal eye coloration suggests a pathological cause. For example, a client with a discoloration of the sclera would benefit from bodywork on the lung (reflective of the sclera) and liver (applicable for all eye imbalances) meridians. If the sclera discoloring is due to an abundance of inflamed blood vessels, the therapist might want to also work with the heart meridian.

Abnormal eye color is also representative of a system out of balance. Before making this connection, a therapist must understand the colors associated with each major organ system:

• Heart is associated with the color red
• Kidney is associated with the colors blue or black
• Spleen is associated with the colors orange or yellow
• Liver is associated with the color green
• Lung is associated with the color white

These color indicators help a therapist decide what meridian system is most important to address. For example, a client with bags beneath the eyes would likely benefit from bodywork to balance the spleen (reflected in the flesh around the eyes). If those bags were blue or black, the spleen bodywork could be supported with kidney meridian acupressure.

Specific Eye Acupressure Points
Applying acupressure to points around the eyes can be a powerful adjunct to a massage session. Some of the major therapeutic points are:

Urinary Bladder 1 - Located where the inner corner of the eye meets the nose. This point is advised for all types of eye problems, especially early-stage cataracts, glaucoma, conjunctivitis and blurry vision.

Urinary Bladder 2 - Located in the depressions at the inner (close to midline) ends of the eyebrows. Similar to Urinary Bladder 1, this point is advised for all types of eye problems, especially early-stage cataracts, glaucoma, conjunctivitis and blurry vision.

Yuyao (extra point) – Located at the midpoint of the eyebrow in the hollow. This point is good for eye problems related to worry, excessive studying and mental strain.

Triple Warmer 23 - Located in the depression at the outside end of the eyebrow. This local point benefits many eye and facial problems, including eye tics, burning eyes, watery eyes and blurry vision.

Gallbladder 1 - Located in the cavities on the outside corners of the eye sockets. This point is good for conjunctivitis, red and sore eyes, photophobia, dry, itchy eyes, early-stage cataracts, blurred vision and temporal headaches (especially when related to vision problems).

Stomach 1 - Located directly below the pupil on the infraorbital ridge bone. This point is indicated for sinus congestion, itchy, burning, dry eyes (especially when related to colds or allergies).

Acupressure on points near the eyes must be done gently, slowly and with clean hands. Do not massage on an open wound, a scar, burn or infection.

Using TCM theory will help massage therapists better understand a client’s eye complaints, improve assessment skills and result in a more directed, therapeutic treatment. In addition to regular visits to eye doctors, clients can also turn to massage to help improve and support the health of their eyes.

Recommended Study:
Shiatsu Anma

References:

www.acufinder.com, Acupressure Points for Better Vision, Dr. Marc Grossman, OD, LAc, 2006.

www.acupuncturetoday.com, Natural Vision Improvement: An Alternative to Lasik Surgery, Deborah E. Banker, MD, December 2001.

Posted by Editors at 01:47 PM
© 2009 Institute for Integrative HealthCare Studies. This work is reproduced with the permission of the Institute. www.Integrative-Healthcare.org

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Apr 26 2009

Nosebleeds 101

Published by Ross under Massage Therapy

Epistaxis, known more commonly as a nosebleed, can be a frightening experience. Learn why nosebleeds happen, when they require a physician’s consultation, and what you can do for clients who frequently experience them.

Anatomy
The nasal cavity contains a high proportion of blood vessels for the relative size of this facial structure. The septum is the tissue that divides the nose into two passages. There are two general locations of injuries to the nasal septum that causes nosebleeds:

1. The anterior nasal septum is the more common area for a nosebleed. This is a result of injury to the frontal portion of the nose and typically causes blood to flow out of the nostrils.

2. The posterior nasal septum is a less common location for a nosebleed. In posterior epistaxis, there is injury to the upper, rear portion of the nose and typically causes blood to backflow towards the back of the mouth and throat.

Causes
The following are the most common reasons why a nose would bleed:

Dryness – The most common cause of a nosebleed is drying of the nasal membranes. This frequently occurs in the winter months, when many people breathe the dry, warm air produced by artificial heat.

Trauma – An obvious cause of epistaxis, nose trauma can be a result of nose picking, foreign bodies in the nose, forceful nose blowing or sneezing and receiving a hard impact to the nose or head.

Irritant Inhalation – Repeatedly inhaling an irritant such as ammonia, sulfuric acid, medicated nasal sprays or cocaine is a cause of epistaxis.

Hypertension - Uncontrolled high blood pressure makes highly vascularized areas (including the nose) prone to bleeding.

Inflammation – An inflamed and irritated nose due to an upper respiratory infection, allergies or sinus irritation can result in epistaxis.

Tumor – While not a common cause, a benign or malignant tumor of the nose or sinuses may cause a nosebleed.

Medications – Medications that interfere with blood clotting, such as anticoagulants and non-steroidal anti-inflammatory drugs can make it easy for a nose to bleed.

Other systemic conditions – Some conditions make a person more susceptible to nosebleeds such as HIV/AIDS, pregnancy, leukemia, liver disease and hemophilia.

What to do?
If you or your client experiences a nosebleed, the symptoms can likely be stopped in your office. If epistaxis occurs in your massage space, make certain to follow universal precautions regarding contact with blood. These precautions include using gloves, proper hand washing, laundering, and disposal procedures.

Most anterior nosebleeds stop within 20 minutes without the need for professional medical intervention. Experts recommend the following steps be taken:

Remain calm. Anxiety around a nosebleed will upset the bleeder, possibly encouraging further bleeding.

Sit upright. The bleeder should sit up and lean forward with the mouth open. In this position, they can spit out any blood instead of swallowing it. Swallowing blood may cause nausea and vomiting.

Remove any objects. If possible, check to see if there is an object inside the bleeder’s nose, and remove it as necessary.

Pinch the nose. Pinch the soft part of the nose together between the thumb and index finger for at least five minutes. Repeat as necessary until the bleeding stops.

Apply ice. Crush ice and place in a plastic bag or washcloth before applying to the nose and cheeks.

Be gentle. Once the bleeding stops, refrain from picking or blowing the nose. Breathe through the mouth for a while and avoid straining, bending or lifting.

Epistaxis Prevention
If you or any of your clients are prone to nosebleeds, there are some preventative measures that can reduce their recurrence:

· Open your mouth when sneezing so air can escape through the mouth instead of the nose.

· To moisturize dryness, use a humidifier for the air and petroleum jelly or vitamin E oil on the inside of the nose.

· Avoid nose picking.

· Avoid lifting heavy items.

· Avoid straining during a bowel movement.

· If hypertension is the culprit, work with a physician to control it.

Seeking Help
While a massage therapist can typically handle nosebleeds, it is important to know when a physician’s referral is required. Seek a physician’s help immediately when:

· The nosebleed continues after 20 minutes of continuous pressure application.

· There are unexplained bruises on other parts of the body.

· The nosebleed is accompanied by nausea and/or vomiting.

· The nosebleed is accompanied by weakness, dizziness or excessive perspiration.

· The nosebleed is accompanied by chest pain or shortness of breath.

· The nosebleed is accompanied by syncope (fainting), or feeling like syncope could occur.

Being informed and prepared to handle the common winter occurrence of nosebleeds will boost your confidence when this situation arises. Additionally, your client’s trust in you will continue to deepen as you demonstrate a firm and calm command of the body’s nuances.

Recommended Study:
Anatomy and Pathology
Infectious Disease: HIV
Infectious Disease: Hepatitis C

References:

www.medindia.net, Nose Bleed/Epistaxis, Medindia, 2006.

www.med.nyu.edu, Nosebleed, NYU Medical Center, Debra Wood, RN, 2006.

www.sportsinjuryclinic.net, Facial Injuries, Sports Injury Clinic, 2005.

www.thecountrydoctor.com, Winter Epistaxis, John G. Hipps, MD, The Country Doctor, 2006.

www.tipsofallsorts.com, Nosebleed, tipsofallsorts.com, 2006.

Posted by Editors on June 27, 2007 10:16 AM

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Apr 26 2009

5 Tips for Heart Chakra Health

Published by Ross under Massage Therapy

Much more than tissue manipulators, massage therapists often function as an intermediary between client’s personal lives and their medical care. Enhance this role by supporting your clients’ heart centers by contributing to their physical, emotional and spiritual health.

During the second week of February, we typically turn our focus toward the fourth chakra, the heart. Snuggled tightly inside the chest cavity, the heart is a wondrous organ, responsible for pumping blood through our vessels and for experiencing feelings of compassion and love. Provide your clients with extra care by supporting this organ critical to our well-being.

The physical and emotional connections found within the fourth chakra are apparent to those tuned into their body. Feelings of despair or anger can coincide with chest pain, while stretching and relaxing chest muscles is often accompanied by positive emotions such as peace and freedom. According to Traditional Chinese Medical Theory, emotional distress patterns commonly evolve into heart meridian (channel) stagnation. In alternate terms, stress and anxiety can manifest as a blood flow disorder. Therefore, ensuring smooth and uninterrupted circulation serves two purposes:

• Support cardiovascular health
• Assist emotional well-being

Bodyworkers may even detect inhibition in the heart chakra through simple observation techniques. Clients experiencing chest restriction physically protect the area by concaving the chest, protruding the shoulders forward and rounding the upper back. A consequence of these protective measures is congestion in the heart chakra, compounded by strained musculature of the upper back and shoulders. As a massage therapist, it is important to recognize and attend to this restriction with anterior and posterior upper torso work.

Maximize the role you play in your clients’ heart health by emphasizing the importance of unimpeded circulation. Below are five significant ways you can contribute to a healthy fourth chakra – either with bodywork or through the power of suggestion:

1. Suggest a natural supplement to reduce blood coagulation. Breaking down plasma fibrinogen in the blood reduces coagulation within blood vessels. Scientific research demonstrates that Nattokinase, an enzyme extracted and purified from natto (a popular, Japanese, fermented soybean food), effectively breaks down plasma fibrinogen, preventing hardening of the arteries. (1)

*Editor’s note: It is important for all therapists to solely operate within their scope of practice. Additionally, anyone adding a supplement to their regimen must check with their physician first. Nattokinase in particular is contraindicated with some health conditions and interacts with some medicines.

2. Discuss the importance of eliminating artery-clogging fats from one’s diet. Trans-fats are the most implicated factors in sluggish circulation. Thanks to new regulations by the Food and Drug Administration, manufacturers are required to list any trans-fats on food labels as of January 1, 2006. The American Heart Association urges consumers to read food nutrition labels to reduce their intake of trans-fats, saturated fats and cholesterol. (2)

3. Perform massage to increase circulation. Most therapists are familiar with massage’s benefits, and are not surprised to learn massage positively effects circulation and in turn, relaxation. A 2002 study investigating the effect of myofascial trigger-point massage therapy on cardiac health concluded that it caused a significant decrease in heart rate and blood pressure while improving muscle tension and emotional state. (3)

4. Review the cardiovascular health benefits of a regular exercise program. Numerous studies and reports concur that more active or fit individuals develop less coronary heart disease than their sedentary counterparts. Exercise improves the ability to handle stress by increasing blood flow to the heart muscle and strengthening it, while also maintaining blood vessel elasticity.

5. Encourage positive thinking and laughter. Enhanced cardiovascular health has been documented by researchers studying people with an optimistic outlook on life. Participants with the highest levels of optimism had dramatically reduced risks of coronary heart disease. (4) Additionally, researchers at the University of Maryland School of Medicine found that laughter, along with an active sense of humor, may help protect against a heart attack. (5) All the more reason to joyfully chuckle.

When considering therapy for the fourth chakra, keep in mind the many aspects involved in heart health. The phenomenon of blood flowing easily and unobstructed through blood vessels can be encouraged in many ways; internally through ingestion and emotion, and externally via passive and active applications. The greatest outcomes of an open, disease-free, loving, heart chakra are achieved when all of the resources contributing to heart health are recruited.

References:

1. Sumi H, Hamada H, Nakanishi K, Hiratani H., Enhancement of the fibrinolytic activity in plasma by oral administration of nattokinase, Acta Hamateol, 1990; 84(3):139-43.

2. www.americanheart.org, Trans Fat Overview, American Heart Association.

3. Delaney, J.P., Leong, K.S., Watkins, A., & Brodie, D, The short-term effects of myofascial trigger point massage therapy on cardiac autonomic tone in healthy subjects. Journal of Advanced Nursing, 37, 364-71, (2002).

4. Harvard University Gazette, Study: Taking heart leads to better heart health, November 29, 2001.

5. www.umm.edu, University of Maryland School of Medicine Study Shows Laughter Helps Blood Vessels Function Better, March 7, 2005.

Posted by Nicole at 09:43 AM

© 2009 Institute for Integrative HealthCare Studies. This work is reproduced with the permission of the Institute. www.Integrative-Healthcare.org

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Apr 26 2009

Dark Chocolate for the Love of Life

Published by Ross under Uncategorized

Are you looking for additional reasons to gift or consume chocolate this Valentine’s Day? Read about the scientific proof and corresponding guidelines to improving health with chocolate.

Nothing says I love you like chocolate – dark chocolate, that is. With Valentine’s Day fast approaching, why not buy your special someone something that not only promotes love but longevity as well. There are now more reasons than ever to give the gift of chocolate. Sure, it tastes good, and is great for a quick boost of energy during the mid-afternoon slump, but recent studies have shown that eating dark chocolate can have valuable health benefits. Believe it or not, that heart-shaped box of chocolates may actually be good for the very organ it resembles. That’s news everyone will love.

Dark chocolate contains a high amount of flavonoids, antioxidant rich compounds commonly found in fruits, vegetables and plants. The primary sources of flavonoids are teas, wine, berries and chocolate. These flavonoids play a vital role in cardiovascular health, and may even help fight heart disease and lower blood pressure. Keep in mind that these flavonoids are specific to dark chocolate, as milk chocolate does not contain nearly the same levels of antioxidants, while white chocolate has none at all. According to Mauro Serafini, PhD, of Italy’s National Institute for Food and Nutrition Research, the reason dark chocolate has proven healthier than milk chocolate is because the milk in milk chocolate may actually interfere with the absorption of antioxidants, canceling out its positive benefits.

According to the American Journal of Clinical Nutrition, a study was done where participants were given 3.5 ounces of dark chocolate every day for two weeks, then went seven days without consuming any chocolate, followed by another two weeks of eating 3.2 ounces of white chocolate each day. The results showed that after the two-week period of consuming dark chocolate, blood sugar metabolism and insulin resistance were significantly improved. None of the same results were evident following the white chocolate period, demonstrating that flavonoids specific to dark chocolate provide a considerable benefit to fighting heart disease and diabetes.

Jeffrey Blumberg, PhD, a senior scientist at the Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts University in Boston, conducted another chocolate study reported on by the American Heart Association. Results of this study proved that eating dark chocolate helps to substantially lower both systolic and diastolic blood pressure. In fact, Blumberg claims “three ounces of dark chocolate per day over several weeks reduced blood pressure in patients with essential hypertension and also seemed to provide a benefit on their insulin sensitivity.” While these results may indicate chocolate as being healthy, Blumberg says, “The findings do not suggest that people with high blood pressure should eat lots of chocolate in lieu of other important blood pressure-reduction methods, such as medication and exercise.” Even though dark chocolate appears to be cardiovascular-friendly, it should not be considered a substitute for a healthy, balanced diet.

While the findings of these studies are exciting, they are not a prescription for over-indulging in your favorite chocolatey snack. Chocolate is widely known to be high in calories and fat, and as with most sweets, should be consumed in moderation. A small piece of dark chocolate each day seems appropriate.

Now that you know about chocolate’s potential health bonuses, you can enjoy your chocolate fix without guilt. With Valentine’s Day just around the corner, show those you care about how much you really love them by giving them a tasty treat that’s also advantageous to their health. Or, if you find yourself on the receiving end of this wonderful dark-chocolatey snack, say thank you – from the very bottom of your heart.

References

www.medicinenet.com, Reinberg, Steven, HealthDay News, Dark Chocolate May Sweeten the Way to Health, July 18, 2005.

www.webmd.com, DeNoon, Daniel, WedMD Medical News, Dark Chocolate Has Health Benefits Not Seen in Other Varieties, August 27, 2003.

www.webmd.com, Warner, Jennifer, WedMD Medical News, Eating Dark Chocolate May Also Fight Heart Disease and Diabetes, March 11, 2005.

Posted by Nicole at 09:32 AM

© 2009 Institute for Integrative HealthCare Studies. This work is reproduced with the permission of the Institute. www.Integrative-Healthcare.org

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