Archive for April, 2009

Considering the Many Causes of Osteoporosis

April 17, 2009

Our text (Mosby’s Pathology for Massage Therapists by Salvo and Anderson) reports to us that the cause of osteoporosis is low estrogen levels resulting in less calcium. Many nutritionists and alternative medicine experts might have different thinking about the causes of osteoporosis. In her book, Better Bones Better Body, Dr. Susan Brown points to many more causes than just lowered calcium levels. She reports that even though in many cultures worldwide there is less calcium, osteoporosis is not nearly as prevalent as in the US. Dr. Brown points to many lifestyle issues as well as lowered calcium as being causal in osteoporosis. Among the causes of osteoporosis, she lists are acid/alkaline balance (most of our lifestyles lead us to be very acid which would tend to use up mineral electrolytes such as calcium), high sugar in the diet, history of dieting, caffeine, stress and weak adrenals, and lack of exercise. It is good to remember that one thing that most everyone can do to counteract the effects of their tendency toward osteoporosis is to engage in weight-bearing exercise, which signals the body to build more bone. As massage therapists, we can encourage our clients to do what they can to prevent disease processes.

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Nails are important

April 15, 2009

Inspection of the nail bed as a common practice has not always seemed important to me. However, I practiced in a multi-disciplinary clinic and I saw a small dark line in the nail bed of one of my clients. I had no idea what it was, but told her she should not ignore it and that it would be wise to have it “checked out” by her medical doctor. When she returned a month later, the most distal end of her middle finger had been removed, and the malignancy was gone too! It is certainly a good practice to check those nails, because they can reveal disease processes in the body that need to be attended to. Who knows what might have happened in her body had she not checked out that black line on her fingernail??!!

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Assessment of Body Leaning Detects a Forgotten Injury

April 15, 2009

One of my massage clients was leaning a little to one side when he came to my office this week. When I asked him how he had been doing, he didn’t report at all that he had recently sprained his ankle starting his lawn mower. It was not until I got to his right ankle with the massage, and at the same time I noticed some edema in the ankle, he remembered the injury from 10 days previous that had not been giving him trouble, but the effects of the trauma were still in his body. I used some very gentle range of motion in both ankles, some reflexology on the bottoms of both feet, and didn’t do much to the recovering ankle. He called back today to say that all the swelling went down after the massage. So perhaps the general workout of the massage, and the increase in lymphatic drainage helped the edema resolve itself.

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Infection control in the Massage Practice

April 13, 2009

Much attention is placed on protecting me as a therapist with good sanitation practices. Frequent washing of the hands, clean sheets, no double-dipping into the lotion, etc. I liked the emphasis placed in this chapter (of Mosby’s Pathology for Massage Therapists by Salvo and Anderson) on my client’s protection. I’m more aware now that I can be a “vector” and move a toe fungus to another part of my client’s body if I do not inspect the body part I’m about to work with first.

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HIV/AIDS

April 12, 2009

According to the CDC there were an estimated 56,300 individuals infected with HIV in 2006 and this number has not changed much since 2000. This topic has always been interesting to me and frightening at the same time. The subject is not as taboo as it once was because HIV and AIDS are becoming more common. Also, people living with HIV or AIDS are becoming more open and reaching out to their communities for support and working on educating others. About one fourth of the 1 million people in the United States that are living with HIV or AIDS are not aware they are infected with the virus according to the CDC. When I was reading the Diseases of Immunity chapter in Robbins and Cotran Pathologic Basis of Disease, I learned that over 75% of HIV infections occur through sexual transmission. The virus can also be transmitted through parenteral inoculation and from mothers to their newborn children. Also, the majority of the people in the United States that are infected are men who have sex with men. Heterosexual transmission however, is the most common form of transmission from a world perspective. It is important to be aware of our patient’s diagnoses and how we can be affected by them. Casual contact can not transmit the virus, but we still need to be educated on the proper precautions we need to take when working with all patients. According to Salvo and Anderson there have been no reported cases of a massage therapist contracting HIV during a massage. The massage therapist also needs be sure to provide a sanitary environment for the HIV/AIDS patient because their immune systems are low. Also, the patient might not be aware of his/her own diagnoses so the proper methods to protect ourselves as well as our patients should always be taken.

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Does your Massage Pathology course fulfill licensing and certification requirements? (comment)

April 10, 2009

What is the tuition and procedure to enroll in your Massage Pathology course?

Original Post:
April 9, 2009
Our course is 45 Contact Hours (3 Semester Credits). We provide a completed “Verification of Education Form” and/or notarized copy of your certification of completion and/or an official school transcript. Click on the link “Online and Instructor-Led Massage Pathology Course” on the right side of this page. The link is under the sub-heading “Online Massage Pathology Course.”

Original Post:
April 2, 2009
Does your Massage Pathology course fulfill the requirements of the National Certification Board for Therapeutic Massage & Bodywork (NCBTMB) to take the National Certification Examination for Therapeutic Massage and Bodywork (NCETMB) and the National Certification Examination for Therapeutic Massage (NCETM)?

Does your Massage Pathology course fulfill the requirements of the Federation of State Massage Therapy Boards to take the Massage & Bodywork Licensing Examination (MBLEx)?

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Sciatica

April 10, 2009

Inflammation of the Sciatic nerve. Also referred to as piriformis syndrome. A type of dull pain the tenderness in the buttock region down the it band and posterior tibialis . As inflammation increases motor function may become affected. Also there may be nerve entrapment usually involving L4 and L5. Massage therapist come across this condition quite often. Massage considerations: If client has a herniation then massage will be contraindicated in that region, tratment of the quadratus Lumborum and psoas major using gliding strokes and deep friction, If piriformis is tight pin and stretch and trigger points can be beneficial . relax muscles prevent spasms but work within clients tolerance level.

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Plantar Fasciitis

April 10, 2009

Plantar fascitiis is inflammation of the plantar fascia and is a commonly addressed as a massage therapist. Patient commonly complains of pain when the heel strikes the floor. The pain comes and goes. Pain is also felt during dorseflexion which is a good way of determining if someone has this condition. Massage considerations Clients tolerance is a factor , cross fiber friction is recommended to reduce adhesions muscles of the leg should be massaged thoroughly. Refer to a Podiatrist for orthodics.

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Fungal Infections

April 9, 2009

Thrush, athletes foot , ringworm may be a sign of diabetes or a suppressed immune system. They are contagious and are therefore contraindicated for massage.

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Does your Massage Pathology course fulfill licensing and certification requirements? (comment)

April 9, 2009

Our course is 45 Contact Hours (3 Semester Credits). We provide a completed “Verification of Education Form” and/or notarized copy of your certification of completion and/or an official school transcript. Click on the link “Online and Instructor-Led Massage Pathology Course” on the right side of this page. The link is under the sub-heading “Online Massage Pathology Course.”

Original Post:
April 2, 2009
Does your Massage Pathology course fulfill the requirements of the National Certification Board for Therapeutic Massage & Bodywork (NCBTMB) to take the National Certification Examination for Therapeutic Massage and Bodywork (NCETMB) and the National Certification Examination for Therapeutic Massage (NCETM)?

Does your Massage Pathology course fulfill the requirements of the Federation of State Massage Therapy Boards to take the Massage & Bodywork Licensing Examination (MBLEx)?

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Traumatic Brain Injury

April 3, 2009

Traumatic brain injury (TBI) can be slight to very serious. It results after a blow to the head and everyone is affected in different ways. Some people have signs and symptoms immediately and some take longer to manifest. According to the CDC 50,000 die, 235,000 are hospitalized, and 1.1 million people are treated and released from an emergency department yearly for traumatic brain injury. Children and older adults are greatly affected by this due to falls. Falls are frequent in older adults due to the changes in their mobility. Many of my patients are at risk for falls that is why they have emergency response buttons and medical equipment such as: canes, walkers, wheelchairs, grab bars, etc. According to The CDC falls are the leading cause of TBI and rates are highest for children ages 0 to 4 years and adults ages 75 years and older. Education seems to be one of the only ways to help prevent TBI when it is related to falls. As health care professionals we can caution our elderly patients to make sure they are using their assistive devices, have clear pathways, and emergency response buttons. For children we can educate parents on how serious TBI is for children. Monitoring children closely and making sure they are properly in their car seats are just a couple of measures that can be taken. According to Salvo and Anderson, massage therapy is not recommended during injuries such as concussions or other head injuries. The physician should agree to any massages before any action is taken.

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Elder Abuse

April 3, 2009

Elder abuse is a common form of abuse that most people are unaware of. When people think of abuse they often think of children or spousal abuse. I am a case manager for people 60 and over. This job is rewarding and sad at the same time. Most people think that elderly people have no idea what is going on because of their age. Most of my clients are alert and oriented. All abuse is not only physical or sexual. A lot of the elderly are abused financially also. We all will build relationships with our patients if we see them on a continuing basis and we will make important observations even if we only see them one time. Our patients trust us if we see them more than once. As health care professionals our observations are the keys to learning about a person. Massage therapists will be able to see any bruising or lacerations during the massage. Inquiring about these types of dermatological pathologies can help us to determine if they are accidental or possibly related to abuse. Sometimes the elderly neglect themselves and are unsafe to be alone due to a mental disorder such as dementia. Anyone can make an anonymous referral to adult protective services if there are any concerns. Most people will not openly admit abuse especially if they are being abused by a family member or friend. A referral to an agency such as Adult Protective services may save their life.

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