How Massage Therapy Can Benefit Your Patients

An increasing number of chiropractic offices are benefiting by offering massage therapy to patients. Not only is massage relaxing; it has numerous therapeutic effects, including, but not limited to:

• reducing blood pressure and heart rate;
• increasing local blood flow;
• increasing thoracic gas volume, peak flow and forced vital capacity;
• increasing cytotoxic capacity (activity level of the body's natural "killer cells");
• strongly influencing lymph flow;
• improving gait, range of motion and foot-to-floor force;
• reducing muscle tension and pain after repeated treatments;
• reducing pain, stiffness and fatigue;
• reducing anxiety, tension, pain and depression in cancer patients;
• reducing posttraumatic headache;
• increasing muscle tone and flexibility;
• reducing morning sickness in pregnant women;
• decreasing duration of labor, hospital stay and postpartum depression; and
• applications to sports medicine.

I have worked for chiropractors for over 12 years in various capacities.
As a massage therapist, I market myself to the public, often bringing in new patients to the office. Patients unfamiliar with chiropractic are often more likely to consider massage than having their backs "cracked." Once they meet the doctor, it is easier to refer them for chiropractic care. Without fail, I can palpate an area in need of a chiropractor's touch. I ask, "Is that tender? Have you ever seen a chiropractor?" It's a gentle lead-in to refer them to seek chiropractic care. Also, the doctor refers motor-vehicle-accident patients to me for soft tissue work. It's a symbiotic relationship.

By working together toward the common goal of helping the patient get well (and stay well), the chiropractor and the massage therapist can both reap the benefits. Since more and more insurance companies now recognize the value of massage therapy and are pay accordingly, it's an all-around great tool to increase the growth of your practice.

Perfecting Your Posture

If you don't have good posture, what do you have? Poor posture can lead to a variety of health problems over time, and yet too many people have bad postural habits. Let's focus for just a moment on the characteristic aspect of posture, the basic form we take while standing or walking. The human body is designed to stand with the eyes level with the horizontal plane of the Earth. Viewed from the front, the shoulders and hips are level and the spine is vertical. From the side view, the ear is over the shoulder, the shoulder is over the hip and the hip is over the knee, which is over the ankle.

The most common signs of postural stress are one ear being higher than the other and unlevel shoulders or hips. You can also detect postural stress from the side if the ear looks as if it has moved forward of the tip of the shoulder or if the hips appear to have moved forward.

The foundation of posture is actually the feet. It is very common for there to be slight differences in the arches of the feet, which create a slight imbalance. This imbalance can cause a chain reaction all the way up the spine, affecting postural balance. One sign of foot imbalances is when one foot flares out more than the other. Both feet should point forward with only the slightest outward flare when you walk.

Here are a few things you can do to ensure ideal posture and correct any postural problems you may be experiencing:

Get checked - If your posture is breaking down as a result of improper foot balance, it is important to have your feet examined to determine if a custom-made, flexible shoe orthotic will be beneficial. Orthotics create a solid foundation for your pelvis and spine by limiting excessive motion in the feet.

Improve flexibility - This is important because postural stress causes some muscles to work harder than others, creating tension and stiffness. Mirror image exercises are stretching and strengthening exercises designed to restore muscle balance by stretching in the direction away from the postural imbalance. If you are looking in a mirror and one shoulder is higher than the other, you will want to stretch and strengthen in the direction that makes the shoulders level. The same concept works for the lower back.

Work with your chiropractor - Be sure to work closely with your chiropractor in developing a plan of action, and then check your progress with a postural analysis. It is important to remember that the body works best when it is in balance, so that should be the goal of all of your stretching and strengthening exercises.