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how it feels to move them independently, if they can notice the difference between before and now, and what else can move now that their ribs can move separately from their hips. The homework starts by simply noticing when the hips and the ribs move independently, then advances to choosing to move them independently, and noticing if the pain returns when they are not differentiating the movements. MOVING FORWARD Chronic pain conditions present with complex interactions of cognitive, behavioral, and psychological components, for which self-regulation is crucial. As massage therapists, we are in a unique position to ease the physical, emotional, and spiritual pain in the moment, both through educated healing touch and by teaching self-massage, encouraging safe movement, and enhancing mindful awareness between sessions. Our work ultimately creates hope, provides coping skills, and empowers the person in pain to lead a full and satisfying life. Notes 1. T. C. Clarke et al., "Trends in the Use of Complementary Health Approaches Among Adults: United States, 2002–2012," National Health Statistics Reports 79 (Hyattsville, Maryland: National Center for Health Statistics, 2015). 2. World Health Organization, media release, 2004, accessed July 2016, www.who.int/ mediacentre/news/releases/2004/pr70/en/. 3. D. S. Goldberg and S. J. McGee, "Pain as a Global Public Health Priority," BioMed Central Public Health 11 (2011): 770, doi:10.1186/1471-2458-11-770. 4. B. M. Berman, "Integrative Approaches to Pain Management: How to Get the Best of Both Worlds," British Medical Journal 326, no. 7402 (June 14, 2003): 1,320–1. 5. D. Fulton-Kehoe et al., "Opioid Poisoning in Washington State Medicaid," Medical Care 53, no. 8 (2015): 679, doi:10.1097/MLR.000000000000384. 6. L. Launso and N. Haahr, "Bridge Building and Integrative Treatment of People with Multiple Sclerosis. Research-Based Evaluation of a Team- Building Process," Journal of Complementary and Integrative Medicine 4, no. 1 (2007): Article 7. 7. John Weeks, preface to Integrative Pain Management: Massage Movement and Mindfulness Based Approaches, eds. D. L. Thompson and M. Brooks (Edinburgh: Handspring Publishing, 2016). 8. T. C. Clarke et al., "Trends in the Use of Complementary Health Approaches Among Adults: United States, 2002–2012," National Health Statistics Reports no. 79 (Hyattsville, Maryland: National Center for Health Statistics, 2015). 9. Jerrilyn Cambron et al., "Side-Effects of Massage Therapy: A Cross-Sectional Study of 100 Clients," Journal of Alternative and Complementary Medicine 13, no. 8 (October 2007): 793–6. 10. B. I. Martin et al., "The Association of Complementary and Alternative Medicine Use and Health Care Expenditures for Back and Neck Problems," Med Care 50 (2012): 1029–36; C. Plastaras et al., "Manipulative Therapy (Feldenkrais, Massage, Chiropractic Manipulation) for Neck Pain," Current Rheumatology Reports 15, no. 7 (July 2013): 339. 11. C. Hsu et al., "Unanticipated Benefits of CAM Therapies for Back Pain: An Exploration of Patient Experiences," Journal of Alternative and Complementary Medicine 16, no. 2 (February 2010): 157–63. 12. L. Launso and N. Haahr, "Bridge Building and Integrative Treatment of People with Multiple Sclerosis. Research-Based Evaluation of a Team-Building Process." 13. C. Crawford et al., "The Impact of Massage Therapy on Function in Pain Populations—A Systematic Review and Meta-Analysis of Randomized Controlled Trials: Part 1, Patients Experiencing Pain in the General Population," Pain Medicine (2016): 1–23. 14. D. C. Cherkin et al., "Comparison of the Effect of 2 Types of Massage and Usual Care on Chronic Low Back Pain: A Randomized, Controlled Trial," Annals of Internal Medicine 155, no. 1 (July 2011): 1–9. 15. R. Werner and G. Box, "Anatomy and Neurobiology of Pain," Integrative Pain Management: Massage, Movement and Mindfulness Based Approaches, eds. D. L. Thompson and M. Brooks (Edinburgh: Handspring Publishing, 2016). 16. N. I. Eisenberger et al., "An Experimental Study of Shared Sensitivity to Physical Pain and Social Rejection," Pain 126, no. 1–3 (2006): 132–8. 17. V. Morhenn et al., "Massage Increases Oxytocin and Reduces Adrenocorticotropin Hormone in Humans," Alternative Therapies in Health and Medicine 18, no. 6 (2012): 11–8. 18. J. W. Shega et al., "The Relationship of Pain and Cognitive Impairment with Social Vulnerability— An Analysis of the Canadian Study of Health and Aging," Pain Medicine 13, no. 2 (February 2012): 190–7. 19. N. Haller and P. Buchanan, "Interactive Movement: The Feldenkrais Method," in Integrative Pain Management: Massage Movement and Mindfulness Based Approaches, eds. D. L. Thompson and M. Brooks (Edinburgh: Handspring Publishing, 2016). 20. N. Pearson, "Yoga Therapy," in Integrative Pain Management: Massage Movement and Mindfulness Based Approaches, eds. D. L. Thompson and M. Brooks (Edinburgh: Handspring Publishing, 2016). 21. C. J. Price and W. Mehling, "Body Awareness and Pain," in Integrative Pain Management: Massage Movement and Mindfulness Based Approaches, eds. D. L. Thompson and M. Brooks (Edinburgh: Handspring Publishing, 2016). 22. Ibid. 23. C. McManus, "Mindfulness-Based Interventions," in Integrative Pain Management: Massage Movement and Mindfulness Based Approaches, eds. D. L. Thompson and M. Brooks (Edinburgh: Handspring Publishing, 2016). 24. S. Scurlock-Durana, "Healing from the Core: A Journey Home to Ourselves," Massage Message 31, no. 2 (May/June 2016): 16–17. 25. C. J. Price and W. Mehling, "Body Awareness and Pain." Diana L. Thompson, a licensed massage therapist for over 30 years, has a private practice in Seattle, Washington, treating acute and chronic pain disorders. She lectures at massage, acupuncture, midwifery, chiropractic, physician, and physical therapy conferences internationally and is a consultant for massage therapy research with The Research Institute at Group Health Cooperative in Seattle. Her newest endeavor, Hands Heal Electronic Health Record, is a patient-centered, intuitive, cloud-based EHR that turns bland treatment notes into expressive graphs that chart meaningful results. She authored Hands Heal: Communication, Documentation and Insurance Billing for Manual Therapists (Lippincott Williams & Wilkins, 2011), now in its fourth edition, and is an editor of Integrative Pain Management: Massage, Movement, and Mindfulness Based Approaches (Handspring Publishing, 2016). She was the proud recipient of four national awards in 2013, including Massage Therapist of the Year (One Concept) and Humanitarian of the Year (Performance Health). C h e c k o u t A B M P 's l a t e s t n e w s a n d b l o g p o s t s . 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