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U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
November, 2003, Vol. 03, Issue 11
CranioSacral Therapy Outlawed in Mississippi?
By Cliff Korn, BS, LMT, NCTMB and Rebecca J. Razo
Mississippi law governing massage therapy prohibits therapists from engaging in the "manipulation or adjustment of osseous tissue," and it appears that the Mississippi State Board of Massage Therapy (MSBMT) has lumped CranioSacral Therapy (CST) into this definition as a prohibited massage therapy practice.
Massage Today first learned of the situation from Mississippi therapist Brenda Eiland, NCTMB, RMT.Ms. Eiland, who studied Visionary CranioSacral work at the Milne Institute in Big Sur, Calif., was alarmed when she discovered that the Milne Institute application to become a Mississippi CEU provider was denied. A letter signed by MSBMT Executive Director Beverly Limbaugh to the institute stated that its program "does not meet the requirements for approval."1,2 Eiland subsequently contacted the MSBMT to find out if practicing CST in Mississippi was illegal.
"I didn't get a straight answer," she said. Instead, she received an e-mail from Limbaugh stating, "Our law does not permit the movement of osseous tissue" [emphasis ours].3 Unsatisfied with the response, Eiland contacted the Mississippi attorney general's office for a clearer explanation, wherein she received a response from Leyser Hayes, the special assistant attorney general representing the MSBMT. He stated: "Mississippi Law does not permit the movement of osseous tissue [CranioSacral Therapy has been defined by the board to involve this movement] ... Section 73-67-7 (h) Miss. Code Ann. (1972) as amended ... defines what massage means for purposes of the practice of same in Mississippi."4
Mississippi law §73-67-7(h) provides the following definition of massage:
Subsequent inquiries by Eiland and Massage Today to the MSBMT about the practice of CST were referred to the new Mississippi "Scope of Practice" rule, which was mailed to Mississippi therapists in September.
Generally, scope-of-practice statements outline permissible practices for legally operating massage therapists. Mississippi's scope of practice, however, only states what cannot be performed legally. The new scope of practice says:
Massage Today Editor Cliff Korn contacted the Mississippi Attorney General's Office and the executive director of the MSBMT: "Osseous tissue manipulation or adjustment are typically terms referring to chiropractic or osteopathic high-velocity, low-amplitude (HVLA) thrusts or techniques," Mr. Korn said in a letter. "Is it the interpretation of the board that 'manipulation or adjustment' is synonymous with 'movement'? I noticed in your listing of continuing education providers that all of John Barnes' myofascial release seminars were approved, and CranioSacral Therapy is an integral part of his teachings. Please ... confirm or deny the legality of a trained CranioSacral therapist to practice under the Mississippi Professional Massage Therapy Act," he added.7
In its response to Korn, the MSBMT stated the "Attorney general's office does not speak for the board of massage therapy. The Mississippi State Board of Massage Therapy speaks through its minutes." Again, Korn was referred to the Mississippi scope of practice rule.8
In a final attempt at clarification, Massage Today asked the MSBMT if the attorney general's office was incorrect in stating that "movement" of osseous tissue is illegal.9 In a written response, MSBMT President Lynn Cox stated: "The board has not interpreted any particular modality as the manipulation or adjustment of osseous tissue, but rather, reiterated in its statement on scope of practice that any technique that manipulates or adjusts osseous tissue is in violation of the law that governs massage therapists, as well as laws that govern other professionals. If the board ruled that one couldn't do CranioSacral, the name would probably be changed to SacralCranio, wouldn't it? The law has not changed. Massage therapists in Mississippi are prevented from the manipulation or adjustment of osseous tissue, regardless of one's 'expert' training."10
But according to Eiland, Cox's statement is untrue: "They have indeed signaled out a modality, as proved by the e-mail from [Hayes] and a message for me [from Limbaugh, stating] 'you cannot practice CranioSacral work as a massage therapist in Mississippi.' "11
Still, the MSBMT has yet to define the terms "manipulation" or "adjustment." In a letter to the MSBMT, Dr. John Upledger, Massage Today columnist, stated, "CranioSacral Therapy does not incorporate any techniques that involve direct osseous manipulation, mobilization or adjustments. Instead, practitioners focus on releasing restrictions in the soft-tissue, fascia and musculature that surround and protect the brain and spinal cord. How can I be so sure? Because I developed CranioSacral Therapy and coined the name... ."12
Despite repeated requests, the fact remains that the MSBMT has continued to be vague in responding to questions related to the practice of CST in Mississippi. It remains unclear if the MSBMT is defining the terms "manipulation" and "adjustment" to mean HVLA thrusts - or something more. Look for updates of this situation in future issues of Massage Today.
Former editor of Massage Today, Cliff is owner of Windham Health Center Neuromuscular Therapy LLC. He is nationally certified in therapeutic massage & bodywork and is licensed as a massage therapist by the states of New Hampshire and Florida. Cliff is a member of the International Association of Healthcare Practitioners; a professional member and past president of the New Hampshire chapter of the American Massage Therapy Association; a certified member of the Associated Bodywork & Massage Professionals, Inc.; and a past chairman of the board of directors of the National Certification Board for Therapeutic Massage & Bodywork.
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