resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Poll Results for the following Question:
How many patients do you refer to outside health care professionals (i.e., chiropractors, acupuncturists, medical doctors, osteopaths, etc.) each month?
Fewer than 5
Total Respondents: 231
Note: These comments are reproduced as written by visitors to this Web site.
Fewer than 5
More than 20 I am a massage therapist and I really believe in the whole holistic healing. I am going back to school to get my medical degree in natural medicine. My father has many problems with his back and knees, by him getting massages from me twice a month it has greatly reduced his pain and disabilities. Just thought I would share this little bit of info.
Fewer than 5 I never formally refered anyone, I would not know who to send them to? I have verbally recommended a client to see a medical professional. Also, I have I have refused to see someone till they do see a professional about their condition.
Between 5 and 10 I focus on the wellness of my clients. When bones are out,
or issues clients are dealing with are present in their
meridians, or if they have moles that have changed or their
adrenal glands are cold and they feel exhausted, I refer to
outside healthcare professionals. I don't do it for
recriprication, but for the health of my clients. If they stay
healthy, then I have done my job.
Fewer than 5 hi mom
Between 5 and 10 I'll at least mention chiropractic benefits to all my clients, and officially "refer" 1/2 my clients
Between 5 and 10 Any time I'm not getting the desired results I'd like,I never hesitate to refer my clients to a medical Doctor or Chiropractor or acupuncurist. Even though it may mean never seeing them again at least I have the satisfaction of knowing I did what was best for them, by refering them to someone who might better help them. Isn't that what it's all about? Doing the best we can for our clients.
Shannon Skidmore RMT,NCTMB
Between 5 and 10 I always ask my clients if they are using other therapies or seeing their physician or chiropractor (including how often). I listen to their symptoms and I also listen to the body's description as I work. Sometimes my clients will ask about different therapies (ex.: acupuncture) because they are interested. Other times, I will suggest certain therapies to add in conjunction to their massage (like reflexology, etc.).
If I do have a client who needs more than the general swedish technique I use, I always refer them out. I just had to do this for a client with chronic tightness in the hamstrings (old football injuries). I've worked with this client for 2 years and I've seen very little change in softening & flexibility with these muscle groups, though he does feel very relaxed and sleeps better after each visit. I've suggested he visit his chiropractor and seek out a therapist who specializes in NMT or go back for physical therapy. He is always welcome back to my office for reflexology and general massage for pain relief & relaxation.
Have a great day!
Fewer than 5 I massage as a part-time profession. My average number of clients per week is 6 and they are predominently regular customers. I refer clients whenever it is appropriate to refer.
Fewer than 5 I don't refer my chronic-pain clients to outside health care professionals because they have already been to them, sometimes for years, and they are still living in pain. Deep tissue, therapeutic bodywork is what gets rid of my clients' pain. It is the most holistic, non-invasive and often permanent form of pain relief for my clients.
I have learned a lot from my clients about the medical profession and their invasive and ineffective results in dealing with chronic pain. Medication, injections and surgery are what they have to offer chronic-pain sufferers.
Here's a typical story from one of my clients of how the medical establishment doesn't know what to do with chronic pain: A 32-year-old, trim, mother of two small children had lived with her chronic low back pain for over four years. Because her husband had good medical insurance, she had been to four physicians, two chiropractors, and four physical therapists in four years, and yet she was still living in so much pain that some nights she slept no more than three hours.
She was eventually referred to an orthopedic surgeon who referred her to a pain management clinic. After much testing and talking, the clinic said to come back the next week and they would insert a catheter into her lower back, and in the course of three months would try various doses and mixtures of narcotic, cortisone and anesthetic until they got the dosages just right for her to live pain free. Then she would have to come back periodically to be reinjected. And, oh by the way, she would be required to sign a form stating they would not be held liable is she were to become addicted to the narcotic.
She went home and called her mother who instructed her to not have this procedure done, and to find a massage therapist instead. I am happy that she found me, and after one deep tissue, therapeutic bodywork session, she reported the following week that her low back pain of four years was "all gone." She returned weekly for two months, and now I see her once a month or so.
My client's life is now changed. She came in looking like a whipped puppy, feeling helpless and hopeless, and is now a happy, pain-free wife and mother who can once again enjoy life.
So, why don't I refer out to the medical profession? Because I've heard too many stories like the one above.
The majority of pain is muscular. Studies have shown that from 75% to 80% of people in pain management clinics have muscular pain. Massage therapists work on muscles. So it makes perfect sense that we are the profession to help the millions of people in our country who are experiencing chronic pain of a muscular origin.
Marsha Jean, MA, MTI, RMT
Between 5 and 10 mOST CLIENTS STILL BELIEVE THAT "MEDICINE" IS THE ONLY WAY TO GET WELL. ATTITUDE IS 90% TO BETTER HEALTH.....
More than 20 The isolation of a physical or mental condition to one form of therapy is detrimental to both the practitioner and patient/client. I believe the key to wellness is balance and variety; every human is different and will respond differently to every therapy (even to individual sessions of the same form of therapy), and need a well-balanced schedule toward total healing.
Between 5 and 10 I find that my fingers can actually "see" a bone out of place, and even when I work the muscles around the bone, the bone may only shift slightly back into its original place. I know from personal experience that a bone even slightly out of place can cause enough discomfort that I cannot sleep correctly. So I NEVER hesitate to ask my client if they already have a chiropractor. If they do not, I suggest they find one. If they ask me, I refer them to mine. Recently I was lucky enough to begin working with a Chiropractor, and have found it to be a WONDERFUL resource in my massage practice! Not only do I stay in tune with my anatomy, I can see the collective results in helping people heal themselves. I can only wish that other Massage Therapists can find Chiropractors as willing to work with alternative therapy as mine is. What a better way to heal people than by being able to help their OWN bodies heal them!
There are so many complementary therapys that can help expidite my patients recovery time that I refer almost all of my patients to another modality. This works so well in conjunction with my therapy and it builds a trust between me and my patients. The number one would be naturopathic therapy. If you havent tried it youre in for a wonderful shock at all the issues it can help with!!
Between 5 and 10 Myself I will refer every patient with spinal misalignments to a Chiropractor I can trust. People who present to my office that may be better of wtih another Therapist I will refer out. I of course send people to their medical doctor frequently. I would like to be able to do it all myself but I can't.