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Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
January, 2001, Vol. 01, Issue 01
Bodywork Therapies of Asia
By Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc
"What are you doing here?" was the question put to me 10 years ago at a meeting in Maryland to create a massage law. It may be the same question you are asking now when you look at an Asian medicine column in a massage publication.
The woman who made that comment had a point.Asian bodywork therapies (ABT), a term used to include shiatsu, acupressure and other forms of bodywork with their roots in China, have no resemblance to "massage" as she knew it and would complicate the process of getting her law passed. She was right, there are few similarities.
If you put massage and ABT curricula side by side, the only places they would overlap are anatomy, physiology, ethics and CPR, leaving the remaining 400 hours to deal with entirely different techniques, treatment principles and practice. The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) administers our national board exam. For all intents and purposes, Asian Bodywork Therapies (ABT) are not massage, they fall under the umbrella of Asian medicine.
But wait a minute. Of the 30 states with massage laws, and the 23 responding to a survey given by the Maryland Board of Chiropractors, 20 of those states include shiatsu and other forms of ABT under their laws. And over 1,000 massage therapists list that they on the AMTA website locator service, perform forms of ABT (like shiatsu and acupressure).
According to the AMTA standards of practice and code of ethics, their members, "meet the standards established for his or her profession" and they "market themselves in an accurate, truthful and ethical manner." So you would assume that they have passed the NCCAOM OBT exam or at least have met the standards to sit for it. Sadly, this is not the case. Few have met a fraction of the standards established for the profession.
I do not mean to single out AMTA this seems to be an accepted practice in the massage field. Yet I find it more painful to see it done by AMTA members because I associate them with high ethical and professional standards.
ABMP's website is no better, revealing just as many practitioners who misrepresent themselves. They don't list shiatsu as a separate modality, though. They call it an "interest."
The International Massage Association (IMA) has far fewer practitioners who listed other modalities on their website, but that may be because it costs more to list techniques. The more they pay, the more they can list, with no verification in training. Still, the most skilled shiatsu practitioner that I could come up with only had 20 hours of training!
I know there are many well-trained, proficient bodywork therapists practicing forms of Asian Bodywork Therapy (ABT), but unfortunately, they seem to be outnumbered by those with minimal or no training in ABT.
Many massage therapists think of ABT forms such as shiatsu and acupressure as "massage," but few have had the training to fulfill the national standards. So, I see my column as a great opportunity to educate people on the depth and breadth of Asian Bodywork Therapy (ABT).
In this column, you are not going to find simplistic suggestions like, "for a headache, press LI-4." That may mask the symptoms, but it won't address the cause, and besides, it will only be effective if it is a yangming headache. What you need to do first is look at the client's five element type and emotional and spiritual relationship to the headache. Then differentiate whether it is jueyin, yangming, shaoyang or taiyang; if it is caused by an excess or deficiency; dampness, wind, heat or cold and so on. Then you can choose points and meridians that will not only relieve the symptoms of the headache, but treat the root of the problem as well.
Besides headaches, other topics I'd like to focus on include back pain, shoulder pain, menstrual irregularities and other common problems our clients bring to us.
Send in your suggestions for future topics. I must emphasize, though, we don't "treat" any of these conditions. We look at the signs and symptoms that the client is presenting, then find and treat the underlying root of the problem. Using Chinese medicine treatment principles and techniques, our goal is to bring our clients into a state of homeostasis in which they can heal themselves.
Reading this column will not give you the level of skill to say that you practice shiatsu or acupressure. But I'm hoping that it will inspire you to study this ancient healing art so that you can truly call it your own.
Click here for previous articles by Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc.
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