resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
February, 2001, Vol. 01, Issue 02
Will Research Prove Our Point?
By Ralph Stephens, BS, LMT, NCTMB
There is a belief in the massage profession that research is needed to validate massage and gain acceptance from the medical industry. Some feel the public will participate in greater numbers if research "proves" the efficacy of massage.These are false assumptions. The number of people paying for massage out of their own pockets has doubled in the last three years (from 8% to 16% of the population), proving that massage works.
Research is a business. Thousands of people make their living doing research. To expand their business, they have promoted the notion that nothing is valid until it is proven with a double-blind study. This is a lie, but it has become accepted as truth. The truth is, double-blind studies are a mechanism to restrict entry into the marketplace. One of the primary places the double-blind research industry has established itself firmly is in the field of human health. This is unfortunate for both humans and health.
The medical/pharmaceutical industry, the third leading cause of death in the U.S., uses double-blind research to control the marketing of products and procedures. According to their agents, nothing is valid without a double-blind study. If something goes wrong, they say, "We did a study that shows this is OK." If some "new" product, like an herb, or a procedure, like massage, is offered to the public, they will attack it and attempt to suppress it by saying, "There is no valid research to prove this." It doesn't matter that the herb has been used for hundreds of years with consistent success. It is irrelevant that massage has been a predominant health care system for thousands of years.
If enough research is done to prove massage is valid, massage will be accepted at last. Maybe those gleaming insurance dollars will come to therapists who are drooling over them. Sorry, you do not understand research.
You can prove almost anything with a double-blind study. Studies can be created to prove almost anything causes cancer. Alter the diet of the subjects, put them in the right environment - and presto - whatever is being tested causes cancer, especially in rats. It can be proven that virtually everyone who has gotten cancer has eaten lettuce sometime in their lives!
Invalid research? No. Under a certain set of circumstances, a certain thing being tested can cause a certain result. Unfortunately, we are seldom told all the circumstances. We are just told the desired outcome.
"Oat bran doesn't lower cholesterol." We were not told that the test subjects had normal cholesterol levels and high blood pressure in that study. Of course oat bran didn't lower cholesterol in people with normal levels. This study was used to counteract the study that proved oat bran did lower cholesterol, in people with high cholesterol and high blood pressure. Confused? Good, that's the idea. What do confused people do? Nothing. They avoid the cheap, nontoxic nutritional remedy and, in this case, go back on the drugs like good patients.
The research industry keeps itself busy by replicating results. If someone proves something that is not desired, the establishment says, "One study doesn't prove something. You have to wait until others have replicated your results." Now another study must be funded, and another, and another. Then someone else will conduct a study and set it up in such a way to disprove the initial study. Research will never bring about the acceptance of something the establishment doesn't want accepted. Research will always bring about the acceptance of anything the establishment wants accepted (i.e., aspartame.)
Massage is particularly difficult to research. It is difficult to control all the possible variables, and there are many different massage techniques to use. A study was done that supposedly disproved the theory that sports massage reduced lactic acid in athletes after competition. The study was done by a college that has no expertise in massage. There were no sports massage therapists in the area. Who did sports massage on the subjects? That didn't seem to matter. The press ran with it. There are lots of great massage techniques that, even if done by experts, would not reduce lactic acid levels. Further, the appropriate techniques, if done incorrectly, would not work either. Double-blind research may be too blind.
The point here is not to argue against the massage profession supporting research. There is much to be learned by double-blind research. Excellent research is being done by Dr. Tiffany Field (of the Touch Research Institute), among others. Their should be commended and supported. However, we need to remember that if the results become threatening to the medical/pharmaceutical industry, they can and will be easily disproved.
Research may be a huge potential danger to the massage profession. If studies done by well-trained massage therapists indicate benefits from massage, the public will go to therapists expecting to receive those benefits. Unfortunately, there are so many poorly trained therapists out there that most of the public will be disappointed. This has the potential to cause a huge backlash against our profession. If capitalized on by opposing forces, it could set massage back years in efforts to legitimize the profession in the eyes of the public.
Let's not pour every available dollar into research, hoping it will legitimize massage. It won't, in and of itself. What will legitimize the profession is the public receiving consistent, high-quality services from well-trained professionals. We must work to establish more consistent levels of education and expertise at the entry level. Continuing education in advanced levels of massage therapy should be encouraged, if not mandated.
Only when the public can receive similar benefits to those proven in studies will research become an effective marketing tool to the public. It will never be an effective means of gaining acceptance from the medical/pharmaceutical industry. The public has already voted positively on the efficacy of massage. If we as a profession work to meet the public's expectations, we will be unstoppable. If we work to prove ourselves to the sickness industry, it may well be our downfall.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.