resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
February, 2001, Vol. 01, Issue 02
Will Research Prove Our Point?
By Ralph Stephens, BS, LMT, NCBTMB
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, NCBTMB.
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