resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
February, 2001, Vol. 01, Issue 02
By James "Doc" Clay, MMH, NCTMB
All the foofaraw over the Great Election Debacle of 2000 made me think a lot about polarizations, and especially about the great polarization in massage therapy and bodywork: the anti-certification, anti-licensure folks vs.the certification and licensure supporters; or, at the extremes that polarization seems to force upon us, the wild-eyed anarchists vs. the compulsive organizers.
The big problem with polarization is that everyone is right. In this case, the anarchists are right that the great strength of massage therapy and bodywork lies in freedom and variety, and that the marketplace will gradually separate the wheat from the chaff. The organizers are right that official credentials will (rightly or wrongly) command more respect from the public and other health professionals, and that self-policing is better for us than arbitrary external controls.
Neither of these "right" positions, however, is without danger. I'm sure all of us have cringed at having assumptions made about us based on people's experiences with other therapists. The hard-core clinical types shudder at the thought of being associated with the "woo-woo" practitioners of energy work and obscure, often Eastern, quasi-religious approaches. AMTA-style draping enthusiasts are horrified at postural therapists who treat clients in underwear. And all of us are fearful of truly unethical practices such as financial scams, quackery and sexual abuse by therapists. One of the things we learned when the totalitarian regimes of the Soviet bloc countries fell was that freedom brings risk - the crime statistics in those countries shot up when the police state no longer reigned. The marketplace may sort things out, but it takes time. There's always a niche open for the opportunist and the con artist, and they reflect on us all.
At the same time, where there is organization, there are power structures, and where there are power structures, there is potential for real abuse of power. Whatever you may think of the National Certification Board, always remember that, elections of board members notwithstanding, it is emphatically not a democracy. The board has broad powers to do what it will, and that includes tight control over who is and is not allowed to run for office. Not only do massage schools understandably teach to the certification exam, they also bend over backward to teach to the standards both of the NCBTMB and the AMTA - that's their bread and butter. As more and more states adopt the National Certification Exam as their standard for licensure, the board gains power.
Everyone will have to take some sort of position on the issue - even those whose position is passive acceptance of whatever happens. There are those who will continue the valiant (but I believe rather quixotic) fight against certification and licensure. There are those who will doggedly insist on trying (all too often with success) to impose their own views of bodywork on the profession. But I have some suggestions, or requests, for all parties:
First, I ask the anarchists to consider what the loss of their voices in the corridors of power will cost. If you truly believe in the value of freedom, and really want to curb some of the excesses of those who would seek uniformity in the profession based on their own preferences or biases, please consider fighting from the inside, and lending your strength to the battle for freedom and diversity within the institutional structures. In short, run for membership on the national board!
And now, to the organizers: please remember how often the narrowness and closed-mindedness of the traditional, established health professions have frustrated us. Take note of how many different approaches there are within our discipline that are effective. Observe that imaginative and daring practitioners who explored new ways of doing things have developed all of those approaches. Never forget that the next Ida Rolf, the next Milton Trager, the next Aston or St. John or Berry or Upledger or Phaigh, is some as-yet-unrecognized therapist out there practicing anonymously, and needing to work without handcuffs. Remember that when you place limits on therapists, you also restrict the choices and options of their clients.
Please make rules only when there is a clear and pressing need - not just for the sake of making rules. We seek to be different in many ways from the traditional health professions. Therefore, consider not mimicking their models of standards of practice and codes of ethics. Please think outside the box. Do not be tempted by the notion that0 because 67.4% of bodyworkers do a particular thing in a particular way, all bodyworkers should do it that same way. Always respect the minority view, however small - it is from the minority that the most creative innovations will come.
Please do not try to homogenize us, because that will be our death.
Click here for more information about James "Doc" Clay, MMH, NCTMB.
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