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Elevated Shoulder? Check the QL
As you know, posture reveals a great deal about the body. Posture is a unique mental and physical landscape revealing compensations and adaptations to life. It's a classic mind-and-body story.
Sell Out: Using Research for the Wrong Reasons
The above chorus is from the ska band Reel Big Fish's 1997 hit song, "Sell Out," from their album, "Turn the Radio Off." In the song, the singer sarcastically relates the plight of a musician who is tired of "flipping burgers" and is willing to get "lots of money" by playing "what they want you to hear" in order to get a recording contract.
The Future of Functional Neurology
Functional is the hot buzzword in health care these days; witness the rising popularity of functional medicine, functional testing and yes, functional neurology.
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.
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.
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.
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.
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.
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.
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."
The MRI: When and Why to Order One
As I lecture around the country to both chiropractors and medical specialists, it's clear one of the main disconnects between the two professions is that of an accurate diagnosis.
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.
Do You Teach Patients How to Breathe Properly?
Spinal manipulation often produces quick results in terms of pain alleviation and improved range of motion. Unfortunately, once the patient is no longer in pain, they may discontinue therapy, only to be plagued by the same complaint at a future date.
Osteoporosis Isn't Always the Case
What is your diagnosis? The patient is a 58-year-old female with back pain. I am sure all of you see the compression fracture at L2; however, there are some findings that suggest this is not a compression fracture due to osteoporosis.
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.
We Get Letters & Email
In the Dec. 1, 2015 issue, we have Donald Petersen reporting on "the adapting chiropractic practice," which includes multidisciplinary practice as an option; a ChiroPoll indicating 59 percent of DCs are seeing at least 21 patients per day and 27 percent are seeing more than 40.
Preventing ACL Injuries in Female Athletes
For female athletes, the key to optimal athletic health lies in preventing ACL injuries. In medical terms, the anterior cruciate ligament (ACL) is the primary restraint to the anterior displacement of the tibia on the femur at all angles of the knee flexor.
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.
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."
Spine Surgery: A Tale of Greed and Corruption
All too often, where there's substantial money to be made, greed and corruption inevitably follow.
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.
News in Brief
A Winner in and Out of the Office; Ready for the "Have-A-Heart" Campaign? New Integrative Medicine Journal.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
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 Amazing Clinical Versatility of Milk Thistle (Part 1)
Most of us know that the standardized extract from the seeds of milk thistle (Silybum marianum) is probably the best-proven herb for protecting the liver from chemical and inflammatory damage.
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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