resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
March, 2001, Vol. 01, Issue 03
Medical Massage II
By Cliff Korn, BS, LMT, NCTMB
Last month, I shared some of my thoughts and observations on massage therapy sharing space with managed care. This month, I'd like to delve into the "care" aspects of massage and medicine, rather than the payment areas.
I am writing this while attending a symposium on complementary and integrative medicine titled, "Clinical Update and Implications for Practice," sponsored by the Harvard Medical School Department of Continuing Education.The course director is David M. Eisenberg, MD, whose published findings in the early '90s on the public's usage of alternative therapies are credited with opening the eyes of the medical community to the dollars being spent on health solutions, outside the sphere of contemporary allopathic care. My attendance here in Boston gives insights I might not get in the course of my normal daily routine as a practicing massage therapist. The 400+ attendees are mostly physicians, but my fellow attendees include general internists; family practitioners; nurses; pharmacists; pediatricians; oncologists; OB/GYNs; chiropractors; acupuncturists; bodyworkers; naturopaths; psychiatrists; psychologists; licensed social workers; managed care executives; health benefits administrators; and other complementary care providers (even three veterinarians - go figure!).
Complementary and integrative medical therapies are used by an estimated 42% of the U.S. population. Visits to complementary care practitioners exceed visits to primary care physicians by over 200 million visits per year. Americans spend an estimated $30 billion a year on these services, the majority of which nonreimbursed.1 The symposium brochure states, "There is a growing body of literature that is helping to distinguish useful from useless and safe from unsafe therapies. In light of ongoing evidence that most complementary and integrative therapies are neither disclosed to nor discussed with medical doctors, 1,2 there is an urgent need for professional education and improved patient-provider communication in this provocative area."
The symposium is covering many areas of interest to physicians, and several of particular interest to readers of Massage Today. I am delighted to be entering into the discussions and interacting with course faculty in reviewing prevalence, costs, and patterns of use of commonly used complementary and integrative medical therapies; reviewing the theory, practice, safety and efficacy of:
While at the symposium, I will also be taking part in as much of the following as possible:
Specific to massage therapy, one of the breakout sessions was facilitated by Nancy Dail, owner/director of the Downeast School of Massage, Waldoboro, ME. Nancy did a great job of demonstrating the practical aspects of massage to an audience of physicians and surgeons. She provided both lecture and interactive demonstration stressing that massage therapy meets needs of health care today, evidenced by massage therapy's ability to offer tangible benefits to the average person who wants conservative, cost-effective ways to have optimum health. She pressed home the point that massage therapy generally encourages the individual to take responsibility for oneself, and that massage therapy is a companion to health care, working with the health care system to benefit the individual. The medically oriented audience was attentive as Nancy reviewed the current state of massage education and credentialing, indications/contraindications, and opportunities for referrals.
Another breakout session entitled "Massage Research - Evidence for Meaningful Integration" was led by Janet Kahn, PhD, a past president of the AMTA Foundation, and a senior research scientist for the Wellesley Center for Research on Women, housed at Wellesley College. Janet gave a nicely detailed presentation covering definitions, limitations of research, suggestions stemming from available research and suggestions for ongoing research efforts. She covered aspects of the difficulty (impossibility?) of double-blind randomized control studies that are commonplace in medicine today. She offered that existing research suggests that massage may introduce relaxation; enhance one's sense of well-being; decrease pain; provide noticeable short and long-term relief from low back pain; ease post-mastectomy lymphedema; enhance immune function; and promote development in premature infants.
Although not on the symposium faculty, AMTA President Steve Olson hosted a luncheon networking session providing information to the group of massage therapists who attended. Also present were AMTA President-elect Carolyn Talley, and John Balletto, President of the AMTA Foundation. It was a great opportunity to socialize a bit with the 30 to 40 massage therapists attending the symposium.
The message I took away from the symposium was that those massage therapists (or Asian bodyworkers, herbalists, acupuncturists, homeopaths, naturopaths, etc.) wishing to integrate their practices into the health care system need to pay particular care to evidence-based integration, and support continued research. Dr. Eisenberg stressed that in advising patients, safety will always trump efficacy; and real or potential dangers associated with unscientifically explained or non-reproduced results severely limit the ability to refer. Along this line, a lawyer presented a legal/legislative update covering topics such as a physician's liability in referring to complementary and alternative medicine (CAM) providers. He stressed that physicians have to address questions such as what liability exists when a referral to a chiropractor, acupuncturist or massage therapist occurs and the patient's condition deteriorates. This tied directly to a conversation on credentialing and ties to insurance and referral networks. He also revealed that referring physicians conceivably could be liable for aiding and abetting unlicensed medical practice!
I would encourage Massage Today readers who work or hope to work in concert with other caregivers and/or health care practitioners to take advantage of symposiums such as this one. The perspective gained from attending with others from multidimensional disciplines is vast! The knowledge and perspectives of the physicians present was also aided by the presence of massage therapists. Even if they choose to reject referrals to massage therapists until they become comfortable with further study results, they learn more about what we do, how we do it, and why. As a wise person once said, you must understand that which you choose to reject.
Massage Today encourages letters to the editor to discuss matters relating to the publication's content. Letters may be published in a future issue of Massage Today. Please send all correspondence by e-mail to , or by regular mail to the address listed below:
Former editor of Massage Today, Cliff is owner of Windham Health Center Neuromuscular Therapy LLC. He is nationally certified in therapeutic massage & bodywork and is licensed as a massage therapist by the states of New Hampshire and Florida. Cliff is a member of the International Association of Healthcare Practitioners; a professional member and past president of the New Hampshire chapter of the American Massage Therapy Association; a certified member of the Associated Bodywork & Massage Professionals, Inc.; and a past chairman of the board of directors of the National Certification Board for Therapeutic Massage & Bodywork.
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