resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
How Many of Your Patients Have Sarcopenia?
Figure 1 demonstrates the typical appearance of sarcopenia in the paravertebral muscles. Have you considered evaluating your patients for this problem? Sarcopenia is the progressive loss of skeletal muscle mass and function that affects the older population.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Day in the Life of an Advanced-Practice DC
Can you tell us a little about your background in the profession? Why did you want to become a DC? I studied at Boston University from 1968-1972 as a pre-med student majoring in biology.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Specialized Pro-Resolving Mediators: 21st Century Inflammation Fighters
Specialized pro-resolving mediators, or SPMs, are a portion of the omega-3 fatty-acid spectrum that have been shown to have a powerful effect on reducing inflammation.
Identify & Adjust the Apex Posterior Sacrum
Low back pain involving an apex posterior sacrum (+θX-axis misalignment) typically presents with signs of lumbosacral joint impingement or facet syndrome.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
F4CP Launches New Social Media Campaign
The Foundation for Chiropractic Progress has launched a new service to help member doctors: a social media campaign called "Accelerator."
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Excited to Share the Science of Chiropractic: An Interview With Dr. Heidi Haavik
Dr. Heidi Haavik has become known in the circle of chiropractic researchers as not only a rising star, but also one willing to do research that can have a major impact in the scientific world and how chiropractic is perceived.
Let's Streamline Your Front Desk
Your front office can be your greatest source of efficiency or a constant bottleneck. Increasing the productivity of this area without sacrificing the quality of patient interaction can be a little tricky.
Misconceptions & Opportunities With Medicare
As I speak around the country on how to properly document Medicare patient encounters, I get questions regarding opting out of Medicare. There are many misconceptions about opting out of Medicare, including just what it means to opt out.
News in Brief
Northwestern Student Honored for Addressing Concussions Head-On; Northwestern Announces New CFO; Life U. to Provide Unique Opportunity.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
An Alarming Lack of Accountability
Accountability seems to be a lost quality today. The simple act of taking responsibility and doing the right thing just doesn't happen as often as it should. Maybe it is the litigious nature of our society.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Designing a Fitness Plan (Part 4): Blending Pain Relief With Healthy Aging
Pain relief is still the No. 1 reason patients come to my office. However, most of my patients have other goals as well, such as: "I want to lose 10 to 20 pounds"; "I feel old and want to slow down the aging process"; "My doctor says I am becoming a diabetic and need to exercise"; or "I'm tired and want more energy."
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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