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Essential Orthopedic Testing: Tests That Involve Standing on One Leg
Since these tests have a common mechanism of performance (standing on one leg), there are differential diagnostic concerns during testing. The tests cannot be completely isolated from each other for performance.
Communication 101: Please Explain Yourself!
Twice this past week, I overheard conversations about chiropractic. As you can imagine, it is a topic my ears naturally pick up. In both cases, a patient was talking to a friend about their experience with a chiropractor.
The Heart Protector
On the physical level, the Pericardium is a double-layered sac of fibrous tissue that envelops the Heart. The space between the layers is filled with serous fluid that protects the Heart from external shock or trauma and lubricates to allow for normal Heart movement.
The Wonders of Light Therapy: An Interview with Wes Burwell
I first met Wes Burwell in 2011 when he was teaching a class on light. Since then, every time I hear him speak, his understanding of the benefits, function and capacity of light has evolved.
Managing Patient Expectations About Acupuncture
Last year, I attended the Pacific Symposium in San Diego for the first time in six or seven years. It was the 25th anniversary of this event, and on one evening there was a panel discussion with the title; "What is Qi?."
AOMA Strengthens Leadership Team
AOMA Graduate School of Integrative Medicine, a leading college of acupuncture & herbal medicine, announced the appointment of Donna LaPoint Hurta, MBA as the new VP of Finance & Operations this Fall.
Sports Science: What's in That Drink?
Athletes frequently ask me what the best liquid is to drink during exercise – water or a sports drink? Water provides the necessary hydration, but unfortunately, it lacks the key nutrients to aid in performance and recovery.
Chiropractic Research in Review
Predicting Pain With Disability in Office Workers; Traction Approaches for Discogenic Cervical Radiculopathy; Intra-Articular Gas Bubbles Following Manipulation; Nonresponsive Chronic Ankle Sprains: Think Tendon Rupture.
The Tao of Gender
If you think gender is as simple as having a new client check off the "male" or "female" box on your intake form, we hope this article will expand your understanding and thus the reach of your health care.
Uncle Sam Needs You (Part 2)
Where chiropractic care has been used in the military health services, it has been deemed very successful.
Simple Ways To Find True Happiness
Patients in our clinics are always seeking happiness. As their health advocate, we need to ensure we inform them that in order to find happiness, they have to make sure to identify what makes them happy in the first place.
Pulse Diagnosis: What We Know
I am still finding pearls of wisdom from the books and papers that I inherited from my pulse diagnosis mentor Jim Ramholz.
Healing With TCM at San Quentin State Prison
For the prisoners at San Quentin State Prison, life-sentences are the reality of every day life. It is not often that prisoners get the opportunity to use alternative medicine to deal with common ailments they encounter behind bars such as, depression, anxiety and pain.
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 2)
As mentioned in part 1, using a flexion-distraction table is a great way to unlock this particular fixation. You have found the stuck segment. You have determined whether it is unilateral, midline or bilateral.
Lime Jello on Morphine
Taste is in the eyes... actually the mouth... of the beholder. My food preferences have changed, lightening from the food of my youth. My parents loved heavy eastern European cuisine and I loved it as a child. Now I enjoy leaner, healthier whole foods.
Jingei Diagnosis: An Effective and Powerful Diagnostic
I graduated from the Kotatama Institute under the direction of Drs. Masahilo and Katsuharu Nakazono in 1984. As a student, I was exposed to the practice of most of the various theories and modalites of Oriental Medicine.
The Case for Immunization
As long as I have been a chiropractor, I have seen many in this profession oppose vaccinations. Indeed, it has often been taken as a "given" that to be a principled chiropractor requires a curmudgeon's willingness to hold aloft that banner of opposition.
Managing Today's Fertility Patient
I recently received an email from one of my fertility patients: "Got my lab results back. FSH is 11, AMH is 0.7. My doctor said these numbers aren't good. I guess I'm infertile. Just as a thought. Just set up an appointment to speak with an adoption agency."
Correcting Pelvic Rotation Around the Long Axis: Adjustment Protocol
The pelvis can be considered a ring that can misalign on the sacrum rotating around the long axis. The following is a description of an adjustment that helps to correct sacroiliac rotation around the long axis.
CMT & Stroke Risk: Myth vs. Fact
By now, most of you have probably heard that the American Heart Association recently published a statement regarding the association between cervical dissection (CD) and cervical manipulative therapy (CMT).
Dr. George Goodman and His Legacy to Logan University
Those who knew him called him a revered leader, a visionary and one of chiropractic's biggest advocates. George A. Goodman, DC, Logan University's sixth and longest-serving president, passed away on Sept. 9. He was 70 years old.
Commingling Money: 12 Questions for the ACA About the CHAMP / NCLAF Merger
The American Chiropractic Association recently announced it was merging the National Chiropractic Legal Action Fund and the Chiropractic Health Advocacy and Mobilization Project into a single entity that will support both legal and legislative actions.
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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