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Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Online Marketing Basics: Website Creation
The various online marketing options make it a challenge, especially when all you want to do is help your patients feel better. With such a broad topic, I'm going to share some basics you should know about website creation.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
The Ethics of Herbal Prescribing
While teaching ethics classes, I often encounter licensed acupuncturists who are surprised that our use of herbs and supplements has a specific section in the material. It is often an aspect within ethics that clinicians don't think of in practice.
Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Preaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Patient Retention Techniques
When talking about techniques to grow your business, we tend to focus on the "large" aspect of the patient base, that is, on strategies to attract new patients. However, it is important to remember that "loyal" is equally, if not more, important.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
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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