resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
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 Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
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.
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.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
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."
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
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.
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.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
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.
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
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."
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
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.
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.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
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.
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
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.
May, 2001, Vol. 01, Issue 05
The Importance of Language
By Cliff Korn, BS, LMT, NCTMB
Last month, I wrote about the differing perceptions of massage and bodywork from practitioners. The words used to portray what we do have differing meanings to different people. I'd like to expand on that theme a bit, because when we get out of our own professional realm, the meaning and significance of words become even more important.This can certainly be true in our practices when our patients/clients perceive our words as meaning something different than we intended. I always find it beneficial to come to agreement with a client as to what terms mean. For example, take the word discomfort. When working a trigger point in infraspinatus, or using an elbow for compression on a piriformis attachment, that definition can become very important. Where language misunderstandings become really problematic though, is in the regulatory arena. Here wording is critical, from the standpoint of the regulators, from the practitioners being regulated, and from the public who is being protected by the regulations. Obviously in the best of all worlds, the wording chosen in statute and rules will provide all concerned parties with the protection and safety net intended by the process. This does not always happen though, as the following example illustrates.
New Hampshire has had a long and successful history of licensing massage therapists. The state's Department of Health & Human Services administers the massage licensing program. There is a three-member Advisory Board of Massage Therapy that advises the Commissioner of Health and Human Services on issues relating to massage therapy. To correct a perceived problem concerning the Department's ability to discipline errant therapists for inappropriate touch, the Department lawyer, in concert with state Legislative Services lawyers, added the following clause to the rules governing the practice of massage:
This added definition in the rules seems pretty innocuous on quick read, but when dissected and put into the context of actual practice, the words exceed the needs of the situation and adversely impact the practice of massage in that state. There are times in a massage practice when intention can carry the day if specificity of technique comes up short, but this is never the case in a regulation! In dissection, the above definition states that the intentional touching of a client's genitalia is a therapeutic aspect of massage, and it only becomes inappropriate when done without the informed consent of the client. I don't think this was the intent of the drafters. The statement is actually true when directed toward breasts or buttocks, but I have never met anyone whose practice involved anything other than adult entertainment who would argue that touching genitalia was a therapeutic aspect of massage.
So how does one resolve the meaning gaps in language issues such as just presented? In this instance, the members of the Advisory Board each responded in writing stating that the inappropriate sexual contact definition was badly chosen because:
So was this language issue resolved? The written response from the Department was that the rule would allow the Department to do what they needed to do in the prosecution of those harming the public, that it was not intended to demean the profession, and that the language would stand as approved.
No one was really wrong in the situation cited above, but I feel it is an example of unfortunate language affecting the practice of professionals when the profession isn't regulating itself. In this instance, a state beaurocracy solved a problem against the wishes and judgment of those selected by them to represent the profession. Had there been a massage regulatory board instead of an advisory board, I doubt that this would have occurred. I am of the opinion that the massage therapy field is best served by self-regulation. Licensees should have recourse to have complaints heard and adjudicated by their peers.
Last month's Massage Today included an article by David Frostad on the National Alliance of State Massage Therapy Boards (NASMTB). The state of Mississippi has just become the 30th state to regulate massage. I would welcome 50 states; all members of the NASMTB, with common regulatory language that has been developed by massage therapists and designed to enable increasing standards of care while benefiting both the public and the practitioner.
I feel it is important for everyone reading this article to consider the power and importance of the words we use. English, as most of the world's languages, is rich in vocabulary specifically to express nuance of thought. When creating written documents designed to stand the test of time, nuance and understand become increasingly critical. In our emerging profession there has been and will continue to be creation of organizational bylaws, practice standards, efficacy claims, regulatory statutes and rules, etc. I urge everyone to remember that what you meant to say has no bearing on how others view and use your document. What you have actually said will remain for a long time. I guess I am calling for a bit of activism on your part. I suggest that it is important that you read and understand the laws that govern your practice, and the bylaws and standards of the associations/organizations you choose to join or be credentialed by. With a critical eye, determine what the documents actually say and the perceptions of meaning that might occur. Then call or write the organizations/agencies responsible for the document and state your concerns. After all, it's your practice that is affected.
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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