resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
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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