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Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
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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