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Key Changes and Updates to the 7th Edition CNT Manual
Acupuncture Today recently interviewed Jennifer Brett, ND, L.Ac. regarding the updates to the CNT manaul.
NCCAOM Video Contest
The NCCAOM is excited to announce the launch of the second annual video contest "Because it Works!" 2015.
Should You Change an Athlete's Natural Running Form?
Once past the ankle, impact forces travel at about 200 mph into the knee. In addition to allowing the quad to absorb force, bending the knee (E) prevents the hip and pelvis from moving up and down too much (F), which is important for injury prevention and efficiency.
The Source-Luo Point Combination, Part 2
The Da Cheng includes symptoms for the source-luo points that indicate when to use them for treatment. Yang defines the method as the guest-host (it is one of a variety of acupuncture point combinations called guest-host).
The Three Heater Official
This Official, belonging to the element Fire, is responsible for maintaining and regulating the heating system of the body, mind, and spirit. It is named for its function. The trunk is divided into three "burning spaces" or "jiaos."
Integrative Medicine for the Underserved: A Seat at the Table
Numerous organizations have risen to the challenge of providing care to medically-underserved populations and here we feature one such group.
Meet Cheyenne: Your Future Colleague
Allow me to introduce you to Cheyenne (Chey), the daughter of some of our family's closest friends. We attend and serve at the same church together, and have known each other for many years.
Q&A With the First VA Chiropractic Residents
As you may have read previously, a major step forward for the profession occurred in July 2014 when the Department of Veterans Affairs began piloting a chiropractic residency program at five locations.
Nomenclature and Classification of Lumbar Disc Pathology: Version 2.0
The Nomenclature and Classification of Lumbar Disc Pathology consensus, published in 2001 by the collaborative efforts of the North American Spine Society, the American Society of Spine Radiology and the American Society of Neuroradiology, has guided radiologists, clinicians and the public for more than a decade.
I was sitting in a Pizza Hut in Peoria, Ill., with my friend Reggie, sometime in the spring of my senior year in college, when he started doodling on his paper placemat. In those days, the company had a picture of U.S. on the mats, showing all the locations of the "Huts" in the country.
The Risks I Took
We all take risks when we choose this profession. For some, it is not knowing if you can make a living practicing TCM. For others, it is parental or cultural disapproval.
Marketing with a Microphone
When given an option, it stands to reason that people prefer to do business with those they know, like, and trust.
Leg-Length Inequality and Pelvic Fixation: A New Approach to the Negative Derifield (Part 3)
A patient with sacroiliac fixation and dysfunction ordinarily demonstrates a noticeable leg-length inequality when placed in the prone position on the adjusting table.
Creating Relationships at Southwest Symposium
The month of May brought many interesting activities. As I have said in many previous columns this year, this profession is moving in a very exciting direction. Make sure you are getting involved. If you're not, you just might get left behind.
Going On-Site With Chiropractic Care
The Foundation for Chiropractic Progress has released a position paper highlighting the financial, clinical and patient-satisfaction benefits of providing chiropractic care at on-site corporate health clinics.
Treatment of PTSD: An Opportunity for the Practice of Integrated Medicine
PTSD is widespread across America today. Not only do many of our honored men and women in uniform bring it home with them from the war zones they have been active in, but it often follows any life-threatening event people go through when their lives have been in danger.
Desert: A Metaphor from the Study of Genetics
In most of the human lives I know about, there are stretches of time which feel stagnant, or worse. We can feel adrift, or wounded and sidelined, and these times don't seem to carry much usefulness while they are unfolding.
Sports Medicine 101: Surgery or No Surgery?
In the world of sports medicine, many careers are saved by surgeries that correct traumatic damage to the body. Muscle tears, ligament damage, fractures, spinal disc herniations, and joint instabilities are a few of the issues frequently addressed with surgical intervention.
An International Life: An Interview with Mary Elizabeth Wakefield
I met Mary Elizabeth Wakefield during her class last summer in Seneca Falls, New York at the Finger Lakes School of Chinese Medicine.
Chinese Doctors Poke Holes in Australian Study
A recent Australian clinical trial, published in the Journal of the American Medical Association (JAMA) in 2014 by Rana Hinman, et el., evaluating the effectiveness of both needle and laser acupuncture for chronic knee pain.
Free Yourself From the Pocketbook Practice
Let's take a journey together; there's an important lesson to be learned. Imagine a town or city just like yours.
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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