resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Boston Benevolent Chiropractic Clinic: Standing Up for the Needy
Our chiropractic assistant, Bridget, greeted an arriving patient at the Emmanuel Church in downtown Boston. She said, "Hi, Michael, good to see you. It's been awhile. Have a seat and Dr. Ken will see you soon."
Vibrational Medicine: Frequency Micro-Current and Color Acupuncture
Vibrational medicine involves the application of various forms of energy frequencies to the body for pain relief, healing and rejuvenation. Vibrational medicine will become a major growing trend in our medical systems for the following reasons:
Don't Trust What Your Patients Say
When a patient presents to the office for care, they typically have a specific complaint – lower back pain, whiplash, sinus congestion, sciatica, etc. They are often not interested or engaged in what they consider "unrelated" personal health history.
Changes in Herbal Medicines from Ancient Times to the Present
The classical literature of Chinese medicine remains highly relevant in the modern era, as many of the basic theories and herbal combinations emphasized in clinical practice were first established in texts that are nearly 2000 years old.
Wellness: A New Buzzword at the Aging in America Conference
Aging in America is "the nation's largest gathering of a diverse, multidisciplinary community of professionals in healthcare, social service, government, business and philanthropy with expertise in providing services and products for older adults."
New Leadership Era at the WFC
The World Federation of Chiropractic recently announced not only a new president, as is customary every two years, but also an incoming secretary-general, marking the first time since the WFC's inception in 1988 that someone other than David Chapman-Smith, Esq., will serve in that capacity.
News in Brief
D'Youville Vet Program Gets High Praise; A Moment of Silence for Dr. Paul Reginald ("Reg") Hug.
Deciphering the New CMS-1500 Claim Form
Q: I am confused about how and when to use the new 1500 form, particularly block 14 and block 15. What is required and how do I properly fill out these fields? And do I actually have to use this new form or may I continue using the old version?
Low Melatonin Linked to Risk of Advanced Prostate Cancer
Epidemiological and experimental studies suggest the hormone melatonin, which plays a role in regulating the sleep-wake cycle, may play a role in the development of prostate cancer, as lower melatonin levels have been associated with an increased risk of prostate (and breast) cancer.
"Doctor ... Always Do the Right Thing"
So says "Da Mayor" in the iconic Spike Lee movie. As a fresh grad questioning in-network versus out-of-network, it struck me that some doctors have explicitly skirted the issue, while others have argued adamantly for the latter and "sticking it to the man."
The Search for the Origin of the Wiggle Technique
When Bob had adjusted me previously, most of the time I knew what he was doing. But this time, he had me lie on the treatment table in the usual side-posture position, and he "wiggled" my sacroiliac with the fingers of both hands, while stabilizing my pelvis with his forearm.
CRREW Rallies for Ongoing Acupuncture Relief Effort in the Philippines
On November 8, 2013, Typhoon Yolanda (Haiyan) made her way through the Philippine Islands, leaving in her wake at least 7,000 people dead, millions homeless and complete communities destroyed.
Medial Knee Pain: 11 Potential Causes (and Corrections)
We have all seen patients with medial knee pain that either has no traumatic origin or lasts well beyond when it should be resolved. How can we help these patients? Here is an overview of clinical scenarios and how we can provide conservative care.
The Importance of Knowing Mainstream Lingo
There is a secret lingo within mainstream medicine of which the vast majority of acupuncturists and Chinese medical professionals are unaware.
Medical Qigong for the Heart: Part I
According to the Center for Disease Control and Prevention, heart disease is the leading cause of death in the United States, affecting people of all ages and backgrounds. Coronary heart disease, in just the United States alone, costs close to 109 billion dollars a year.
Shared Mechanisms Between Computer-Assisted Mechanical Adjusting and Contemporary Acupuncture?
Can contemporary acupuncture provide clues to the mechanisms responsible for pain relief provided by computer-assisted mechanical adjusting instruments, and clarify whether certain mechanical frequency combinations are superior to others for modulation of acute peripheral pain?
Don't Trust What a Patient Says
When a patient presents to the office for care, they typically have a specific complaint in mind – lower back pain, whiplash, sinus congestion, sciatica, etc.
Employers Need Chiropractic First and Sooner
From the Journal of Occupational and Environmental Medicine comes a study that gives excellent direction to employers (and insurers) regarding the management of low back problems (LBP).
Replenishing and Restoring Jing
I learned an important principle from my great Taoist Master Sun Hak. He taught me that all people "leak" Jing, and that we can mitigate or stop this leaking, and as a result strengthen our life force, develop enhanced adaptability and lengthen our life.
Working With The Yuan-Source Level: Resonance and the Extraordinary Vessels
How do we stay fresh with our medicine? As healers, how do we balance our medical selves with creative artistry? Chinese Medicine is not a fixed dogmatic entity, but a living system, reliant on a mysterious force called "resonance."
Home Sweet Medical Home
While the Affordable Care Act (ACA) has received its fair share of praise and criticism since its adoption, few question the value of its emphasis on collaborative, patient-centered health care.
We Get Letters & E-Mail
Imagine What More Could Be Achieved With Your Support; A Lesson in Hygiene: What Do You Do in Your Office? Open Letter to the Profession.
News In Brief
Pacific College of Oriental Medicine obtains grant funding from NIH; Yo San University of Traditional Chinese Medicine Announces New President; Kentucky Gets Licensed; PCOM Receives Approval from WASC to Offer FPD.
May, 2001, Vol. 01, Issue 05
We Get Letters & E-Mail
By Editorial Staff
Editor's note: The following two letters to the editor address Barbra Esher's column, "Bodywork Therapies of Asia," from the January 2001 issue (available on line at http://www.massagetoday.com/archives/2001/01/10.html).Both letters were written directly to Ms. Esher. The second letter is accompanied by a response from Ms. Esher.
"I wanted to thank you for your column..."
I wanted to thank you for your column in the first issue of Massage Today, regarding massage therapists (innocently) overstating their knowledge. Although I have only been practicing massage a short time, I have noticed a large problem with bodyworkers and healers who step into the arena of Eastern, Oriental, and energy medicine. The audience you address -- massage therapists overstating their shiatsu and acupressure knowledge -- is really only the tip of the iceberg. I find there are many who do not realize just how much they don't know. The massage school I graduated from is a 1000-hour program that includes 120 hours of shiatsu training. I have studied a variety of energy systems to varying depths, and felt I was at an advantage when taking the shiatsu course. I have found that I am able to make connections not only between energetic systems, but also entirely different fields of study.
I believe I know enough to truly be able to grasp just how much I don't know, and I know that one 120-hour class does not come even close to qualifying me to claim competence in Shiatsu. Yet the school's logo is in part supposed to represent a balance between Western and Eastern ideas. Even with a fully certified course, I do not think most Western bodyworkers can be fully competent in such areas. Eastern medicine is based on an entirely different perspective of life that most Westerners cannot easily grasp, much less surrender themselves to. Even those that look beyond the "Band Aid" solutions only get as far as complex cause-effect relationships, instead of seeing the body as an ever-changing tapestry striving to find balance. While I truly hope that more people will discover this perspective, I fear that the AMTA is doing more harm than good for all bodywork fields by removing the elements of "art" and "dance." I truly hope that your continued columns show people that their limited studies are not an end, but instead a doorway to seeing the world in a way they've never thought of before.
Love and light,
"I don't agree with your assumption ..."
Aloha Ms. Esher,
I write this letter in response to your first column ("Bodywork Therapies of Asia") in the first edition of the Massage Today newspaper. Please let me introduce myself. I am a Hawaii- licensed shiatsu massage therapist, in practice for over 22 years, to whom you refer to as ethically questionable in your article. I am listed in the AMTA "find a massage therapist" locator service. I am not a member of the AOBTA nor certified through the NCCAOM, nor do I feel I need to be in order to ethically hold myself out to be a professional shiatsu therapist. I hold a 500-hour certificate of training from the Asian Shiatsu School (DOE approved) in Honolulu, Hawaii and have over 40,000 hours of clinical practice as a shiatsu therapist. Since 1986 I have been a member of the Shiatsu Therapeutic Association of America, sister association to the Shiatsu Therapeutic Association of Japan, and the AMTA. I am also Nationally Certified through the NCBTMB. I served four years on the Hawaii State Regulatory Board of Massage Therapy, two years as chair.
I understand and support your point that there is a sad lack of a professional standard for shiatsu therapy in the U.S. I don't agree with your assumption that the only way, or even the best way, to achieve meeting an ethical qualification as a shiatsu therapist is through the AOBTA or the NCCAOM. Many forms of massage therapy can trace some aspect of their lineage back to China. Pier Ling is the accepted developer of the Swedish System of Massage and Remedial Gymnastics. He was influenced by oriental massage and bodywork in the development of his system. Compression massage, the primary application of shiatsu technique, is included in virtually every definition of massage therapy by state regulatory boards existing in the U. S.
When one points a finger at someone else claiming an ethical lapse or lack of integrity, she should be prepared to defend her own integrity or motivations. Shiatsu therapy, as the name implies, is a Japanese (rather than a Chinese) system of massage therapy. The only style of shiatsu therapy recognized by the Japan Ministry of Health is Namikoshi shiatsu. Since 1925 Tokujiro Namikoshi taught amma, western massage (also known as Swedish), and shiatsu therapy at his school, the Shiatsu Institute of Therapy, which later became the Japan Shiatsu School. Since 1964 shiatsu therapy has been determined by the Japan Ministry of Health to be distinct and independent from amma and other forms of massage therapy. The Shiatsu manual written by Toru Namikoshi Sensei, The Complete Book of Shiatsu Therapy (Japan Pub.) doesn't even mention five-element theory, jueyin, yangming, shaoyang, or taiyang regarding treatment assessment and protocol. These facts can be easily verified.
If the associations of the AOBTA or the NCCAOM wish to claim an ethical higher ground in certification standards for American shiatsu therapists, I suggest that your standards (including methods of assessment) are consistent with those who practice the art of shiatsu therapy in Japan. A good way to ensure that would be to develop a good working relationship with the Shiatsu Therapeutic Association of Japan, Shiatsu Therapeutic Association of America, and/or contact the Japanese Ministry of Health in order to align with the standards, or qualification reviews that were already set up prior to your organization's existence.
"We are both for professional standards..."
Thanks for interest and response! I am in no way implying that you are unethical. On the contrary, you are just the kind of person that this article was written in support of!
Indeed, we both are for professional standards for shiatsu in the U.S., whether it is the equivalency of the NCCAOM, AOBTA or the Shiatsu Therapy Association of America.
As far as aligning the standards in the U.S. with the Japanese Ministry of Health, 2,200 hours of training is a bit more "higher ground" than I think we are ready for here! But by suggesting this, you do prove my point: shiatsu is not a practice that can be learned in a weekend or by reading a book.
Thoughts on the Publication and the Profession
I really like the paper, so far. I think it is a welcome answer to the information overload of most magazines. In addition, it has the feel of a business journal: right to the facts!
In response to your request to "hear" from us, I have several ideas I would like to share. First, let me touch on the issue of diversity among practitioners, modalities, business identities and clients of CAM. I believe in educating the consumer, western medical practitioners (and ourselves) that this diversity is the only thing that will save us and propel us into this century in a collaborative manner. While hopefully avoiding the pitfalls (such as losing control of our practices to insurance companies and other governing bodies) of our healing predecessors. The diversity is what stimulates healing all over the world.
There are a few obstacles to the "education" process. First, we (the small business owners, sole practitioners, etc.) are competing with the advertising dollars of large resorts that (in my opinion) are primarily selling "beauty secrets." In addition, most of the owners and managers of these organizations are not bodyworkers themselves. What code of ethics do they sign? The consequence of this is that most consumers are still led to believe that massage and bodywork are for the elite, the self-indulgent and/or the vain. The message that beauty comes from being healthy is not communicated on a large scale.
Secondly, the animosities you speak of between us are related somewhat to competition and difference of vision, but also due to ignorance of what the other "does" and how it can work synergistically with other modalities. I'm sure I am not telling you anything you don't already know, but if I had a thesis to write it would be on the "Collective Terminology of CAM." I believe this would be a unifying tool. To my knowledge, no such dictionary exists. This may be an avenue for compromise and coalition to occur. There are a lot of books out there designed to give consumers suggestions on what treatment to use for what problem -- but none for the practitioners regarding specific technique, philosophy and physiology in a concise format such as a dictionary.
More ideas about content for the paper: I see a lot of research on consumer usage trends, but what about financial benchmarks for comparable business structures? I would like to see actual comparable financial data from a variety of organizational structures. With spas, day spas and clinics opening all across the country, I would imagine that by now there are sufficient data to compare, but maybe not. Also, managing massage therapists, the creative souls that they are, requires a variety of skills. Maybe you could share some HR tips from massage employers.
Mara Concordia, NCTMB
Woo-Woo and Beyond
My thanks go to James (Doc) Clay for his eloquent article, "Polarities." (Editor's note: See Doc's article in the Feb. 2001 issue of MT, or on line at www.massagetoday.com/archives/2001/02/01.html.) Never before have I read anything that convinced me more that self-regulation and licensing should be of paramount importance to us all. It reminded me of specialties such as Reiki, shiatsu, reflexology, etc., that have to report to a board of massage rather than a board of holistic healing, under which all specialties would have equal billing.
There is nothing more frustrating that being regulated by another specialty that enforces standards that have nothing to do with your specialty. There is a feeling of helplessness as the dollars set aside for continuing education within your specialty go toward classes you neither want nor will use in the future. To maintain your ability to work, you are required to meet their "standards." Like Doc Clay, I too am totally embarrassed when I see "woo-woo practitioners of energy work." I can cite two cases in particular, and unfortunately, both were massage therapists. Both advertised themselves as "polarity practitioners." When I questioned them about their training in polarity, one stated that she had read a book on the subject, and the other stated that he had attended a workshop! But they did tell me that as massage therapists, they could advertise themselves as "energetic healers" without any formal training.
I have taught massage therapy and polarity therapy, and I am a registered polarity instructor with the American Polarity Therapy Association (APTA). I have diplomas from the Polarity Center of Western Virginia, Mueller College of Holistic Studies, and took postgraduate studies in indigenous peoples healing modalities. I can fully comprehend the lack of understanding about energetic healing by the "hardcore clinical types." The standards of practice adopted by the APTA, and the educational requirements within the curriculum for associate polarity practitioner and registered polarity practitioner, leave no misunderstanding that these qualifications are taken seriously and do not fall within the realm of "woo-woo." The education and practical application hours for registration are far greater than the hours needed to become a massage therapist, yet in many states, polarity therapy practitioners are regulated by the massage board - even though MTs receive little or no training in polarity therapy.
As professionals, we should seek to respect other specialties and allow their associations/organizations to judge the educational, credentialing and licensing requirements for their specific practitioners. By absorbing those specialties within our own jurisdictions, we merely inflate our numbers and consume their individuality.
Doc Clay states perfectly that there may have been no Ida Rolf, Dr. Stone, Dr. Usai or Madam Hawayo Takata if they had contended with the restrictive and disempowering regulations that surround us today in our professions.
In closing, and most importantly, without Doc Clay writing his article, I would not have been driven to respond.
Lorraine Douglas, RPP, LMT
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