resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
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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