resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
After two treatments for back pain, a patient presents for a third
session complaining of rapid breathing and wheezing that is made worse
during cold weather.
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
June, 2001, Vol. 01, Issue 06
Should We or Shouldn't We?
By Cliff Korn, BS, LMT, NCTMB
Regulation and licensing of somatic therapists is again making news. After several years of little or no activity in this area, several states are now considering if licensing, in the form of practice acts or title protection acts, is superior to the "unlicensing" regulations now approved in Minnesota and being considered elsewhere.
I know of precious few issues within the massage therapy and bodywork realm that stimulate such response as the issue of whether or not to regulate the profession.It seems to make otherwise rational people froth at the mouth, and normally caring, sensitive, client-centered individuals stand on their soapboxes and hurl vindictive epithets toward any individual speaking for the "other side"!
I would like to explore a few issues concerning regulation in this column, in the hopes that it stimulates an ongoing discussion among you, the readers. Nothing would please me more than to have Massage Today become a clearinghouse for the ideas and concerns surrounding licensing. This is a big issue affecting us all, so please share your opinions on the subject!
In this column, I'll limit my thoughts to the issue of state licensure. It is my opinion that municipal regulation of somatic therapies isn't worth discussing, as it is (in almost all cases) actually attempting to regulate prostitution instead of whatever the title of the section of the law reads. Municipal regulation, in the absence of state licensing, is in my opinion, detrimental to the profession. It is confusing to practitioners, employers, educators and the public. I am familiar with no other health care profession that deals with municipal as opposed to statewide regulation.
Perhaps that is an element of the problem -- many of us don't see ourselves as part of the greater health care field. A state employee who oversaw many allied health groups once said to a group of massage therapists arguing this point, "Excuse me, you already are part of health care. Get over it!" Coming to grips with what it means to be a part of the overall health care environment may be important in this discussion. In my experience, the municipal regulations don't particularly address health care. The people I know who practice in nonregulated states have stories to tell: doing outcall in five communities and needing business licenses from five different jurisdictions; needing blood testing and fingerprinting in some towns and criminal record checks in others; and some towns requiring CEUs and others not; some requiring work on same-sex clients only, others requiring windows on all treatment-room doors. How ludicrous. How demeaning. Occupational therapists, physical therapists, dental hygienists, psychologists, nurses, opticians, etc, would never put up with such nonsense, but many massage therapists accept this situation as customary and normal.
As I gear up for a rant here, let me also say that I am positively sick to death of those who argue against regulation by demanding "proof" of harm against the public. (Many states require evidence of harm before granting regulation.) They will sit and fill bandwidth on web pages, listservers and publication "letters" sections stating that there is no measurable proof of public harm, and that therefore it is unconscionable to regulate the practice. They choose to define harm in their own terms for their own purposes, and develop tunnel vision that "harm" means only "grievous physical harm." As most who have served on massage regulatory boards know, there is a constant stream of instances of public harm from massage therapists. These are frequently confidential in nature, so they aren't normally used in the conduct of a public discussion. Such instances of harm run the gamut from inappropriate touch to unethical business practices, but certainly they all constitute harm to the public. Unfortunately, a somatic practitioner practicing in an unethical or unsanitary fashion can also cause the physical harm the regulation naysayers find so little evidence of.
This certainly begs the question as to whether licensing will do away with those who abuse good practice and ethical behavior. Of course it won't do away with them, but the jury is still out on whether licensing minimizes or lessens the frequency of public harm. What I see as a good argument for licensing is that it frequently provides a peer review process for those against whom complaints are made. Most states already have laws enacted to deal with inappropriate touch and unethical business practice, but require filing of criminal charges to do so. For most matters dealing with unhonored gift certificates, scope-of-practice concerns, etc., I see real benefit to peer investigation and adjudication rather than police and/or court intervention. I'd prefer the police investigate meatier issues.
As I see it, the issue is not whether the profession should be regulated, but by whom, and to what standard! I encourage massage therapists to impact their own destiny by expressing their thoughts and opinions on such issues as who should be included/excluded form massage regulation; what scope of practice entails; what the eligibility criteria should be; and how a therapist demonstrates initial and current competency. Coalitions are usually the best vehicle for determining the answers to these questions and obtaining a semblance of consensus. The Federation of Therapeutic Massage, Bodywork and Somatic Practice Organizations has a very workable model for a coalition at www.adeptsys.com/federation/Legislative_Packet/legislative_packet.html.
I suggest the key point to this discussion should not be whether there is evidence of harm, or whether or not licensing "legitimizes" the profession, but whether consumer access and confidence are enhanced or diminished, and whether it gives practitioners more or fewer professional career choices.
Thanks for listening!
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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