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News in Brief
NBCE Launches Computer-Based Testing Era; California Chiropractors Get Expanded DOT Exam Privileges; New Jeff Hays Documentary.
Thoracolumbar Syndrome: The Great Mimic
The thoracolumbar junction is a common area of joint dysfunction. The most obvious cause is dysfunctional breathing or lack of diaphragmatic breathing. Treating this breathing problem will ultimately be the long-term cure for the syndrome.
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 1)
When we think of lower back pain, we tend to think in terms of the lower lumbar spine and the SI joint. These joints and their discs are obviously important. However, we tend to miss fixations that occur just above – in the upper lumbar spine. Three questions come to mind: 1) Why is the upper lumbar spine so important? 2) Why do we miss the fixations here? 3) How can we adjust them?
Healing Community Trauma in Israel and Palestine
It's the beginning of August and Israel and Hamas have just agreed to a 72-hour ceasefire after a month of brutal fighting. In the last four weeks, 1,830 Palestinians and 67 Israelis have been killed.
The Truth About Herbs
I appreciate the effort and research put into the article written in the June issue of Acupuncture Today regarding pesticides and Chinese herbs.
The Spirit of the Point
After receiving a large amount of positive feedback on my San Zhen Protocols series, I have decided to focus this article on some relevant clinical aspects of acupuncture therapy prior to moving on to San Zhen Protocols III.
The Science Behind Happiness
Are you happy right now? Whether yes or no, there are a myriad of reasons why you feel that way. A whole academic discipline has developed to find out what causes or obstructs happiness, and how to amplify it.
Uncle Sam Needs You
Scrutiny into the Department of Veterans Affairs (DVA) continues to grow after efforts to reform the DVA by the former Secretary of Veterans Affairs, Eric Shinseki, were deemed "a stunning period of dysfunction" by Senate Minority Leader Mitch McConnell (R-Ky.).
Get Ready For AOM Day
This year, AOM Day 2014 falls on Friday, (October 24th). This is a great opportunity to make your AOM Day celebration or event even bigger by extending it throughout the weekend!
Let the Patient Tell Their Story
Often when a patient presents with an injury, they want to tell their story. People by nature like to talk about themselves, particularly when they're worried about their health.
MPA Media Wins Seven Publishing Awards
MPA Media, publisher of Acupuncture Today, among other titles, has been recognized for editorial and design excellence with an unprecendented seven publishing awards by the ASBPE, the nation's largest organization for business-to-business publications.
When Big Pharma Meets Chinese Medicine
Earlier this year, Bayer made a media splash with their decision to buy the Dihon Pharmaceutical Group Co., a Chinese TCM manufacturer.
If You Get a Request for Records, Respond!
In our previous two articles, we discussed two of the main reasons for denial when chiropractic records are reviewed by Medicare contractors.
The Problem With Prolonged Sitting
We need to constantly talk to our patients about spending less time sitting and about what can go wrong with poor sitting postures. The fact is we sit too long in repetitive malpositions.
Help Secure Our Future by Sharing It
The National Board of Chiropractic Examiners (NBCE) conducts one of the most comprehensive surveys of the U.S. chiropractic profession every 4-5 years.
A Glimpse Into China's Top Brain Hospital
The sounds of the city pass through the open window are overwhelming the microphone - car horns, construction machinery - and then there's the family at the adjacent bed talking loudly on cell phones, yet you can still hear the faint beep of our patients monitoring equipment.
Medicalization and Mindfulness
The past several years have seen a veritable explosion of research on mindfulness. Research abstracts we've published in each issue of Health Insights Today under the heading "Mind-Body News" have increasingly reported on studies about mindfulness interventions.
A Healthy Dose of Failure is Vital to Your Success
As an acupuncturist I tend to see people after they have already suffered for years and "tried everything." They are so desperate for some relief that they want to know everything about how to get better, right now.
Thoughts to Live By
When speaking to your patients about their health make sure to ponder the following points and have them assess if they are making themselves even more sick by the thoughts they have about life. Are these some of the traits and thoughts that your patients might have?
History of Animal Acupuncture: Part II
In Part I of this article, I had gone back to 1969 and tried to describe the atmosphere and events of that year that engulfed many of the younger generation, some who were all the core members of the National Acupuncture Association.
Rethinking GMO: Less Panic, More Context
Some of you may have noticed that after writing parts 1 and 2 of “Genetic Modification of Organisms for Human Consumption” a while back [Nov. 15, 2013 and Jan. 1, 2014 issues], part 3 never appeared.
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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