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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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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?
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.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
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.
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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