resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
November, 2001, Vol. 01, Issue 11
The Real Purpose of Insurance
By Ralph Stephens, BS, LMT, NCTMB
Many things are not as they appear. To many, health insurance appears to be a great opportunity for massage therapists. It appears to be an opportunity to make more money and to reach more people with our services.The collective ego of our profession has been inflated lately because insurance networks and insurance companies have suddenly taken an interest in us. It appears that this is because patients are demanding it. I dispute that this is the reason for the sudden interest in alternative providers by the traditional medical profession and its banker, the insurance industry. Many things are not as they appear.
During the last 20 years, there has been an ever-growing movement by the public away from allopathic care. Allopathic care is the "traditional medicine" practiced by MDs, most DOs and PTs, etc. Allopathic care is based on the suppression of symptoms and on heroic intervention. It is a sickness-based, crisis-management-oriented system. Thank God for it if you are ever sick or injured. We have the best such system in the world. Hopefully, we can keep it, but in its place. However, it makes no significant money from healthy people, or from keeping people healthy. It only makes significant money from sick people. Have you ever gone to a hospital when you were feeling great and checked in for a few days of rest and great food? Of course not! Hospitals have nothing to do with wellness and health; they have to do with sickness and trauma. If everyone was well and injury free, hospitals would go out of business. They have no reason to promote health, so they don't. They require a constant flow of sick people. Therefore, they manage crises, send the people home, and wait for their return with a relapse or a different crisis. Patients get better. Patients get back to work. Patients seldom get healthy. This system is documented as the third-leading cause of death in this country.
The public is running away from it as fast as they can, looking for an alternative. The public found this alternative in massage therapists, chiropractors, acupuncturists, herbalists, homeopaths and other practitioners the allopathic system publicly denounces as "quacks." Much to the horror of the allopathic cartel, the Eisenburg studies documented that millions of people were stepping out of the allopathic system for all or part of their health care needs. Billions of dollars were being lost to alternative practitioners; worse, many people going to them were achieving levels of wellness impossible with allopathic treatment. The loss of money is bad enough for the allopathic industry, but the loss of control is totally unacceptable.
Shortly after the second Eisenburg study, funded in part by our own associations, the allopaths suddenly developed an interest in wellness. Hospitals are opening up "wellness centers" as fast as they can. Insurance companies suddenly are interested in accepting alternative providers. Wow, isn't this great? They have finally seen the light. The tide has turned. They are accepting us. Sickness care is becoming health care. They love us now. All we have to do is lower our rates and fill in a bunch of forms, and they will promote us in their networks. Yes! Free advertising, we're legitimate, this is so cool.
Hey, it gets better. If we work by prescription from physicians, we can get third-party reimbursement. We have to lower our rates, fill in more forms, wait awhile to get paid, and we can only do what the physician allows, but it's worth it. We're part of the system. They finally respect us. We feel so good.
The only reason all this is happening is to regain control. Insurance is the bait. Once we are firmly ensnared in the insurance system, we will find ourselves in the same position as the DCs. Our rates will continually be reduced, and the freedom we have to provide a full range of wellness services will be curtailed. We will work by prescription only. The allopathic community knows it cannot eliminate us. It must control us. Sadly, it probably will. Our leadership will pave the way and our colleagues will most likely march like lemmings to sign up. Yes, it will most likely happen. History tends to repeat itself. Yes, this has happened before. Many of that group are now struggling to get out of the very situation so many of our colleagues are trying to get into. The group that went before us are now known as PTs.
Insurance, especially as it relates to massage, is about control. Insurance controls the money flow in the sickness industry, It guarantees a steady flow into the allopathic cartel, as it was created to do. It even controls the allopathic cartel. It only pays so much. It only pays for certain things. When the system becomes too demanding, it reduces what it will pay. Now add the government insurance system (Medicare and Medicaid) on top of it, which also act as controls as to what can and cannot be done. The government that controls the health care of its citizens controls its citizens. Watch out when politicians start talking about nationalizing health care. It's never about health, it's only about control -- of you.
Some will be willing to give up control of their practices and go to work for the insurance industry. Some people will give up a lot of their freedom and potential for a small amount of security or prestige. If enough do, alternative health care providers will be successfully brought under control of the sickness industry. The independents will be weeded out through prosecution by the medical boards and persecution by the media.
Want to work for insurance companies and/or the government? You work for whomever pays you. Or do you prefer to work for your patients? The fate of our profession rests on the choice of the majority of our colleagues. More importantly, the fate of true health care and the wellness of our fellow human beings hang in the balance.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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