resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
January, 2002, Vol. 02, Issue 01
Hopeful Views and Empowering News
By Ralph Stephens, BS, LMT, NCTMB
As you read this, the holidays have passed and we are settling into the new year, hopefully with optimism and enthusiasm. Never have the people needed massage more than in these times.One of the things I am particularly excited about is the potential for seated massage to expand from the relaxation paradigm to the therapeutic paradigm. One example would be the repetitive strain injury known as carpal tunnel syndrome (CTS). This condition is rampant in the workplace and represents a huge untapped market for seated therapists. With proper education, seated, on-site therapists could significantly reduce the pain and suffering of thousands of people. Therapists doing so will be able to make a very good income for their efforts. They won't even need to file insurance claims! Of course, they might be able to if they enjoy that exercise. I've heard that some do.
Carpal tunnel syndrome is a soft tissue injury aggravated by postural distortion. Technically, it is a neural compression condition involving the median nerve at the carpal tunnel (wrist). Almost all of the tissues involved with treating this condition can be addressed in the seated position. Specific massage and stretching techniques can be quite effective in the treatment and (more importantly) prevention of this condition. This is a very expensive injury; some years ago, a study concluded that the average carpal tunnel case cost workers' compensation over $63,000. Remember that insurance never pays for anything. In the case of workers' comp., the employer pays for it eventually through increased premiums. Wise employers would welcome a way to reduce this expense. On-site massage is often a tax deduction for a company through its wellness program. Seated therapists can easily learn therapeutic techniques for this condition, then approach businesses in a professional manner, representing themselves and their work accurately and honestly. By applying the methods effectively while educating the patients and employers about proper posture and exercise breaks, the individual therapist will rapidly create a successful practice. The word of success will spread, creating a huge market for massage therapists doing seated therapeutic massage. The result will not only benefit workers and employers; it also will increase the demand for massage therapy for other conditions as well. Let's not participate in the recession. Let's grow!
Heads Up ...
I thought some of you might want a heads-up on this one. The terrorist activities of the past year have resulted in several legislative efforts. One that is quite disturbing is the new proposal by the Centers for Disease Control (CDC). The proposal is called "The Model State Emergency Health Powers Act." (MSEHPA). If you would like to read this 40-page document, you can go to www.publichealthlaw.net. It is an easy read: lots of space on the pages and written in language that anyone can understand. This proposed act is to be taken to every state in 2002 and, the CDC hopes, passed by each state's legislature. It will give public health officials and the governor the power to declare "health emergencies." In a health emergency, the state will be under martial law. The discovery of any disease, contagious or not, could trigger a health emergency. The disease may be in plants, animals or humans. In a health emergency the state will be able to require anyone to undergo any medical exam, force anyone to be vaccinated, confiscate or destroy any property, ration food and fuel (among other substances), and if one does not cooperate they will be quarantined. While the state of emergency is only to last 30 to 60 days, the quarantine is indefinite and ruled by emergency judges appointed by the governor. All health care providers and facilities may be forced into service under public health officials, apparently without compensation. The governor and public health officials are given blanket exemption from liability for death or property loss or damage.
A sudden rise in HIV/AIDS cases could easily fit the qualifications to declare a health emergency. In a declared emergency, officials could lock-up, excuse me, quarantine, anyone with a disease or anyone who refuses to be examined, vaccinated or cooperate. This is a very dangerous proposal. If enacted, you can be sure that it will be used.
How it would affect us as professionals is unclear and subject to speculation. As individuals, the effects are very clear and could be devastating to both our health and our businesses, possibly even our lives.
Some might argue that controlling infectious disease or bioterrorism requires such totalitarian powers. I agree that some emergency powers may need to be given to the states, but not nearly as sweeping as this model legislation calls for. One quote from the draft bill asserts: "An infectious disease may, or may not, be transmissible from person to person, animal to person, or insect to person." So a disease is whatever the state says it is. Granting this much power to a state's public health department is unnecessary and unwise.
If the proposed MSEHPA concerns you, you might want to begin talking to your state legislators about it soon. In the current emotional state of our country, this legislation will probably be passed in some form in every state. Hopefully it can be scaled down to protect the rights and freedoms we have fought to maintain for hundreds of years. If we give up our rights and freedoms to protect ourselves from terrorists, the terrorists have won, because one of their goals is to take away our rights and freedoms.
An example to learn from is the recent anthrax outbreaks. Many people were virtually forced to take Cipro because it was the FDA's drug of choice. Look up the side effects of this expensive drug. They are devastating. Weeks later, we learned that common penicillin and doxycycline are just as effective, with less cost and fewer side effects. If they are effective, so are many natural remedies. Bayer wins. The people lose again.
The freedom of choice with regard to individual health care is one of the most basic and essential freedoms we possess. Without health, what good is freedom? Our profession depends on this freedom. If not actively defended, it will be taken away. The good news is, we do live in America, and we can still participate in this decision. Do what you think is right.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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