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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.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
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.
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.
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.
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.
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.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
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.
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."
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.
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.
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.
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.
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.
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
March, 2002, Vol. 02, Issue 03
By Cliff Korn, BS, LMT, NCTMB
Massage therapists and bodyworkers aren't that different from any other group of professionals. Our ranks include above-average, average, and below-average performers; some are obviously intelligent, while others are obviously less so; some are tactful, some are tactless; some are successful and some are struggling to get by - just like any other group of professionals!
But - and it's a very big "but" - massage therapists and bodyworkers also have many divisions.Obvious differences in focus include structural vs. energetic; Asian vs. Western; table vs. chair; clinical vs. spa; etc. One important division rarely gets spoken of, however, and in my view supercedes most others. In large measure, massage therapists derive the majority of their income from other sources. Part-time professionals in massage therapy have chosen to "keep their day jobs." The reasons vary, but frequently involve the difficulty in generating sufficient income solely from a massage practice, from a desire to spend much of the workweek in a less physically demanding way, or from a desire to make parenting a priority over career.
The uniqueness of our full-time/part-time dichotomy makes for some interesting perspectives of thought on issues important to all of us. There are few similies to other professions. It is difficult to find other large groups of workers falling into the same situation. There are few part-time engineers, physical therapists, electricians, lawyers, social workers, locksmiths, auto mechanics or "cable guys." We tend to think of part-time workers as predominantly including those choosing retail sales, food & beverage service, and temporary office help. What follows are my observations on some of the implications of this part-time prevalence in the field of massage therapy.
Individuals who enter the field for personal growth and have an expectation of working only on family and friends, with a few referrals thrown in, have a different expectation of basic massage education and training than those looking for a full-time career. The former are likely to seek a relaxed atmosphere, and a supportive, fun environment that stresses the "how" of massage. The latter will frequently look for an in-depth program based on solid educational methodology that showcases a balanced mix of the "what, why and how" of massage.
In my observations, part-time professionals are less likely to see benefit from licensure and/or other practice regulation. They are also more likely to work without credentials in areas that require them, as they are risking an avocation rather than a livelihood. Full-time practitioners more frequently seek status as licensed professionals to maintain equity as peers with other licensed professionals who have referral potential. Part-time practitioners are more likely to look only for the acceptance of those clients who grace their table. Full-time practitioners are much more likely to own or lease the space in which they work. Their part-time counterparts are more likely to rent by the hour or day, or work from their homes. Professional investment is also an area of differentiation. Full-time therapists are much more likely to invest in quality continuing education and in tools to help them perform, such as electric lift tables.
Finally, full-time practitioners are more in tune with the importance of networking. If you regularly attend conferences and conventions, you'll notice that the ratio of full to part-time practitioners is much higher. Those joining local community networking groups like the chamber of commerce are also more likely to be full-time.
So, am I saying that full-time practitioners are "more professional" and therefore better therapists? Absolutely not! The two may have differing perspectives on the rank order of what is important, but both are equally professional. As a matter of fact, part-time practitioners rarely get burnt out or "stuck in a rut." A need for mother's hours or a love of an existing profession can be reason enough to become a part-time massage therapist. I'm personally blessed to know several part-time therapists who do a great job keeping me comfortable!
My point is, neither of these factions is going to disappear any time soon. Both perspectives are important and need to be honored. Part-time massage therapists are not "citizen soldiers" parallel to full-time therapists and active duty military! While our Reserve and Guard forces take their lead from active-duty requirements, our part-time massage therapists do not march to the requirements of full-time therapists. Certifying bodies, professional associations and regulatory boards all need to take the needs of the entire profession into account. Those who lose the respect of major segments of the profession lose their status as viable professional influencers. So the next time you get irritated by a peer's response to a situation with which you disagree, please try to see if he or she has a different professional and personal perspective based upon the percentage of income derived from massage. There are no answers to this stuff, only more tolerance for more questions and points of view.
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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