resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
May, 2002, Vol. 02, Issue 05
Tilling the Soil
By Keith Eric Grant, PhD, NCTMB
I've been enjoying the coming of the central California spring: alternating days that push temperatures into the 70s and beyond with days characterized by rain squalls dropping ice water. The daffodils started blooming early with their displays of gold and white, and trees have put forth their yearly show of pink and white blossoms. The hills, which turn golden brown in summer, are now verdant green and in places interlaced with yellow mustard. As I run with friends at noon, golden-orange poppies grace the fields and the redwing blackbirds remind us with song and swoop that we are merely visitors in a territory to which they have long ago laid claim.
These features of spring also bring me back to the days in which I was a dues-paying member of a garden club. There are lessons learned in the endeavors and rewards of gardening that long reside within the memories of our bodies and souls, forming a metaphorical guidebook for our endeavors in general. These lessons apply as well to the learning and practicing of the art and business of massage as to the tilling of the soil. A successful practice, like as garden, is not made by sitting in the shade and saying "Oh how lovely"; it requires planning and effort.
Among the first decisions in planning a garden are the choices of place and structure. What is the goal? There are plants that thrive in full sunlight and plants that require shade. There are aquatic plants that must have their feet wet, and others that will rot and die if overwatered. Choices of structure and place, once made, hold for a while, like the garden plot along a chain link fence a friend chose to support her raspberries. In choosing training and locations for massage practice, consider whether you are aiming towards relaxation and stress management, sports facilitation, or therapeutic intervention. Do you want to do orthopedic work on injuries, lend comfort to the bodily strains of pregnant women, or add touch to the lives of the aged? Do you want to run a one-person business, share a practice with others, or work within a larger organization such as a health club or spa?
Just as a gardener will consult books and landscaping experts in laying out a new back yard, tie yourself in to available resources in doing your practice plans and business goals. The Service Corps of Retired Executives (SCORE), for example, provides both e-mail counseling and offers local workshops through its chapters. I maintain a list of links to SCORE and other small business resources on the McKinnon Institute website.1
In gardening, once the site is chosen, the work of soil preparation begins. Around here, the soil is heavy clay. To grow anything other than deep-rooted weeds requires a lot of shovel work, breaking through the hard crust, turning over the soil, and mixing in lots of organic compost. It's said that "if you double your initial estimate for bags of mulch and add three you'll only end up two bags short." Similarly, creating an office space that will be of comfort to you and your clients requires some thought, work, and final adjustments. It will likely be more work than you anticipated. If you are opening your own office, there are choices to make of wall color and decor, floor surface, furniture, clothing, and massage equipment and supplies. You might find yourself doing some cleaning and painting. Even working in an existing context, some of the choices remain. Depending on your opportunities, you also may find yourself wanting to add some "just in time" learning to reinforce your knowledge and skills in a particular area.
Once the soil preparation is done, the tasks of planting and tending begin. In the practice of massage, there are tasks of networking, marketing, record keeping, and beginning to tend to the needs of clients. Here you start needing the full combination of massage skills, communication skills, and business savvy to grow your practice - a combination that Claude Whitmyer and Salli Rasberry lump together in the single coined word "tradeskill."2 They note 10 characteristic traits that they have identified in those who have the knack of making small businesses succeed: being persistent; facing the facts; minimizing risks; being a hands-on learner; being good with numbers; being organized; being able to read carefully; possessing self-starting energy; relying on cooperation; and being consistent in behavior. Over time, you'll begin to discover what efforts and clients are working for you, and begin to thin and weed the rest.
Finally, with the hard work done, there comes the time for harvesting, enjoying and sharing the fruits of you labor. There is a deep satisfaction in seeing what you have started from seed become substantial. There are also important opportunities to network with colleagues and to mentor those learning the way after you. I encourage you to take full advantage of these fruits of your "soil tilling".
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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