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HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
June, 2002, Vol. 02, Issue 06
By Cliff Korn, BS, LMT, NCTMB
Massage therapy and bodywork has certainly come into its own in the last 10 or so years. It is no longer unusual to see articles mentioning the benefits of our services in national publications.Reviews of resorts in travel magazines usually mention spa services available. National network and cable television series are more likely than ever to have massage therapists as characters (some with adult entertainment industry stereotypes, although some without). I regularly hear my peers express delight or indignation at how a therapist was depicted or how a modality was described in the media. Usually I just smile and think how thankful I am that we, as a profession, are so universally known as to be included in coverage of everyday life.
However, I must admit that two recent depictions stopped me dead in my tracks. Either I'm missing the boat on how other massage therapists conduct their practices, or writers are incorporating a lack of education in their coverage. I am a subscriber of Travel + Leisure, a publication of American Express Publishing Corporation. Their April 2002 issue ran an article titled "The Good Life" that reviewed three venerable resorts in Carmel, CA. The author describes in some detail the property amenities, including golf, food, staff professionalism and guestroom ambiance. He also reports on his massage experience at each property. Describing the new spa at one property, he notes, "Popular as it is, I found the service there confused, the massage room noisy, and the massage below par." I'm glad I didn't read this in a national magazine after one of my massage sessions! The disturbing aspects come in the next two reviews, though.
Of property number two, our massage critic says, "My Ranch Classic massage was far better than the usual rub-a-dub hotel version, with as much adjusting as there was kneading." He went on to mention the therapist by name and quoted him as saying, "I like to get something accomplished."
In the final property review, I read, "I was jelly by the time the masseur arrived. The therapists come to your room here. Mine quickly kicked off his Birkenstocks and set up his table in front of the fireplace. He was partial to chiropractic and cranial work -- more adjusting -- and clearly very experienced."
So what do you think the odds are of these therapists being chiropractors masquerading as massage therapists? How would you feel if an article in a national magazine let all the world know that you were practicing out of the scope of practice of your stated profession? Will more of the public be climbing on your table be looking for osseous and soft tissue work because of this depiction? In my mind, this article is more dangerous than the occasional TV show depicting a massage therapist engaging in hand release, as was recently aired on HBO.
The March/April issue of Healing Retreats & Spas also attracted my attention, with an article entitled "Rules of Engagement." The author of this piece is bound and determined to uncover the prurient aspects of sessions behind closed doors. He uses as a premise for his exposé his observation that Americans have a curiously conservative perspective regarding nudity and touching. He notes that topless bars and nudist colonies are viewed as dens of sin and freakish third dimensions, and then concludes that, "it is not surprising that these hang-ups cross over into the spa experience." He really said that!
This intrepid reporter travels from Beverly Hills to New Orleans for his story and admits to "pushing some conversational boundaries at thirteen spas in ten different cities." He seems quite shocked and amazed when the professional spa staff he "interviews" while on the table erect a wall of silence around his attempted discussions of nudity, sexuality and boundaries. I'm not at all surprised, as it seems like a natural response to a weirdo! My guess is that they also proceeded to demonstrate their trigger-point proficiency with thumbs and elbows to stimulate a subject change!
Undaunted in his lack of success in getting a hot story from therapists, the reporter relates stories from clients. One tells of how she experienced orgasm during her first three massages, and now consciously makes herself avoid orgasms when she gets a massage. The reporter then tells of his own experience where during a "Swedish massage in the Lake Tahoe area" the therapist repeatedly touched his erection. He called it inadvertent, even though it was repeated while she was working both legs. His story makes me wonder what "spa" he was visiting.
He concludes his article by saying, "So the next time you wonder to yourself, 'What just happened?' push it to the back of your mind... at least until the treatment's over."
My problem with this last article is that it is in a nationally distributed magazine designed to promote spa use! My guess is that prospective clients who are new to massage and bodywork will be scared to death to schedule themselves on a table after reading his article. I doubt that is something desired by the magazine's advertisers! I also doubt that you would like to get a lot of new clients referred from either of these articles. Both take the authors' perception of our profession and promote it to the world as a reality. I believe both seriously missed the boat.
What do you think?
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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