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Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
August, 2002, Vol. 02, Issue 08
We Get Letters & E-Mail
"Has more government ever fixed anything?"
The last issue [June 2002] of Massage Today left me with the sinking feeling that again we are spiraling downhill toward extinction.As if Mr. Stephens' series on the poor quality of massage schools wasn't depressing enough (only because he's right), now we have two death blows on the front page. First is the article on the Department of Education wanting to oversee the accreditation of massage schools. Wonderful, our salvation is coming from the folks who brought us high-school graduates who can't read their diploma or find their home state on a map! These people have disemboweled the education system in this country so completely that people are home-schooling their children by the millions and " the public school system" has become fodder for late-night comedians. Is this really the people we want trying to fix an already ailing system? Have they ever "fixed" anything? Has more government ever fixed anything?
Then there's the article describing recommendations for integrating alternative and allopathic health care. Read, taking over alternative health care! What else can you call it when a "science" that is approximately two hundred years old has the ego and audacity to sit in judgment on treatments and modalities that predate the birth of Christ, to determine "safety and efficacy"? How about if the allopaths clean up their own backyard first; an estimated 230,000 - 284,000 people are killed each year by "iatrogenic" causes - a fancy word for screw ups! Modern medicine is the third-leading cause of death in the U.S. One hundred thousand of these people are killed each year by prescription drugs that this same scientific community has deemed safe and effective!
In a very brief search, I found that 13.7 billion was spent on "alternative" health care, and that was for 1992. I'm sure it is much higher now. Almost all of this is out-of-pocket cash, not the little-now, little-never insurance and HMO payment plan.
So, do you suppose the third-largest killer of U.S. citizens and the government want to help keep us safe, or do you think they are just after the money? Have you priced a hospital aspirin lately? Has more government ever fixed anything?
Bret H. Burlock, RMT
"I am amazed and appalled by his claim..."
I generally don't take the time to write letters to publications, but I felt so strongly about your "Perceptions" article that I had to write! (Editor's note: See Cliff Korn's article in the June 2002 issue). In my 10 years in the field, I also have seen a tremendous difference in the way the public perceives massage therapy. The positive physical and mental benefits of massage therapy have been widely accepted by even the most conservative. If you're missing the boat on how other massage therapists conduct their practices, I've missed that same boat! And I don't think the blame can be placed completely on uneducated writers or those looking to uncover prurient aspects. (Although I find it hard to believe that the editors of Healing Retreats & Spas would let such an immature writer submit an article titled "Rules of Engagement"!)
I might have placed more blame on the media had it not been for the letter you printed by Chris Castanes of North Myrtle Beach, South Carolina. His letter was so unbelieveable that I read it four times to make sure I wasn't misunderstanding him. I'm not even going to debate the state licensure, continuing education or insurance reimbursement issues he brought up... that's another letter. What I am amazed and appalled by is his claim that "A large portion of licensed therapists engage in inappropriate behavior." How does he know this to be true? Through conversations with his clients on the topic!
Nowhere does Mr. Castanes claim to be a "professional" -- but his claim of being a "licensed massage therapist" does give credence to his argument that the licensure process is flawed and meaningless. Are you quite sure that Chris Castanes is not the writer of the article in Healing Retreats?!
Michelle Pfeiffer, MSW, CMT
Ensuring Professional Credibility
I am a struggling, full-time (10+ years) professional. I am in support of the strongest requirements for the profession. I really don't care about part-timers. I am old enough (54) to remember California in the 70s, when it seemed everybody's brother or cousin had a real estate license. Entry into that profession was easy until California finally increased the requirements. As I try to grow my massage business, I hear basically the same thing - "my daughter is a LMT," my co-worker's cousin is a LMT," etc.
It is too easy to get into the massage profession, and there are too many people in it. The "money" is in having a massage school, and the schools turn out grads faster than the public can support them, not to mention that so many of them are mediocre at best. (See Ralph Stephens' recent series of articles.) Someone can always choose to practice part-time, but we need the highest standards of competence to enhance our therapeutic credibility.
Daniel Vasquez, BS, LMT
"Congratulations on a Job Well Done"
I would like to address a comment made by Ruth Werner about her experience at the 2002 Olympic Winter Games. (Editor's note: See "Massage at the 2002 Winter Olympic Games" in the May 2002 issue.) It sounds as if Ruth and her team experienced a "baptism by fire" concerning World Cup and Olympic organizations. I have worked for eight U.S. and international olympic teams and have practiced massage therapy in Utah for 13 years. In 1994, after having worked with the U.S. CrossCountry Ski Team for six years, I was told by the U.S. Olympic Committee that my profession "was not a valid medical practice" and I was not formally named to the team staff. The U.S. Cycling Team had managed to get around the red tape by naming team therapists as "coaches."
Prior to the Norway Olympics, I spent two years traveling throughout Europe with the U.S. men's and women's cycling teams, and saw how other countries not only integrated massage into their programs, but relied heavily on these team members. U.S. teams often staff "soigners" or massage therapists, and have done so for many years. Most professional sports organizations employ massage therapists for their athletes and for coaching and administrative staff.
The fact that the Salt Lake Organizing Committee had reservations about incorporating massage therapy into the overall picture for the Olympics did not (likely) have anything to do with "the conservative (bordering on repressive) attitudes toward touch and alternative health care in Utah." I have been in private practice in this state for 13 years, and I suppose I have "succeeded" both financially and on a personal level. When I first moved here, there was one massage school; now there are three. One is accredited by the National Board of Academic Accreditation. My client base runs the gamut: Mormons; non-Mormons (that's me, in case you were wondering), physicians; teachers; clergy; parents; world-class and recreational athletes; the disabled and the elderly. Many of my peers are "gainfully employed" in the practice of massage and other "alternative medical practices."
I am sure Ms. Werner's experience with SLOC was indeed a trying one, and the fact that she and her team persevered is admirable. However, she may want to take more than a two-week look at this state's educational and employment opportunities, which are available to anyone wishing to practice alternative medicine in the state of Utah. The government power base here reflects that of the nation at this time: regretfully conservative. We as practitioners must continue to be vigilant and participate in lawmaking as it governs our profession. It is not unlike the struggle of those athletes that you and your team served, Ruth: it takes years and years of effort, many disappointments, and substantial community support to succeed. Enter the stadium and do your best, and do not forget that it will be the journey that brings you your greatest joy... not the medal.
Congratulations on a job well done. You made a difference not only to the athlete's performance, but more importantly, to their Olympic experience.
Julie Willis, LMT
Why Reinvent the Wheel?
I could not let one more month go by without thanking you for your extremely helpful, informative and supportive publication. It's so refreshing to read about issues that are so near to my ongoing experiences with massage.
My latest project is to assist in creating a spa department at the gym where I work. We currently offer massage with a staff of seven, but have the challenge of boosting sales to justify construction of an almost full-service spa. I've inherited this position, managing the staff and working on the spa, while my supervisor (a nonmassage person) is out on extended maternity leave. Timing is everything, so they say, and I think it's serendipitous that I'm in this position at this particular time. I have a solo massage practice, but I have no management or spa experience, although I have a solo massage practice.
Your spa section has been a lifesaver. John Fanuzzi's column on "Building a Successful Spa" couldn't have come at a better time. I look forward to all the upcoming issues to get me through this interesting time in my life. Thank you for your commitment to supplying us with the kind of pertinent information we can use in our day-to-day lives as massage therapists. We do such valuable work, and it seems a shame to waste time reinventing the wheel.
Jane Weerasinghe, LMT
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