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Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
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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