resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
An Alarming Lack of Accountability
Accountability seems to be a lost quality today. The simple act of taking responsibility and doing the right thing just doesn't happen as often as it should. Maybe it is the litigious nature of our society.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
News in Brief
Northwestern Student Honored for Addressing Concussions Head-On; Northwestern Announces New CFO; Life U. to Provide Unique Opportunity.
Misconceptions & Opportunities With Medicare
As I speak around the country on how to properly document Medicare patient encounters, I get questions regarding opting out of Medicare. There are many misconceptions about opting out of Medicare, including just what it means to opt out.
F4CP Launches New Social Media Campaign
The Foundation for Chiropractic Progress has launched a new service to help member doctors: a social media campaign called "Accelerator."
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Let's Streamline Your Front Desk
Your front office can be your greatest source of efficiency or a constant bottleneck. Increasing the productivity of this area without sacrificing the quality of patient interaction can be a little tricky.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Specialized Pro-Resolving Mediators: 21st Century Inflammation Fighters
Specialized pro-resolving mediators, or SPMs, are a portion of the omega-3 fatty-acid spectrum that have been shown to have a powerful effect on reducing inflammation.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Excited to Share the Science of Chiropractic: An Interview With Dr. Heidi Haavik
Dr. Heidi Haavik has become known in the circle of chiropractic researchers as not only a rising star, but also one willing to do research that can have a major impact in the scientific world and how chiropractic is perceived.
Identify & Adjust the Apex Posterior Sacrum
Low back pain involving an apex posterior sacrum (+θX-axis misalignment) typically presents with signs of lumbosacral joint impingement or facet syndrome.
Day in the Life of an Advanced-Practice DC
Can you tell us a little about your background in the profession? Why did you want to become a DC? I studied at Boston University from 1968-1972 as a pre-med student majoring in biology.
Designing a Fitness Plan (Part 4): Blending Pain Relief With Healthy Aging
Pain relief is still the No. 1 reason patients come to my office. However, most of my patients have other goals as well, such as: "I want to lose 10 to 20 pounds"; "I feel old and want to slow down the aging process"; "My doctor says I am becoming a diabetic and need to exercise"; or "I'm tired and want more energy."
How Many of Your Patients Have Sarcopenia?
Figure 1 demonstrates the typical appearance of sarcopenia in the paravertebral muscles. Have you considered evaluating your patients for this problem? Sarcopenia is the progressive loss of skeletal muscle mass and function that affects the older population.
September, 2002, Vol. 02, Issue 09
Who Are We?
By Cliff Korn, BS, LMT, NCTMB
In what community or communities do we belong? What do we call ourselves? The answers to these questions have serious implications for the future of massage therapy, and the roads we will travel to get there.
Anyone who actually reads my Massage Today editorials knows I have a passion for definitions.I've devoted several columns to the importance of language. I've long felt that the intent of our words has little importance if we're the only ones who know that intent. If only one party is aware, there is no communication. What we say, and how it's perceived, is what is important! If you agree with me so far, you also probably agree that what we call ourselves is very important. In many states, the law says you must call yourselves "licensed massage therapists." In a perfect world, that term would have a common meaning to everyone practicing under that title and to everyone looking to contract our services. In reality, it means different things to different people. A client who has experienced massage therapy only as part of injury rehabilitation will have different expectations of a massage therapist than a client who has only experienced relaxation spa services. In that scenario, each of the practitioners are likely happy to be called massage therapist, but the terrain gets more rocky when therapists who do work they don't consider massage are required by state law to use the massage therapist title, and to train as massage therapists before starting practice.
The massage umbrella encompasses many therapies in various states. Included or exempted in various state laws are reiki practitioners, polarity practitioners, reflexologists and others. Kelle Walsh at Massage Magazine undertook one of the most in-depth studies I have ever seen of this situation in her March/April and May/June 2000 issues. She not only told of the efforts of massage regulation proponents to legitimize massage therapy to make it easily distinguishable from prostitution advertising as massage, but of the role of a standardized credential in easing insurance reimbursement and physician referrals. Her articles clearly stated the disagreement among massage practitioners, and between massage practitioners and nonmassage practitioners, over the issue of regulation in 2000. Unfortunately, we, as both an industry and a profession, have not progressed much since that time. With few exceptions, polarity therapists, Trager practitioners, etc., are still trying to disentangle themselves from the regulatory net of massage. Massage therapists themselves are divided on the benefits (or horrors) of licensure. There are several online massage discussion groups that hammer this point home on a daily basis.
One example of a divisive regulatory issue is the inclusion/exclusion of reiki in massage practice. I'm sure there are exceptions, but I have yet to hear a reiki practitioner suggest that he or she or the public would be better served by falling under massage regulation. Unfortunately, in some jurisdictions reiki is defined by the "looks like a duck, walks like a duck, and sounds like a duck" method. After all, there is usually soft music playing, a massage table is usually used, and the client and practitioner are behind closed doors in a dimly lit room. The practitioner frequently is touching the supine client's body. Based on the "duck" test, this must be massage! Of course, I'm making light of a serious concern here. As my April 2002 editorial mentioned, it is the regulating jurisdiction that defines a scope of practice. If that jurisdiction defines Reiki as massage, it's a done deal and the door is closed. (Editor's note: See "Scope (Not the Mouthwash" online at www.massagetoday.com/archives/2002/04/08.html). Unfortunately, common sense isn't always the most abundant resource among municipal or state legislators (or massage professionals, for that matter).
As loathe as many Reiki practitioners are to train and practice as massage therapists, most massage therapists are not inclined to train as physical therapists to retain title to the term "therapy." (Yes, PT groups and others have attempted to keep practitioners of massage from using the term.) This alone is enough for many to desire at least title protection regulation on a statewide level. My trusty Webster's says that "therapy" is a treatment of any physical or mental disorder by medical or physical means. I don't know about your practice, but that definition certainly fits what I do! However, if a regulatory body defines therapy as reserved for use by professions overseen by an allied health board that excludes massage, legal use of the term is by massage practitioners is questionable.
I have no desire to go back to using terms like "masseur" or "masseuse" to define my work. While I don't find the terms offensive in and of themselves, they are used pejoratively in many public and professional circles to describe untrained or under-trained massage practitioners.
My guess is that we can find compromises on how big the massage umbrella becomes, but the issue gets more difficult still when we look to see where we fit in the greater world of caregivers. Are we or are we not part of "medicine," and if so, to what part do we belong? "Mainstream medicine?" "Traditional medicine?" "Complementary medicine?" "Alternative medicine?" "Complementary and Alternative medicine?" "Integrative medicine?" And if not "medicine," then what? Personal service? And do the Trager practitioners, shiatsu practitioners, Rolfing bodywork practitioners and Feldenkrais practitioners among us hold the same opinions? Who are we? Who are you? Who do you want to be?
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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