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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.
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.
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.
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.
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.
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%.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
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.
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.
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.
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).
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.
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.
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.
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).
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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.
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.
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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