resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
October, 2002, Vol. 02, Issue 10
Pulling Up the Ladder
By Ralph Stephens, BS, LMT, NCTMB
Human nature never ceases to amaze me. The latest disappointment comes from the hierarchy of the chiropractic profession. Chiropractic is gaining ground rapidly in its goal to be recognized as "mainstream health care." Unfortunately, it is following in the footsteps of its oppressors, the AMA, and attempting to create its own monopoly and enforce it the same way the allopathic cartel enforces its monopoly: government regulation.Chiropractic is trying to "pull the ladder up behind themselves." It must not be allowed to do so.
James D. Edwards, DC, chairman of the Board of the American Chiropractic Association, is proudly touting a piece of model legislation he hopes will be passed in each state. This proposed bill can easily be interpreted to seriously curtail massage therapy's scope of practice. The proposed legislation would amend existing chiropractic laws to add specific, legally tight language defining manipulation and adjustment, and make it unlawful for non-chiropractors to "manipulate." Of course, MDs and DOs are exempt from this legislation. It's not that MDs have any training in joint manipulation, but nobody dares to limit the scope of the "gods of allopathy." As written, this legislation could easily be used to persecute and prosecute massage therapists and bodyworkers. It must be changed or defeated wherever it is introduced.
This bill defines "spinal manipulation" as:
This could be interpreted as the "pelvic stabilization," muscle energy stretch taught for years by NMT organizations. It could quite possibly be interpreted as Active Isolated Stretching© , PNF stretching or any of several other common techniques used by massage therapists.
The proposed law goes on to define "spinal adjustment" as:
There goes myofascial stretching, PNF, muscle energy work, zero balancing, traction, joint mobilization, body mobilization, possibly tapotement, and lots more.
The DC leadership will tell you ignore my warning. They will tell you that they do not intend to interpret the new legislation as I have, and that massage is not the target of this legislation. However, the language of the proposal allows it to be used against anyone. This proposed law, where passed, will be used against anyone who gets in the way of some DCs cash flow. Rarely does a patient file a complaint with a regulatory board. It is almost always another professional, from the same or another profession, complaining that the person in question is harming the income of the person filing the complaint by doing too much good. Of course that is not how it is written up. It will be written up that some massage therapist is endangering the public by doing chiropractic by using leverage and neuromuscular procedures to correct skeletal alignment. (That's posture.) Using the language proposed in this model legislation, the massage therapist would be found in violation.
This legislation is an escalation of the ongoing turf battle between chiropractors and physical therapists over who can do (and more importantly, who can bill insurance for) physical therapy modalities and joint manipulation. Insurance again! You see, what they are really fighting over is cash flow. The PTs and DCs are getting into each other's insurance pies. Regulation and scope of practice is all about cash flow and protecting licensed practioners from open prosecution. In this country and many others, health care is carefully regulated to prevent the wrong people from doing too much good, which is bad for the cash flow of those allowed to do more good than others.
The DC leadership seem to forget that most of what they do is not original. Manipulation of joints with both slow and rapid movements can be traced back to long before chiropractic existed - through osteopathy, through the bone setters of Europe to the Swedish gymnastics and medical movements, and probably back to ancient Greece. The true heritage of joint manipulation most likely belongs to massage therapists. (That comment should generate some e-mail!) However, the leadership of the massage profession abandoned that heritage some time ago. Considering the level of training the majority of massage therapists are now receiving, it is probably just as well.
Do not let the DCs pass this law in your state unless its language is clearly changed to exempt massage and bodywork techniques. Where are our beloved national associations on this issue? Don't wait for them. If your legislature is in session, it is your responsibility to protect yourself, your business and your patients. Yes, even one person can have a huge impact on legislation. You can be that person. Be vigilant and be vocal.
(Author's note: I am a huge fan of chiropractic. I receive it regularly. I was in practice with a DC for several years. I am not attacking the chiropractic profession. I am only calling attention to the actions of its leaders in hopes of preventing the messy scope-of-practice fight between DCs and LMTs that will eventually result if efforts to pass this legislation is successful.)
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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