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resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Patient Retention Techniques
When talking about techniques to grow your business, we tend to focus on the "large" aspect of the patient base, that is, on strategies to attract new patients. However, it is important to remember that "loyal" is equally, if not more, important.
The Ethics of Herbal Prescribing
While teaching ethics classes, I often encounter licensed acupuncturists who are surprised that our use of herbs and supplements has a specific section in the material. It is often an aspect within ethics that clinicians don't think of in practice.
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
Online Marketing Basics: Website Creation
The various online marketing options make it a challenge, especially when all you want to do is help your patients feel better. With such a broad topic, I'm going to share some basics you should know about website creation.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
Preaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
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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