resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Chiropractic: A Great Fit for the White House
Dr. Eric Kaplan is a New York Chiropractic College alumnus; a No. 1 best-selling author whose books include Awaken the Wellness Within and The 5 Minute Motivator; a chiropractor for professional sports teams and elite athletes; and even served as an advisor under the Clinton Administration to the President's Council on Sports & Physical Fitness.
5 Ways to Enhance Your Family Practice
Every practice has a personality style. A practice that caters to athletes, PI cases or adults, for example, projects differently to patients than a family wellness practice.
Caring for Refugees in Greece
At the beginning of 2016 I had no idea what was in store for me, but I was looking forward to a personal retreat on the Greek island of Paros; a graduation gift to myself after 22 years of motherhood, and four-plus years of Chinese medicine school.
How to Correct a Cuboid Subluxation
Cuboid subluxation is a poorly recognized condition, even though it is not uncommon. It has been described in the literature under various names: cuboid subluxation, cuboid syndrome, locked cuboid, dropped cuboid, cuboid fault syndrome or peroneal cuboid syndrome.
Making Sense of Liver Regulation
In Chinese medicine, the liver has the function of moving and storing qi and blood. In its moving function, the liver smoothly distributes qi and blood to the tendons, muscles and flesh through microcirculation.
The Qi Focus: A Guide to Managing Stress
Stress, are you experiencing heightened stress levels? Your own, and your clients? Is Trumpitis getting to you? I recently polled a cluster of acupuncturists, Asian Bodywork Therapists (ABT) and psychotherapy colleagues on the issue.
News In Brief
A "Modern" Business Model. Acupuncturists may have a new professional atmosphere to consider, as a new concept is on the horizon - at least for one business.
Give Your Patients the Ergonomic Advantage
Prolonged sitting contributes to low back pain and is a health risk. When I discuss my POLITE technique practice recommendations with patients, ergonomics may be last, but not least!
The First (Only) Choice for Spinal Pain
The study on NSAIDs for spinal pain summarized on the front page of this issue is intriguing on a number of levels, the most obvious being the conclusion that "compared with placebo, NSAIDs do not provide a clinically important effect on spinal pain, and six patients must be treated with NSAIDs for one patient to achieve a clinically important benefit in the short-term."
NSAIDs No Better Than Placebo for Spine Pain
A meta-analysis of randomized, placebo-controlled trials comparing the efficacy and safety of NSAIDs with placebo for spinal pain concludes that among 6,065 spine pain patients, "NSAIDs reduced pain and disability, but provided clinically unimportant effects over placebo."
Waist Circumference: A Conversation Starter (Part 2)
Now let's discuss the clinical approach to reducing WC and implementation in today's chiropractic practice. The primary intervention centers around dietary modification and lifestyle habits aimed to reduce adiposity, improve insulin sensitivity and ultimately, diminish systemic metabolic dysfunction.
Shedding Light on the Benefits of Heliotherapy
I can't imagine anyone not feeling good strolling in the sun on a beautiful spring day. The sun is responsible for all life on earth and is best illustrated along the equator touting the richest biodiversity on the planet, in stark contrast to the Arctic Circle and South Pole.
Treating the Terrain of Chronic Sinus Infections
Chronic sinus infections can be stubborn to treat, but the therapeutic path forward can be simplified when utilizing three distinct treatment principles which take into account the terrain of the body, and the way in which microbes grow.
Toxicity & Kids: The Importance of Environmental Intake
The old adage is true that children are not little adults. Traditional Chinese medicine (TCM) has long known that the physiology of children is unique, as are the diseases that plague them.
The Chiropractor's Guide to CRISPR
Science magazine's "Breakthrough of the Year" award for 2015 was described as "the gene-editing tool called CRISPR." CRISPR stands for "clustered regularly interspaced short palindromic repeats."
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
Help Save an Important Chiropractic Landmark
The chiropractic profession has a splendid and varied history. Sadly, many landmarks have been lost to bulldozers and wrecking crews, such as the Ryan Building, Little-Bit-O-Heaven, Spears Chiropractic Hospital, and Clearview Sanitarium.
What's Bugging You? Probiotics and Your Health
An estimated 100 trillion microorganisms representing more than 500 different species inhabit every normal, healthy bowel. Gut-dwelling bacteria keep pathogens in check, aid digestion and nutrient absorption, and contribute to immune function.
Insomnia Treatment Based on the Yu Theory
In recent years, acupuncture has risen in popularity as a form of alternative or supplemental medicine for the treatment of many different types of disorders.
Scope of Chiropractic Practice: Why Now Is the Time to Expand
In my January article, "Scope of Chiropractic Practice: Is It Time for Change?" I discussed the use of the term primary spine care practitioner, the loss of privileges to diagnose in Texas, and the fact that the definition of "chiropractic" varied from state to state.
Good Works at the Canandaigua VA
Faculty and students of the Finger Lakes School of Acupuncture and Oriental Medicine (FLSAOM) of the New York Chiropractic College have provided acupuncture to veterans at the Veterans' Administration Medical Center (VAMC) in Canandaigua, New York since September of 2007.
Treating LBP the Right Way: Think Natural
An updated clinical practice guideline from the American College of Physicians (ACP) recommends spinal manipulation and other non-invasive, non-drug therapies as first options for acute, subacute and chronic low back pain, rather than pain medications, as stipulated in the original 2007 guideline.
October, 2002, Vol. 02, Issue 10
Pulling Up the Ladder
By Ralph Stephens, BS, LMT, NCBTMB
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, NCBTMB.
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