resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
November, 2002, Vol. 02, Issue 11
By Cliff Korn, BS, LMT, NCTMB
Much is being written these days about the need for quality massage education. Massage Today columnist Ralph Stephens wrote an entire series of articles on the topic. (Editor's note: See Ralph's five-part series, "Massage Education Failing." Other massage and bodywork publications also are covering educational issues, and it is a frequent topic on massage and bodywork internet chat rooms.Most of the press laments the mediocrity of available educational opportunities. I hope to talk a little bit about some exceptional education I recently encountered, and how sad it made me to realize that mediocrity still exists.
In a related note, I just received a Federal Register notice requesting third-party comments on the National Accrediting Commission of Cosmetology Arts and Sciences (NACCAS) expansion of scope to include massage therapy educational programs and institutions. This expansion would allow institutions accredited by NACCAS to offer massage therapy programs, based on educational standards identified by the cosmetology profession, rather than the massage therapy profession. This development could change the view that massage therapy is in control of its destiny, especially with the Department of Education. I also question its effect on the future of excellence in massage education. If approved, one certain outcome would be massage therapy being taught by non-massage therapists. I don't think cosmetologists should be teaching people how to be massage therapists, any more than massage therapists should be teaching people how to become cosmetologists. I am all for ubiquitous accreditation of massage schools. I think it would solve a multitude of sins, including easing the job of massage therapy regulation and reverting national certification to the voluntary credential it was designed to provide. However, I do think massage school accreditation should have a programmatic theme, with massage therapy taught by massage therapists as a core requirement.
I attended a convention recently that provided continuing education opportunities for attendees. As I am a frequent convention participant, this is nothing new to me. I usually search the convention brochures for topics that interest me and hope to glean useful tidbits of knowledge. This time, I chose differently. I chose the workshops based upon the presenters, not the topics. I wanted to experience presenters I knew to be superb, or who had been touted as being the "best of the best." I ended up in four different workshops, each offering three CEUs. I chose The Pregnant Pelvis by Carole Osborn-Sheets; The ABCs of Meeting with Physicians by David Kent; From Ringworm to Eczema: What is That? by Ruth Werner; and one other that I will describe shortly. I usually avoid three-credit-hour classes, because they tend to be "teasers" for more in-depth classes, but with these four, I was not disappointed! All the presenters were excellent, and the workshops were robust with useful knowledge.
The fourth workshop in particular spurred my thoughts to write this column. I participated in Cancer and Massage: The Real Issues, taught by Tracy Walton and Gayle MacDonald. The material was well-prepared and skillfully presented. The course handouts were scholarly works in and of themselves. The workshop dealt in considerable depth into the pathophysiology of cancers, and stressed modifications to massage procedures involving site; position; speed; scheduling; stroke; pressure; duration; rhythm; lubricant; and environment. In clear, concise terms, the presenters stressed the importance of investigating the side-effects and complications of common cancer treatments before proceeding, and reasoning through the possible beneficial and harmful effects of techniques on clients'conditions. They illustrated information trees to help in gathering information using a logical progression, and suggested ways to fill in information gaps. They also focused specifically on lymphedema and lymphedema cautions, and provided examples of communication and health history forms specific to cancer patients. The instructors' thorough preparation and presentation enabled them to offer huge amounts of important information in a short amount of time. It was obvious that individuals with cancer experience safe, effective massage on Walton's and MacDonald's tables. Other class participants shared some of the reasons that safety through knowledge was important. One indicated that while working under the direction of a chiropractor, he was instructed to work more aggressively on a client's shoulder and now felt guilty because the work had spurred the onset of lymphedema. Another said he would never again work on a client with cancer, as he felt inadequately educated to take on that responsibility after having a previous client die hours after leaving his table; he wondered if he was partially responsible.
Whether you've been in practice for years, or only a month, you probably have countless stories of clients who either forgot to share pieces of information with you, or outright lied on intake forms. Many of us have experienced the client who checked all the "no" boxes on our forms and then presented with the unmentioned sternum-to-groin zigzag scar! I think we need to expand our knowledge base to pick up on health history gaps quicker, so we harm fewer of our clients. Scars are easy because we can see them . . . potential complications/considerations below the surface pose a more difficult challenge.
As a friend and I left the workshop, we discussed at length the impact and importance of high-quality education such as we had just enjoyed. As is the case with many of our peers, we both entered the field when work on cancer patients was contraindicated. My friend is a knowledgeable and skilled educator himself, so I was particularly interested in his thoughts and opinions. We came to the conclusion that basic massage education in America is sorely lacking, and that all massage therapists should access to the information we had just received, in the interest of safety and concern for our clients' well-being. So many people desperately need educated and compassionate touch to facilitate their healing. My friend was truly disturbed that he lacked the time to revamp all the curricula he currently taught, to incorporate higher levels of pathology awareness. I think we all need to experience excellence so we can better identify the mediocre. I think we need to demand more from our continuing education programs, and encourage those entering the field to demand more from the schools that populate our profession. Education excellence should not be every massage therapist's expectation, but every massage therapist's right! Much of the public thinks we have it now. As Star Trek Captain Jean Luc Picard says so aptly, "Make it so."
Thanks for listening!
Massage Today encourages letters to the editor to discuss matters relating to the publication's content. Letters may be published in a future issue. 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.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.