resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
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.
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