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Not All Evidence Is Equal; An Abundance of Misinformation; A Well-Researched Decision; Far Too Dangerous.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
Are Your Work Orders in Order?
There are times when a patient's occupational duties will delay or prevent them from recovering. These circumstances create the need for the doctor to recommend modified duty or remove the patient from work.
The Wisdom of the Second Office Location (SOL)
There are some things I never want to do again, like riding a motorcycle 100 mph. I call these things my "negative bucket list." Other things I have on that list include water skiing, riding a roller coaster and eating habanero peppers.
Love a Nurse – and They'll Love You Back
According to various sources, there are about 3 million registered nurses in the U.S., and according to the American Nurses Association, they are under serious pressure in today's health care reality.
A Dream Come True for Chiropractic: Funding Prevention and Public Health
Back in 2005, Sen. Tom Harkin (D-Iowa) said: "Let's face it, in America today we don't have a health care system, we have a sick care system.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
A Chinese Medicine Story: An Interview with Mazin Al-Khafaji
Mazin Al-Khafaji's work has interested me for years. In February 2014, we invited him for the second time to speak at the Southwest Symposium in Austin, Texas.
Image Is Everything: The Power of Branding
Successful businesses use color and design to attract people to their service. They understand how important image is and hire experts to create an attractive package. Starbucks works hard to create an atmosphere that is warm and inviting.
Billing for Same-Visit Extraspinal and Spinal Manipulation
Q: I have always been under the premise that when billing 98943, extraspinal chiropractic manipulation, on the same visit as spinal manipulation, 98940-98942, that the extraspinal manipulation requires modifier 51.
Women's Health: Herbal Formulas to Help Patients With Dysmenorrhea
Chiropractors have long treated women for menstrual pain (dysmenorrhea). Since roughly 60 percent of all chiropractic patients are women and 30-50 percent of women have a history of menstrual cramps, the vast majority of doctors of chiropractic will inevitably see patients with dysmenorrhea.
State by State: Comparing Chiropractic Scope of Practice
"The issue of 'scope of practice' has been a bugaboo ever since our early quests for legal recognition for chiropractic," according to Dr. Claire Johnson, editor in chief of JMPT and National's other two chiropractic journals.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
Is the EHR Ship Setting Sail Without Us?
The numbers are in: As of July 2014, 10,253 doctors of chiropractic have received $123,059,868 in EHR stimulus funds – and yet that represents less than 15 percent of our profession.
Overcoming Barriers to Exercise Compliance
One of the most common questions other practitioners ask me is, "How do I get patients to do their exercises?" I am not frustrated by my patient compliance, as many doctors are; in fact, I am actually happy with my patients' involvement and commitment.
The Art of Day-to-Day Assessment and Treatment: Clinical Pearls
Let's focus on the day-to-day process of assessing and treating the patient. I am proposing a particular attitude; a way of looking at the patient. This often evolves over a few treatments and then changes as you figure out what is significant.
Defending With Vitamin D: Helps Prevent Progression to Diabetes
A 2014 clinical trial published in the American Journal of Clinical Nutrition provides additional evidence that optimal vitamin D nutritional status may be important in preventing the progression of prediabetes to diabetes in prediabetic adults.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
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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