resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Term Limits: What's in a Word?
It was the French historian and philosopher Voltaire who once declared the Holy Roman Empire was neither holy nor Roman nor an empire.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Turning a Blind Eye to History – and Reality
The American Medical Association is taking the Supreme Court's Feb. 25, 2015 decision exactly as it always does – by turning a blind eye to history, legal precedent and reality.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Talking to Patients About Lumbar Facet Denervation (Medial Branch Neurotomy)
Lumbar facet denervation, more appropriately termed medial branch neurotomy (MBN), is a procedure that may be considered when patients suffer from recalcitrant non-radicular axial back and/or leg pain.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
A House Divided?
The American Chiropractic Association's House of Delegates voted on 30 resolutions at its annual business meeting in Washington D.C., but two in particular took immediate center stage due to their controversial nature.
Functional Hip Impingement (Part 1)
Every time I sit down to write an article, I realize how much more there is to know about musculoskeletal pain. I also learn something new every time. (I want to give special thanks to Lucy Whyte Ferguson for assisting with this article.)
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
Applying the Thin Skull Principle
The "thin skull" principle, also known as the "you take your victim as you find them" principle, is a legal principle that can be summed up by the following statement.
Low Back Pain in Professional Golf: A Common Muscular Relationship
Every sport creates its own unique demands on the body. Some sports require such a myriad of body positions that assessing pathology is often difficult and unpredictable.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
Optimism = Compassion = Trust
A randomized clinical trial recently published online in JAMA Oncology examined how patients viewed their doctor based upon how the practitioner presented bad news to the patient.
A View From the ER
The University of Western States has inked an innovative agreement with local nonprofit health system Legacy Health whereby UWS sports-medicine fellows can experience observational clinical rotations in emergency-room settings within the Legacy system.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
Sleep, Less Sleep or No Sleep?
I had a dream I wasn't getting enough sleep. It was a very realistic dream, even though I was probably slightly awake and not really deep dreaming. Most likely I had been dozing, caught in that twilight of sleep and wakefulness.
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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