resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
November, 2002, Vol. 02, Issue 11
We Get Letters & E-Mail
By Editorial Staff
Who We Are
Like yourself, I have a passion for definitions. In my experience, to truly understand the meaning of a word, I often find it necessary to look at the word's etymology.A favorite example is the term "idiopathic." Doctors use the term to mean "disease of unknown origin" - a euphemism for "It's all in your head!" Literally, idiopathic means "suffering unique to the individual." This latter definition respects the fact that everyone is different, and that even the best physician doesn't know everything.
Likewise, "therapy" has two quite different definitions, depending on which Greek root word you use, therapeia or therapon. The former means "healer," but the latter means "witness" or "attendant," probably in much the same sense as the Society of Friends uses the term. Many, perhaps most practitioners of anything who call themselves "therapists" see themselves as healers, but their "clients" are the ones who do the healing. And only the clients know, albeit subconsciously, what they need to heal. The best we as practitioners can do is to use what skills we have to facilitate that healing.
Incidentally, the word "client" means "One who uses a professional service." A "patient" is "A person to whom something is done."
The main reason I am responding to your editorial is the question at the end: "Into which pigeon hole should massage therapy be placed?" (Editor's note: See "Who Are We?" by Cliff Korn, NCTMB, in the September 2002 issue.) Since entering massage practice in 1988, I have heard the question, "Are we a personal service?" asked many times. On every occasion, it was made clear that the politically correct answer was, "No, of course not! We are professionals!" Just this year, it dawned on me that all health care is personal service! The public would be far better served if everyone in the "health care" community realized that.
Warren Marsh, NCTMB
"We are individuals in our work and our dress"
While I respect for Dr. Benjamin's opinion, it needs to be noted that it is just that: his opinion. His comment that someone dressing in "sloppy workout clothes" to do massage is unprofessional, but not unethical is truly only his opinion. (Editor's note: See "Ethics, Values and Principles" by Ben Benjamin, PhD and Cherie Sohnen-Moe in the August 2002 issue.) I think the so-called "white-collar workers " set a dress standard at one time, and if someone didn't dress exactly like all the others (in dark suits, panty hose for women, etc.), they were considered unprofessional. I would like to think that such a diverse group of massage professionals would not have us all wearing white lab coats or khaki pants and tucked-in shirts. We are individuals in our work and our dress.
When I get a massage, I want a therapist who is clean, and clean, cared-for hands, and does not smell like cigarette smoke. Beyond that, I truly don't care if he or she wears shorts, long pants, a sweat suit or a flowing dress, as long as his or her clothes don't touch me while I'm receiving my massage. It is a misguided concept that you can't be comfortable and casual and still be professional. Even corporate America is changing its views and allowing casual wear and even jeans in the workplace. I certainly don't want someone who dresses like a nurse or doctor to work on me. I don't want to think I'm in a medical office. I don't want someone in a suit working on me, either!
I suggest that those who think we all have to dress in one particular fashion to be considered professional should rethink their position! My own clients see me in a variety of clothes, ranging from shorts in summer with T-shirts, to sweat pants in the winter. They may not dress like I do (although many do), but they certainly value my work and consider it professional.
Sandi Russ, LMT, NCTMB
Massage in the States: Let's Look at the Data
In your June 2002 issue, Chris Castanes of North Myrtle Beach, South Carolina wrote that he was having a hard time understanding why massage therapists would want licensure laws. (Editor's note: See "We Get Letters & E-Mail" from that issue.) Since he could not come up with any positive answers, and since I want to believe that massage therapists are balanced people, I thought I'd brighten his day.
I am sure there is no better census of massage therapists than your mailing list. I ran the subscription figures for MTs in your June circulation count against the last U.S. census estimates (July 2001) for population. I know we should do more detailed study (one that considers the data in adult/child categories, for example), but go with me on this. The average ratio of the general population to massage therapists in the United States (50 states and the District of Columbia) is 3266 to 1. Amazingly, of those 20 states with a better ratio -- that is, having more access to and choice of massage therapists -- fully 85% (17) are licensed states. For convenience, I am counting those few certification states in the licensing category as well. Of those 31 states with a massage therapy "shortage" (below the U.S. average), more than half (17) are unlicensed states.
Here's another way to evaluate the data. In the 31 licensed states (evaluated as a whole), the availability of massage therapy, measured by the per-capita ratio, is 40% greater than in the unlicensed states. Starkly, those above-average 17 licensed states have an availability that is over three times greater than the availability in the below-average 17 unlicensed states.
For those who believe that the collective mission of massage therapy is to make its benefits available to all, licensing has good data to offer. Perhaps what this all means is that states which support a great deal of massage are most likely obtain licensing. Or perhaps, as I think, it means that licensing of massage therapy at the state level increases the availability of massage therapy, contrary to the intuition of libertarian economics. Libertarian critics surprised by this data may have failed to consider that state licensing is potentially less restrictive than local patchworks of varying impositions on the massage market.
Let's track these figures over the next several years and see if this difference is not just a snapshot, but a trend. May your publication prosper so that we always have your circulation numbers, which are almost impossible to reproduce for unregulated states. Of course, there are many assumptions that go into my twist on these figures, but it will take a lot of debunking to knock down that 3:1 ratio.
Returning to the points made by Chris Castanes, let's spotlight South Carolina and also Arizona, the state that prompted his letter. Presently, Arizona is 35th in massage therapists per capita, with 939 MT subscribers and 5,652 people per identified therapist. Thus it's chances of climbing after licensure look good, given the upside potential. Since Minnesota is 34th, and has the new Freedom of Access law, it could be an interesting horserace. Every Massage Today reader can run his or her own data study on these states or the next state to get licensure. Keep your eyes on those circulation numbers! South Carolina has 958 MT subscribers, which represent about 0.024% of the 4,063,011 people in the state. That's 4,241 people per massage therapist; a good year's work if you can get it (I do 17 massages a day, don't you?). Next door in Georgia, the last standing domino in the eight southeastern states, there are 9,410 people per therapist clamoring for massage services (wishfully). The upshot: South Carolina, with uniform state licensure, has over twice as many massage therapists per capita as Georgia, which has no state licensure. And that's a good thing.
John Fred Spack
"I am completely insulted..."
I am completely insulted by your interpretation of part-time therapists. (Editor's note: See "Part-Time Professionals" by Cliff Korn in the March 2002 issue.) I have worked as a part-time therapist for six years. I have a very successful practice and maintain a full-time job as an accountant. My decision to keep my "day job," as you put it, allowed my husband to pursue his career dream. My intention is and has always been to work full-time as a massage therapist. I keep myself up-to-date on what is happening in the massage community, and I consistently update my education and credentials. Balancing a full-time job, a part-time job and home life is certainly not easy. I do not always get to attend the conferences that full-time practitioners do; however, to imply that I am any less knowledgeable or capable as a full-time therapist is outrageous.
I believe many circumstances play into why an individual chooses to work part-time. Some are not as fortunate to have a partner who is able to support the household while they build their practice. Others are not blessed with the opportunity to start their practice with the assistance of a chiropractor, where the client referral is much bigger. Either way you view it, the bottom line remains that there are hardworking, dedicated, ethical and professional people working in every field -- and none of that has nothing to do with the amount of hours they put in.
To say that part-time therapists do not meet the requirements of full-time therapists is irresponsible. You were completely out of line to put such a negative perception out there for people to see. The small bit of backpeddling at the end of the article, stating that full-time vs. part-time will not equal more professional, is just not enough. I expect to be supported andencouraged by other professionals in the massage community. I did not receive either from your article.
Jennifer Wagner, LMT
A New Perspective on Massage
My comments are in response to Mr. Stephens' recent series on "Massage Education Failing." (Editor's note: The five-part series by Ralph Stephens, BS, LMT, NCTMB, is available online at www.massagetoday.com/columnists/stephens/articles.html.) From Ashley Montagu's Touching comes the quote: "I know that touching was and still is and always will be the true revolution." When we touch people with bodywork, we have the power to change their lives and and our own. This power comes not only from technical skill, but from our intention. In a recent guest editorial in Massage Magazine, Dr. John Upledger wrote: " I think loving compassion is the kind of medicine that is needed today... if you keep your attitude and intention positive, you're going to do a lot of good... you will be offering compassion."
I've been a massage instructor and program supervisor for nearly 10 years, and while I agree that the quality of massage education could use improvement, I totally disagree with Mr. Stephens' suggestions! I wonder, has he ever taught an entry-level class? Many of my students have struggled with academia all of their lives; massage school is finally a place for them to succeed in a hands-on profession. These students bring their hearts and hands to their work and offer their clients the loving, nurturing touch so desperately needed to help heal our society. To require them to complete two years of college as a prerequisite for entering massage school would put an undue burden on them -- for what gain? Many of my students with masters' degrees cannot hold a candle to students with GEDs who put their hearts and souls into their work. Academic success does not translate into great bodywork.
Unfortunately, all of Mr. Stephens' ideas (including mandatory accreditation!) are based on such traditional, academically oriented approaches to schooling. Massage demands an entirely new perspective. This perspective can be found in Howard Gardner's book, Frames of Mind, The Theory of Multiple Intelligences. Written in 1983, this book proposes that most education targets language/logic learning approaches, to the detriment of those with other learning styles. Certainly academic achievement is predicated on reading, writing and arithmetic! Mr. Gardner details multiple intelligences or learning styles: intrapersonal; interpersonal; visual/spatial; musical; bodily/kinesthetic, naturalist; and of course linguistic and logic/mathematical. Can you guess which styles are strongest among massage therapists? As an educator, I adhere to the Latin meaning of educate: "to bring forth the potential within." When we limit our teaching to fit preconceived, outmoded approaches to learning, we lose many potentially successful students. The challenge of quality education is not to standardize teaching that promotes only the academically gifted, but to seek creative approaches that embrace all learning styles.
I sincerely hope that massage schools will succeed where our traditional institutions of "higher learning" have failed so miserably!
Gail Frei, LMT
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