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Another Step Forward for Chiropractic
Chiropractic is now available to 86,000-plus Latter-Day Saints missionaries and you are invited to become a provider. LDS membership in not required; our only concern is that our missionaries get the best quality care available.
Prepare for the End, From the Beginning: Wealth Building and Retirement with the Tao
Yin and yang flow into and out from one another continually. Beginnings become endings and endings become beginnings again. Wholeness and cycles are the nature of Tao.
Five Branches University Has First Hospital TCM Residency
Established in 1984, Five Branches University (FBU) has campuses in Santa Cruz and San Jose, Calif., which serve the communities of Santa Cruz, the Monterey Bay, and Silicon Valley.
Qigong for Substance Abuse
It is commonly believed that substance abuse, in addition to harming one’s physiological state, hurts the spirit. There is also a belief that one’s spirit does not weaken due to substance abuse, but rather, the person finds solace in addiction due to an already weak spirit.
Flirting With Alternative Therapies
There are about as many adjunct therapies being marketed to acupuncturists as there are acupuncturists. While some may remain purist in their application of traditional Chinese medicine, others choose to explore new horizons of treatment.
The winter season is upon us and offers unique challenges for the clinician and patient alike. To effectively navigate through the winter season there are two main TCM medicinals, Huang Qi and Gan Jiang, to consider, as well as two important formulas which feature these two TCM treasures.
An Education in Gluten Sensitivity
A relatively new syndrome officially documented as non-celiac gluten sensitivity (NCGS) or gluten sensitivity (GS) was officially recognized and published in the new list of gluten-related disorders in 2012.
True Practice Mobility for the Chiropractic Profession
When natural disasters occur, chiropractors can literally travel to the other side of the world to offer humanitarian relief in less than a day. The chiropractor's license to legally practice, however, can't make it past the state line.
The Acupuncture Channel System (Part 1)
The earliest Chinese reference to channels is in the Mawangdui Medical Manuscripts,1 which are dated to the Warring States period of the Zhou Dynasty (475 BC-221 AD). The text presents 11 channels. There are no acupuncture points listed in those channels.
We Get Letters & Email
Our Country Needs Us Between Elections, Too; Continuing Care: We Aren't There Yet; Our Associations Need to Do More.
Acupuncture Points: Broadening Our Scope and Diagnostic Work
As every practitioner knows, the correct diagnosis is everything. Most healing disciplines rely on the use of symptomatology for their treatment implementation. Beyond symptomatology, we have clinical tests to provide more objective findings.
Shoulder Rehab: Start With the Scapula
The scapula is an incredible display of elegance and movement within the biomechanics of human motion. It's evolved for mobility and stability in the scapulo-thoracic region, giving us the ability to do things that are uniquely human, such as throwing with accuracy.
Nutrition for Menopause: Front-Line Therapy for All Phases
Of all the changes women experience during their reproductive life, there is no doubt the most dreaded are the three phases of menopause. This is not surprising since all of the symptoms associated with menopause are replete with unpleasantness.
Low Back Pain in Running Athletes
After 7 million years of adapting to upright postures, the lumbar spine and pelvis have become remarkably adept at managing ground-reactive forces associated with running.
A Conversation With Dr. Betty Edmond
This month's column is an exclusive interview with Betty Edmond MD, newly elected CEO/President of the AOMA Graduate School of Integrative Medicine in Austin, Texas.
A New Year and Vision for the ACA
Inadequate pain management coupled with the epidemic of prescription opioid overuse and abuse has taken a severe toll on the lives of millions of people in the United States. Every day, more than 1,000 people are treated in the ER for misusing prescription opioids.
News in Brief
Updated Neck Pain & Whiplash Guideline; Attention, IHS DCs; New VP of Institutional Advancement At Palmer; N.J. DC Interns At U.S. Olympic Training Center; Chiropractic Society Of R.I. On The Front Lines.
Scar Reduction With Acupuncture & Microneedling (Part 2)
Protocols and treatment Timing: A course of treatments should be performed over a period of 12 weeks if possible. Microneedling should be performed once every two weeks.
The Case Report: A Valuable Tool
Case reports are a valuable form of descriptive research. The most basic form of practice-based research, a case report is a detailed account of the history, presenting symptoms, assessment, observations, treatment and follow-up of an individual patient, discussed in the context of prior and potential future research.
Let's Clear Up the Collection Confusion
This is an often-misunderstood practice swirling with misinformation. First, a few basics: Insurance is a contract between the patient and the insurance company. The insurance company is simply making a payment for services or care on behalf of the patient.
An Opportunity & a Responsibility
Nearly 80 Americans die from an opioid-related overdose every day, and spine-related pain is one of the principle drivers of opioid use. This unfortunate situation creates both an opportunity and a responsibility.
Crow Like the Rooster
As we welcome in the Year of the Rooster, we look at some of its major characteristics: confidence and communication, which suits the image we have of the Rooster...strutting in the farmyard, crowing to the others that it's time to wake up.
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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