resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
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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