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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 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!
Managing Tibialis Posterior Tendon Injuries
The tibialis posterior is the deepest, strongest and most central muscle of the leg, with fibers originating from the tibia, fibula and interosseous membrane.
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.
God and the Chiropractor
My wife went to church last Wednesday night and brought home a CD of the pastor's message. As she handed it to me, she said, "You should listen to this; you'll like it." Our family regularly goes to church and our faith plays a major role in our lives.
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.
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.
Older Patients, Stroke Risk and Manipulation
The first population-based study in the United States to evaluate stroke risk following spinal manipulation – and the first involving older adults – suggests that "[c]hiropractic cervical spine manipulation is unlikely to cause stroke in patients aged 66 to 99 years with neck 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.
Keep Seniors Safe: Age-Proofing the Home
I want to give Dr. Claudia Anrig kudos for her Dec. 1, 2014 column, which highlighted safety issues youngsters might encounter in the home.
Viewpoints: Massage Reduces Nonspecific Shoulder Pain, Improves Function
While seemingly universal, pain and stiffness in the shoulders can be a significant cause of disability. Often a pain that does not go away on its own, shoulder complaints tend to linger, sometimes for 12 months or longer.
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 GERD and Incontinence: Focus on Trigger Points
Gastroesophageal reflux disease (GERD) is defined as the regurgitation of stomach acid in the esophagus. Previously, it was thought that GERD was caused by a hiatal hernia, but recent trials suggest the cause is an inability of the hiatal sphincter to contract normally.
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.
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."
How We Can Help the Injured Brain
The majority of patients with mild traumatic brain injuries recover within seven to 10 days. If concussion signs and symptoms continue beyond seven days, the diagnosis changes from acute concussion to post-concussion syndrome.
Striking a Blow to the Medical Monopoly
The U.S. Supreme Court has issued a landmark ruling in North Carolina State Board of Dental Examiners v Federal Trade Commission.
News in Brief
ACA Exec. Vice President Out, Acting EVP In; F4CP Executive Director Retires; New ED Named.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
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.
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.
Pain Is Only a Piece of the Puzzle
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, etc.
Joint Supplements for Athletes (Part 2)
A fairly recent discovery in nutrition supplemental medicine has proven to be a breakthrough in maintaining athletic joint health. Research suggests a combination of undenatured type-II collagen and tetrahydro-iso-alpha acids helps revitalize joint function and performance in athletes.
December, 2002, Vol. 02, Issue 12
We Get Letters & E-Mail
More Perspectives on Legislative Problems in PA
By Editorial Staff
The following three letters to the editor comment on LaRose Daniels' article, "Legislative Problems in Pennsylvania," which appeared in the November issue.(To read the original article, click here.) The first letter was submitted by LaRose herself; the second and third letters were submitted by members of the American Organization for Bodywork Therapies of Asia (AOBTA), which is also working on exemption language for the proposed bill.
Thank you for this opportunity to respond to Ms. Flagg's comments regarding the article about legislative problems in Pennsylvania. Ms. Flagg suggests that APTA waited until it was too late in the process to get an exemption into the bill. This is inaccurate.
APTA has made its needs clear all along, which resulted in polarity therapy having a title exemption in the bill, until Ms. Flagg unilaterally removed it. Once it was removed, APTA has asked repeatedly that it be reinstated, and has provided the coalition in PA with model language as developed by the energy practices of the Federation.
Unfortunately, the coalition, of which APTA is a member, is not working according to the consensus process. It is a serious problem when one practice decides it can override and dictate to another practice.
LaRose Daniels, MS, RPP
This is in reply to your November cover story. For the record, AOBTA has been involved with the PA legislative coalition since the beginning. George Fleck began working with them, and we stepped in when we took over as AOBTA state representatives.
In the last few meetings, the mood in the coalition has changed. Previously, it had been one of joint effort and concern for all involved. Now, the AMTA just wants the bill passed, and it seems that it doesn't care who it affects adversely. AMTA truly believes its exemption wording will cover any touch profession that doesn't want to be in the bill, and we disagree. Our continued objections to the wording were not recorded in the minutes of any of the meetings. If AMTA didn't insist on having such a broad scope of practice, we wouldn't have the need for specific exemptions.
The PA bill isn't great for massage therapists, either, since they would share a revolving seat on the board with dieticians. So, for two years, they'd have no control over what goes on. Who would want that?
As Asian bodywork therapists, we are not opposed to licensing, so long as it's equitable. But we demand a voice in the legislative process, and want to have a seat on a board that legislates to us. Is that so hard to understand? We primarily want exemption from this bill because it gives us absolutely no voice. The Nursing Board (with one dietician or massage person) could easily ignore our Asian bodywork therapy education and credentials, requiring that we all go to massage school. (This has happened in other states.) This could severely limit our practices. We're not saying it will happen, but it could, and we need to be wary of that.
Despite AMTA's statement about only granting exemptions to practices with "recognized legal definitions," the bill, as it now stands, does have an exemption for reflexology by name. It is our understanding that reflexology does not have legal trademark status for its modality. At the coalition meeting, it was explained that, because reflexology had been working with the coalition for a long time, it was allowed the requested exemption.
As we've noted before, the AOBTA has also been involved in the coalition process for a long time, yet we were not given the same courtesy. If the AMTA can give a specific exemption to one profession, it must give it to others. We must stand up for ourselves and fight for our rights, before they are swept away.
Pattie Middlemiss, MSN, RN, ABT
Susan Wood, ABT
I have been a Jin Shin Do® practitioner for 27 years. Our profession has had its own "legal definition" for about 30 years. Twenty years ago, even though I had studied my profession for seven years, I was required to attend massage school for a year to qualify to sit for a licensing exam to touch in New York State. I am now a Pennsylvania resident, but I see the same type of legislation being proposed here.
In response to the comments submitted by Retta Flagg and Ron Precht, I think their words point directly to the concerns of non-massage bodywork practitioners. First, the discussion over the exemption clause at coalition meetings did not begin at the July meeting. AOBTA representatives questioned the language from the beginning, and sent to the coalition president language agreed upon by six of the seven members of the Federation of Massage, Bodywork and Somatic Practice Organizations, of which AMTA is a member.
The AMTA language leaves a large opening for interpretation by massage-oriented regulating agencies (as in New York) to define all touch therapy as massage, and thus to subsume all other bodywork practices under its auspices. This of course would require anyone practicing non-massage bodywork in states with these laws in the books to spend significant time and money to study a discipline unrelated to their work, just to be "legal" under these definitions.
I do not begrudge people their attempts to strengthen their economic base, except where it infringes unfairly on the livelihood of others. Essentially, this tactic supports a monopoly on touch therapy education and definition.
Deborah Valentine Smith, LMT
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