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Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
January, 2003, Vol. 03, Issue 01
By Ralph Stephens, BS, LMT, NCTMB
A new year has begun!
I wish you success, happiness and good health. It will be an interesting year, to say the least. The old Chinese curse, "may you live in interesting times," appears to be in full force.
The economy, the rumblings of war, the interesting weather all contribute to a population that is more stressed than ever.Stress causes immune-system suppression, so more people will be more sick than ever. These people also will need the stress-relieving effects of massage more than ever. Unfortunately, most people look at stress reduction as a luxury. Luxuries are the first thing to be cut from a tight budget. However, stress also causes people to have more accidents and injuries, and to manifest painful soft-tissue conditions. Relieving pain is a necessity, so room will be made, even in tight budgets.
Pain is a huge stressor. Relief from soft tissue pain provides deeper and longer lasting stress reduction than a general relaxation massage. Invest in learning specific techniques and skills that allow you to help people gain relief from pain, and you will stay busy, even in an economic downturn. Remember, even in the best of times, there are always people who are not doing very well, and even in the worst of times, there are always people who are doing great. Find the people in your area who are doing great. Market your services to them. Do this, and you will not have to participate in the economic downturn.
In my last column, I mentioned a situation in the great state of Texas, regarding unethical individuals using massage as a front for prostitution. This problem was brought to my attention by many concerned therapists in Texas. It appears to be a growing trend. Unfortunately, I painted the picture with a rather large brush, and ended up insulting many ethical therapists and school owners. The result was numerous colorful superlatives aimed in my general direction.
To clarify, I did not mean to imply that most Texas schools are unethical or substandard, or that most Texas RMTs are prostitutes. To those ethical therapists and school owners I offended, I sincerely apologize, right here in public. I personally know many great therapists in Texas. I have also worked and corresponded with several excellent schools in Texas. I like Texas. I have family in Texas. But hey, Texas, you do have a problem, and you know it. The individuals who contacted me, offended by my comments, all admitted that the problem exists; they just didn't like me pointing it out. To those individuals, I say this: Stop trying to shoot the messenger, and direct your energy toward correcting the problem. Raise your standards, and get the Texas Department of Health to enforce the law. Do whatever it takes.
I will not air any more dirty laundry from Texas in this column; however, do hope to report frequently on the positive progress they make. I am in touch with the Texas chapter of the AMTA, the Texas Association of Massage Therapists (TAMT) and the Austin Bodywork Cooperative. I will be in the Houston, Texas area on May 17, to facilitate an organizational meeting to begin the process of change for the better. Feel free to start before I get there.
While I have not received reports of the prostitution-as-massage problem in other regulated states, there is no doubt it exists. Sadly, this is because our profession allows it to exist. It is the moral duty of ethical massage therapists to file complaints and press charges against unethical massage practitioners, practices and schools. Demand that the police, the regulatory agency (or both) aggressively pursue the violators. Too many have worked too hard for too long cleaning up this profession. Great strides have been made, and the public is beginning to understand the value of ethical massage and to trust massage therapists. This is not the time to become complacent and allow the massage profession to backslide into another dark age.
I have lots to share with you this year. There are so many issues about to boil over, in the massage profession and in health care in general. Freedom of choice in health care is on the chopping block in state and national legislative bodies. For the sake of your patients and your practice (not to mention your own health), I hope you become active in defending medical freedom of choice and privacy.
Here is a good place to start. It seems everyone in D.C. is utterly baffled as to how an ugly little provision shielding pharmaceutical behemoth Eli Lilly from billions in lawsuits filed by the parents of children injured by vaccines, made its way, in the 12th hour, into, of all things, the 475-page Homeland Security bill.
Senators Stabenow, McCain and Kucinich are working to get this provision repealed. They may have found an unlikely ally in their battle. It turns out that Rep. Dan Burton, the chairman of the Government Reform and Oversight Committee, has a grandson who first began showing symptoms of autism within days of receiving vaccinations containing Thimerosal. Twenty years ago, 1 in 10,000 children were thought to be autistic; now, it's more than 1 in 250. Support these senators if you believe the pharmaceutical cartel should be responsible for the problems it causes. If concerned citizens do not shout louder than the lobbyists, Lilly and others will be able to profit as they knowingly destroy the health of millions. If you are too busy, then just hold out your arm, and your kids arm - it won't hurt for long, and soon you won't be able to care.
Support the Shift
Despite the attempts of the government and the insurance industry to co-opt and control, there is a huge paradigm shift underway in people's desire for health care. They want health care, not sickness care. They are running away from the allopathic sickness care system for all but crisis medicine needs. This shift needs support from all the alternative professions. If it is enlivened with our faith and effort, it can bring about a healthier world on many levels. Sick people do sick things. As individuals practicing alternative health care, we must work together (as must our professional organizations) to nurture this paradigm shift toward wellness.
More on this and many other hot button topics in upcoming issues. If it matters, its in Massage Today, so stay tuned, be watchful, think and be well.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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