resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
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.
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%.
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.
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.
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.
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.
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).
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).
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.
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.
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.
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.
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.
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.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
March, 2003, Vol. 03, Issue 03
We Get Letters & E-Mail
By Editorial Staff
"My hands are just as important as a surgeon's hands"
I am writing in response to Vivian Madison's article about fees [MT, October 2002].I have always been impressed with Vivian's knowledge of insurance billing, but I'm not sure if she has personally done 25 hours a massage, week in and week out, for any substantial period of time. If she possessed this type of experience, I'm sure her article would have defended the billing fees of LMTs.
Vivian stated that in 1984-85, she was billing at most $95 per hour, and can't believe that some therapists now charge $145 to $175 per hour. She also said, "If you think you are worth the same fee as a physician, or think you should charge outrageously high rates, please think twice." How long does a physician work with each patient? The national average is five minutes per patient, so theoretically, the physician can pump out 12 patients per hour. So, how much is the physician actually making per hour? Another problem with her theory of worth is that a physician can practice for 40 to 50 years, pumping out thousands of patients a year. Do you know how many years a therapist can work? When was the last time you saw a 60-year-old massage therapist dragging his or her table through someone's front door? Do you know the number of patients a therapist can see throughout a career? Those numbers pale in comparison to the amount of potential income a physician can make.
Vivian also was unhappy that some therapists complain about working for $25 an hour at chiropractic offices. I think one of the reasons they complain is that chiropractors bill them out at $150 per hour. Why is it wrong for a therapist to bill at such high rates, but OK for the chiropractor to do so? Most therapists do not complain about a fair split in an office situation, and if they do, it's a self-correcting situation: They usually don't last long in that office.
Vivian also stated, "What makes us think that just because we obtained a license with minimal training, we should now be making the same as others who have invested untold capital and spent years of training and residency time?" Well, does value equate only with dollars and time spent in training? If so, an individual who spends no time in formal training and hasn't put tons of capital into his or her art doesn't have any value. Darn, I knew I was paying my computer guy too much money for his expertise. You see, he never received any formal schooling, and didn't have much money to put into his business ... but he sure can keep my computer up and running. He's well-worth the $150 an hour I pay him. But, of course, I'm not worth $150, since I only work on human beings.
I truly believe my hands are just as important as a surgeon's hands, and if the insurance companies want bargain-basement prices, they need to remember one thing: You get what you pay for.
Alice Belusko, LMT
"Education for the sake of education is not the answer"
I was struck by your poll question regarding education ["Should Massage Schools Have Educational Requirements for Entry?" MT, October 2002]. I usually tell people the story of the elderly Pennsylvania woman who learned to be a midwife at her mother's knee. She delivered every baby born in the PA Amish community for more than a quarter-century ... until the state legislators decided it was time to introduce educational requirements for the midwifery "profession." The state required high school and college education. Our "pioneer" didn't qualify, and opted to retire. What a loss of a resource! This woman should have been lecturing at a medical school! New OB-GYN graduates perform Caesarian sections on 30% of their patients, not to mention the damage they inflict with blades and forceps.
The point is, some people have a healing touch. It cannot be learned from a book! (In fact, many of them choose to practice "laying on of hands," under the title of Reverend.) All allopaths are required to be "book-smart"; a trillion dollars later, the U.S. is an illness culture. Education for the sake of education is not the answer.
David Ponsonby, CMT
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