resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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).
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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.
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.
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%.
April, 2003, Vol. 03, Issue 04
The "Medical Massage" Controversy
By Vivian Madison-Mahoney, LMT
After this article appears in print, some may ask for it to be my last; however, I feel the need to express my thoughts on medical massage, for what they're worth. I am certainly not an expert on this particular subject, so it's important to note that the following are just opinions.
I've read several excellent articles published of late on the subject of medical massage, and heard various discussions of what constitutes medical massage; reasons for and against further training and certification; and what kind of training is necessary (and who should do the training) if further instruction is required.
Reasons given in favor of medical massage include setting higher industry standards and providing additional credentials.For some, medical massage simply means more money-making opportunities gained from teaching; for others, it is possibly nothing more than an ego trip; and for others still, it is truly about care, safety and success in treating patients. This last motivation is the only reason I feel any specific medical massage training or education should be considered. Does it really need to be defined as "medical massage"? I don't think so.
Massage therapy necessarily becomes "medical massage" when it is performed according to a prescription from a physician who has diagnosed a medical condition. Insurance companies have reimbursed medical massage therapy for many years, whether performed by licensed or certified massage therapists, or any other health care providers authorized to provide and/or bill for massage.
Many insurers in Florida have reimbursed massage therapists directly since 1984. This therapy does not have to be referred to as medical massage; however, perhaps such a requirement exists in other states. In general, insurance companies do not reimburse for massage (or anything else) not considered medically necessary. A patient's condition is what determines medical necessity, and only a licensed physician can diagnose that.
We have accomplished a great deal in the past few years by informing the medical profession of the benefits of massage therapy. Many physicians now assume that if we are licensed, certified or trained, we can perform massage safely and effectively. They don't have time to check our specific credentials. There is no easy way to inform the medical profession who of us are licensed, certified or qualified, or with what specific titles or in what techniques or procedures.
In my opinion, basic massage school training is ever enough, no matter how significant it seems at the time. I also don't think any specific course of training can fulfill all needs. The well-rounded information one gains from taking hands-on courses over the years, from a variety of instructors and in various areas, is what most benefits the outcomes of patients' medical conditions.
We can only retain so much information at one time, and ideas, knowledge and opinions change. We can learn more at certain times than others, and from certain people more than others. However, one thing is clear: If therapists do not continue to learn and acquire additional training, they will not be able to retain their client base. We need the additional training throughout our practicing years - not just to obtain specific credentials, but to maintain interest, feel good about ourselves, and provide the most effective care to our clients.
Most students enter the field of massage therapy with little clue of exactly what they want to specialize in, and most never know when a physician will refer a patient to them, or when they will be asked to work in a physician's office or other medical setting. Consequently, medically oriented massage needs to be taught to all therapists in all schools. Therapists who intend to specialize or work in a medically oriented field will need to continue to pursue specialized areas of training as they become more familiar with their own needs, and the needs of their patients: the elderly, cancer victims, infants, and workers' compensation, auto, or other personal injury cases, etc. Therapists who do not wish to work on medically related clientele will be able to pursue further training or avenues that best fit their interests, but they will at least have a basic medical knowledge, so they can attend to their clients' needs based on their own learned skill sets.
Am I making sense? I attribute a great deal of my success to the varied courses I have taken over the years. The wide range of information I digested helped me treat patients with varying injuries and illnesses. Schools teach contraindications; patient care; safety; muscle origins, insertions and function, etc. However, I do not think enough classroom hours are dedicated to helping students understand what they are taught, particularly with respect to specific medical conditions (and how to treat those conditions, if the situation arises). The short amount of time, if any, spent on each subject in school is not enough for most students to truly get it - to truly comprehend it and become skilled at applying it.
These are just my opinions, but I also speak from personal experience, which comes from having spent a little over 15 years working almost exclusive with medically related cases prescribed by physicians from nearly all specialties. I am neither bragging nor complaining, but I want to make it clear that I have a good deal of experience handling medically related cases. In my practice, approximately 90 percent of our cases were medical referrals. We averaged 28 to 32 patient visits a day, six days a week, for years - that's over 600 medical cases/visits a month. I teach insurance billing procedures and medically related practice-building not just to make money; but because I know it and have lived it. I am happy to help others experience the same successes we did. Hopefully, we can help them avoid the many pitfalls we ran into in those early days.
Next time: Working with injured or unwell patients.
Click here for more information about Vivian Madison-Mahoney, LMT.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.