resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Healing With Hope
Ella is a Gulf War veteran and a survivor of military sexual trauma. Like hundreds of veterans, Ella was on 11 different medications for depression, anxiety, insomnia, irritable bowel syndrome and chronic pain.
Spotlight on Acupuncture Research at IRCIMH
Acupuncture and Traditional Chinese Medicine were well-represented at the International Research Congress on Integrative Medicine and Health (IRCIMH)- 2014 which took place in Miami from May 13–16.
The Gluteal-Knee Connection
The underlying causes of knee pain and dysfunction are rarely isolated to the knee. The knee is a relatively stable joint with limited intrinsic ability to adapt to aberrant motion.
The Kidney Official
The Kidney is known as the Official Who Controls the Waterways. In Western medical terms, a major function of the Kidneys is to filter the blood. Every day, a person's kidneys process about 200 liters of blood to sift out about two liters of waste and excess water.
Deciphering The New CMS 1500 Claim Form
Q: I am confused on using the new 1500 form, particularly Block 14 and Block 15. What is required and how do I properly fill these out? And do I actually have to use this new form or may I continue using the old version?
Looking For Answers In Many Places
I am sure we have all heard the old adage: "When the only tool in your toolbox is a hammer, everything starts to look like a nail."
F4CP: New Campaign to Promote Chiropractic as a Career
The F4CP has announced a "targeted cooperative campaign" that will engage doctors of chiropractic and chiropractic students, as well as chiropractic colleges, chiropractic media, state associations and vendors, to encourage DCs to recommend a chiropractic career to patients, family and friends.
Medical Qigong for the Heart: Part II
Chinese Medicine is rich in commentary regarding the emotions and how they affect our qi.
Talking to Skeptical MDs: "Just the Facts, Ma'am"
The first lesson in public speaking is to know your audience. This is particularly applicable when talking to skeptical medical doctors about chiropractic. You have to understand where they are coming from and speak the language they understand.
Not Another Typical Drug Company Lawsuit
It's becoming more common to see drug manufacturers negotiate "false claims" settlements for millions and billions of dollars.1-2 Most of these settlements have to do with violations in the marketing of the drugs they produce and sell.
Hazards in the Environment Making Your Patients Sick
Working both separately and together, Western and Chinese medicine have many successes in the treatment of the myriad diseases that afflict human beings in modern times.
Healing With Simple, Healthy Food
When it comes to your health, there is no better way to take control and create positive outcomes than by focusing on diet and lifestyle. As chiropractors, you know the power that regular self-care has for your patients.
Advice for Young Doctors
When I began practice, I was just shy of my 25th birthday. I was young and I looked it. I had been told this would be a problem when starting a practice – and it was. Older patients often paused when they entered for care.
Post-Concussion Patient Care: Relevance of the Chiropractic Adjustment
There is a widespread understanding within the profession of the general guidelines for care of the concussion patient. These include guidelines for physical and cognitive rest, return to normal activities and so forth.
The Acupuncture Success Express
Time is passing very quickly these days. We are atoms half the way through the year of the horse. You could call it "horse racing season" for this profession. Perhaps it is time for reinvention during this time.
Looking Back: Abstracts From Chiropractic History
D.D. Palmer's Technique for the Posterior Apical Prominence; An Early Attempt to Achieve Consensus on Subluxation; Chiropractic Subject Headings: Past, Present and Future; Mabel Palmer: A History of Chiropractic That Almost Wasn't.
Getting Athletes Back in the Game: Low-Level Laser Therapy for Sports Injuries
Sports injury rehabilitation is all about getting back in the game quickly and with optimal health. A relatively new tool for the treatment of sports injuries is finding global success, and it is doing so in a fast, efficient way.
Primary Lateral Sclerosis: A Condition With a Chiropractic Connection
Primary lateral sclerosis (PLS) is a slowly progressive, adult degenerative disease of the upper motor neurons characterized by progressive spasticity or stiffness. It is a clinical diagnosis that has been avoided because it is (largely) a diagnosis of exclusion.
Inside Liver Failure, Cirrhosis and Cancer
The Liver belongs to Wood in Five Element Theory and is in charge of Dispersing and Expanding which means all the processing and detoxifying of harmful substances such as medications and chemicals require the efforts of the Liver.
Super Bowl Chiropractor
With opening night of the 2014 National Football League season only a month away, what better time to talk to Dr. Jim Kurtz, team chiropractor for the defending Super Bowl champion Seattle Seahawks?
Best Practices for Website Success
If one asked 10 years ago whether a website was relevant I was the first to suggest no. Yet as the world moves increasingly towards electronic information there is a dire need to have a website for your practice. Your website is actually your electronic calling card.
Resolving Medial Arch Suspicions: The Navicular Drop Test
Healthy feet have three distinct arches: medial longitudinal, lateral longitudinal and anterior transverse.
Offline Marketing Techniques: Opportunities to Help Grow Your Business
In a world becoming increasingly dominated by connected devices, when we think of marketing, we often think of online and social media marketing. Considerable attention is given to Facebook and Twitter, as well as CPC [cost-per-click] advertising.
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.
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