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How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
After two treatments for back pain, a patient presents for a third
session complaining of rapid breathing and wheezing that is made worse
during cold weather.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
April, 2003, Vol. 03, Issue 04
We Get Letters & E-Mail
By Editorial Staff
Editor's note: The following two letters are in response to Ralph Stephens' December 2002 column, "No Better Time Than Now." The second letter is accompanied by a reply from Mr.Stephens.
Responding to the Call for Activism
It is not often that I comment on articles written in publications. However, as a massage therapist in Texas who is not a prostitute, I was compelled to write after Ralph Stephens' column. Ordinarily, I would have dismissed his statements as erroneous and ignorant, and felt assured that only a few people in Texas would read them. However, since your paper boasts of more than 1 million Internet hits, his published comments raise deep, genuine concern here in Texas.
I accept Mr. Stephens' challenge for each individual massage therapist to become active and "do his or her part" to correct this misconception about Texas. In particular, I ask that Mr. Stephens show documentation to support his statement that "As the emergence period ends, the co-opting period is beginning. It is going quite well in Texas. Prostitution has just about reclaimed the term 'massage' there. Many of what are called 'massage schools' in Texas crank out prostitutes faster than therapists," or retract the statement with an appropriate apology. I also ask that the above quotation (or the entire article) be deleted from your Web site.
By the way, I agree with Mr. Stephens' assessment that massage therapists must defend and protect our scope of practice through individual legislative activism. Thank you for your consideration of my concerns; I look forward to Mr. Stephens' reply (either his research or his apology).
Orbie Ratliff, RMT
"It is now time to do the right thing"
This e-mail is regarding Mr. Stephens' comments about Texas massage schools producing prostitutes. I am no longer comfortable leaving Massage Today in the reception area where I work. Mr. Stephens' comments were not supported by facts and could easily cost us accounts to provide massage services. The way I see it, Mr. Stephens has two choices. He can name names and make a report to the Texas Department of Health; if it fails to do its job by taking action against such therapists, you can complain. The system in place is complaint-driven, at least to some degree. Mr. Stephens has an ethical obligation to file a report. If not, he is "aiding and abetting." On the other hand, if Mr. Stephens is unable to provide specifics to back up his comments, they are nothing more than hearsay. In my opinion, his only other choice in this case is to make an unqualified apology; specifically acknowledge the information is hearsay; and resign his position. His irresponsible comments jeopardized a profession we have spent years building. Our most difficult struggle with our clients is in helping them get past the notion that massage is about sex. Presently, myself and others are researching legal options regarding some sort of libel lawsuit. I suspect our options will be limited, but we believe that as long as Mr. Stephens' comments stand, our practice is threatened. It is now time to do the right thing.
Lori Dupree, RMT
Getting the Toxins Out of Massage
Many thanks to Keith Eric Grant for his article, "Flushing Out Myths" (MT, Dec. 2002). For 10 years, I have heard from clients that they are "full of toxins"; most of them have this impression because they heard it from massage therapists, or from others who heard it from massage therapists. I think it is a disservice to encourage people to think they need massage because they are "toxic," and that massage therapy helps correct this problem. People who already may be anxious or uncertain about their health status do not benefit from the erroneous, alarming image that they are being poisoned by metabolic sludge. I also think some massage therapists may avoid taking responsibility for using inappropriate depth of pressure on sensitive clients by explaining that postmassage discomfort is merely from "getting the toxins out."
I'd like to see more honest and responsible discussion of the role of massage in cellular metabolism. I think we should share accurate information with our clients on the known, positive effects of massage, and we should not be afraid to say, "We don't know yet" in response to some questions. We will all benefit if we eliminate misleading, toxic claims from our interactions with the people we serve.
Margaret Caro, LMT
Editor's note: James (Doc) Clay's January 2003 column, "The Clinical Track: Introduction, With a Response to AMMA," inspired considerable letters to the editor, one of which is printed below. Massage Today regrets that it cannot publish all of the letters we received. The complete text of Mr. Clay's article appears online at www.massagetoday.com/archives/2003/01/12.html.
"Medical massage truly is holistic medicine"
I am a graduate and a student of the Blue Heron Academy of Healing Arts and Sciences [Grand Rapids, Mich.]. In addition, I maintain a private practice in the Blue Heron Clinic and have been a member of the American Medical/Manual Massage Association (AMMA) for three years. I am a medical massage therapist, but more accurately, a manual therapist. In the article, Mr. Clay states, "We do not treat conditions according to medical diagnostic criteria, but according to clinical massage therapy assessment criteria"... and then says how he would treat it. As a Blue Heron graduate and a medical massage therapist, I treat according to medical diagnostic criteria, not the way either an medical doctor or you would treat. That being said, I'm sure there are plenty of similarities too. Tendonitis (can also be spelled correctly as tendinitis) also is called "medial epicondylitis" or "golfer's elbow." It results from injury to the common flexor tendon. A simple test for this condition is active wrist flexion against resistance. I palpate the affected area; fold the tissue; perform deep tissue to periosteum massage (not painful, because the tissue is folded and because I use a soft-hand technique); note adhesions and fibrosis; do joint physics;bony lever at the joint junctions; etc. If you could watch me, or any of my peers, do this, I suggest you would be witnessing something you have never seen anyone do, anywhere. We use a dry-hand technique and achieve unique results. Some of these techniques are original, courtesy of Dr. Gregory Lawton, DC, DN; some are 100-year-old naprapathic techniques. It's medical massage/manual therapy - what soft tissue work was meant to be before the advent of "swedish massage." It's our heritage as massage therapists.
Mr. Clay also says problems with the wrist and hand are traceable to the forearm, elbow, shoulder or chest. The first thing I do when a patient tells me he or she has wrist and hand pain is inquire about any recent or old neck injuries. If not localized fibrosis (wrist, hand, forearm, or just above the elbow), this type of pain is usually indicative of brachial plexus nerve impingement. The brachial plexus is a plexus of five nerves that grow out of the spinal cord at C5-T1and innervate the neck, shoulder, arm and hand. Pain is on the ulnar or radial side of the limb helps differentiate which of the five nerves is involved. My point here is that medical massage therapists who graduate from Blue Heron know neurology: We know where the nerves track, and what soft tissues the nerves innervate. If there is a problem with that soft tissue, we go to the nerve root at the joint and work there. We work at the nerve root. If I find adhesions in the neck related to a patient's pain, that's the area I'm going to focus on. Do you see my point? This is all medically based. You pointed out the incorrect spelling of "biceps," but more important than that, do you know that is does little good to do considerable soft tissue work on any biceps muscle belly? If a patient has pain in a biceps muscle, you would best spend your time and your patient's money by working at the joint at which the biceps attach/insert.
One hundred years ago, MDs touched their patients, and did so based on scientific findings. They were physicians, and they did soft tissue work - imagine that. In fact, some of them wrote a book called, Medical Massage. Dr. Lawton didn't just dream this stuff up; we have the book to prove it. This is what medicine used to be.
Mr. Clay also states, "I can't help feeling that the use of the word "medical" in designating our profession betrays a desire to enhance our prestige ..." As far as I'm concerned, there is nothing prestigious about being an MD these days. Certainly they want to practice medicine well, but their training has steered them far afield. If you have consulted with or been referred patients by an MD, you know it's not a real pleasant experience, but nevertheless a necessary one. I'm ashamed and embarassed by the MDs and DCs who refer patients to me. What passes for a physician is in shambles, and so are patients' bodies. The MD sends me the people he's poisoned, cut and burned, and the DC sends me the patients he's used his newfangled hammer on. They wonder if there is anything I can do for them; yes there is, thanks to my training. encourages us to get out into "the field" and deal with these real clinical issues based on our holistic training. You can call it "clinical" or "medical," but I prefer the latter term because that's what it is: medicine.
The allopaths took the word medical from us. Holistic treatment was considered medical before most of us were born. All soft tissue workers who want to practice noninvasive, holistic medicine by touching people based on the modern discoveries of science and anatomy are denied this privilege by the modern allopaths and some chiropractors.
Mr Clay says, "We would do well to maintain our independence from more traditional disciplines." Allopathic medicine is more accurately called modern medicine. What we do, as soft tissue workers and as massage therapists, is traditional medicine. We are holistic. Medical massage is science-based, holistic ... and it works. It's the way medicine used to be, and the way it will be in the future, including new techniques based on new research. What goes around, comes around.
Mr Clay says, "Massage is not inherently holistic." If it's not, then what is it? In my opinion, medical massage truly is holistic medicine. The AMMA is not frozen, petrified, closed-minded or institutionalized. We simply approach soft tissue work/massage based on the most up-to-date knowledge of anatomy, physiology, etc., the way the serious medical practitioners of old practiced.
This discussion is worth having. I enjoyed Mr. Clay's article. Thank you for providing a venue to voice our opinions.
Lisa Townsend, PMT (Professional Manual Therapist)
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