resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
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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