resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Diagnose Sprain Injuries in MVA Cases With Dynamic X-Rays (Pt. 1)
Am I the only person to notice hospitals are doing a seemingly insufficient job lately in their initial radiological workup of motor vehicle accident (MVA) victims?
The Concussion-Subluxation Complex
In the Aug. 1, 2014 issue of Dynamic Chiropractic, I reviewed some of the literature demonstrating the role of the chiropractic adjustment in post-concussive care.
North Carolina Acupuncture Board Files Dry Needling Lawsuit
In early September, the NCALB filed a complaint against the North Carolina Board of Physical Therapy Examiners over the issue of dry needling, a form of acupuncture that uses solid needles to puncture the skin and muscle tissue to relieve pain.
Syncretism: Acupuncture and Public Health in Cuba
"Syncretism" is defined as a union of diverse tenets or practices. On a recent trip to Cuba designed to demonstrate the integration of Traditional Medicine and biomedicine, our group witnessed this union firsthand.
Acupuncture and Oriental Medicine in the West
We know acupuncture and Oriental medicine as the indigenous medicine of East Asia; in particular China, Korea and Japan are the countries of origin of this wonderful healing system.
Pro-Con: Swaddling for Newborns
The practice of swaddling has been used for thousands of years and was popular until the 1700s, when it was slowly abandoned by many cultures that considered it old-fashioned or barbaric.
The Modern Application of Ancient Mei Rong
Chinese Medical Cosmetology (Mei Rong) has a well-documented and venerated history dating back to the Qin (221-206 BC) Dynasty.
Tailor-Made Knee Pain: The Sartorius Muscle
A patient was referred to my office after receiving treatment from various providers with no results. The patient was training for the Olympics as a marathon runner and was unable to run or walk without severe medial knee pain.
Too Many to Remember: Tips to Revive Your Ortho / Neuro Test Skills
When I was at Palmer in the mid-1980s, we were given a set of notes in one of our diagnostic courses. The notes covered approximately 70 orthopedic and neurological tests for various regions of the body.
Mechanism: Experimental Approaches to Understanding Acupuncture, Part 1
The clinical benefits of acupuncture are difficult to ignore, but also can be difficult to explain to a Western audience. For nearly 50 years, relentlessly inquisitive scientists and physicians have been working toward a conceptual model to explain acupuncture.
Targeting the Bad Apples in the Bunch
While everyone was focused on the conversion to ICD-10, the Office of Inspector General for Health and Human Services released a new report on chiropractic titled "CMS Should Use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services."
Your Billing Questions Answered
I hear a lot of the following questions: I am afraid I may doing something illegal. I have heard I cannot have different fees for the same service.
Omega-3 Fish Oil: An Underappreciated Element of Men's Health
As a clinician with many male patients -- and as a man myself -- I am all too aware of the fact that we like to convince ourselves that we are doing great, when that may be the farthest thing from the truth.
Designing a Fitness Plan (Part 1)
It doesn't matter if you come to my practice for pain relief, weight loss, healthy aging or something else. The formula I talk about for each patient's fitness strategy is pretty much the same.
F4CP Making a High-Impact Impression
The Foundation for Chiropractic Progress has released details of its 2016 strategy, certain elements of which are already in play. The strategy includes ads, posters and other resources available to all F4CP members.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 2
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
Chinese Herbs and Pulmonary Fibrosis: A Case Study
"Mary M."* recently celebrated her 90th birthday. Even the former sheriff dropped by to kiss the hand of this diminutive retired teacher, to honor the years she interpreted for him during interviews with Latinas and Latinos.
Making Sense of an Increasingly Obvious Conclusion
Where's U.S. health care heading? Like it or not, the list of telltale signs is growing to a point that stands out to even the most myopic observer. Consider this list of facts as you look into the future of health care in the United States:
Which Way is the Energy Going? Are You Burning Yourself Out?
One of the simple methods that I use to define Yin/Yang theory to patients is to ask the question, "Which way is your energy going?"
Dietary Fat and Prostate Cancer: An Important Update
K.M. Di Sebastiano and M. Mourtzakis published a review paper examining the role of dietary fat on prostate cancer development and progression late last year that does a stellar job of summarizing the available data on fat and prostate cancer.
Born to Energize the Human Spirit: Recollections of Sig Miller
Sig Miller, longtime executive director of the Association of New Jersey Chiropractors (ANJC), passed away on Sept. 17 after a long battle with cancer.
Footsteps of the Sages: An Apprenticeship with Dr. Kezhan Zhang
When I met Dr. Kezhen Zhang in May 2013, I was his translator and the integrity, creativity, and passion he demonstrated as a practitioner and advocate of the medicine convinced me to travel to Beijing to study with him.
It's Time to Review
It is amazing to see the changes that are occurring in the acupuncture profession. Let's look at some of the news and events that have contributed to this growth and awareness.
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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