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Physical Exam 101: The Hands
I am sure you are familiar with the old adage: "When the only tool in your toolbox is a hammer, everything starts to look like a nail."
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.
Why You Should Include the Single-Leg Stance Test in Every Patient Assessment
The single-leg stance (SLS) test, also known as the single-limb stance test, unipedal stance test or one-legged stance / balance test, is often used in the geriatric population to assess static postural and balance control.
Curbing Label Overwhelm
For the average consumer, reading a food package can be overwhelming: natural, organic, non-GMO, gluten free, free range ... you get the picture.
Remembering Clarence Gonstead and 50 Years of the Gonstead Clinic
Dr. Clarence Selmer Gonstead (1898-1978) took chiropractic practice from back-alley bone setting to an understandable biomechanical science. His life was dedicated to clinical competency.
Medical Qigong for the Heart: Part II
Chinese Medicine is rich in commentary regarding the emotions and how they affect our qi.
Coding for the Subluxation: ICD-9 vs. ICD-10
When I attended chiropractic school, I was taught that chiropractors approach health care differently than the traditional medical establishment.
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.
By the Numbers: 3 Common Financial Mistakes With Major Consequences
Warren Buffett is on record for sharing the hidden art of becoming wealthy and making it simple enough for anyone to grasp.
The Science of Stretching
In 1986, Rob DeCastella set a course record by running the Boston Marathon in 2:07:51, just 39 seconds off the world record.
Fibromyalgia: Put the Pain in Its Place
While some fibromyalgia patients respond favorably to regular chiropractic care, others experience minimal relief. Unfortunately, many of these patients must rely on pharmacological management to relieve their constant pain.
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.
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.
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?
Are You a Bad Chiropractic Patient?
My father was a great DC. In fact, as you might expect, he was the doctor of chiropractic I measured all other doctors against. Sadly, he died at age 61 when I was in my early 30s.
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.
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.
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."
Immunizations by Colorado DCs: Really?
You probably didn't hear about it, but back on Nov. 21, 2013, the Board of Directors of the Colorado Chiropractic Association (CCA) adopted "immunization authority" for Colorado DCs as its No. 2 legislative goal.
Vaccines and Chiropractic: Evidence-Based Medicine or Medical Dogma?
Right or wrong, the chiropractic profession has historically been against vaccinations. However, a growing trend within the profession is seeking to reverse this position.
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.
April, 2003, Vol. 03, Issue 04
Shades of Gray
By Cliff Korn, BS, LMT, NCTMB
This is a unique time in the history of massage therapy in the United States. It would be nice if we could speak with one voice in this time of opportunity, but it appears we can't even use the same language.It also appears that many of our own are clinging to the bulwarks of the Tower of Babel, shouting louder and louder in their own language, and getting more and more frustrated that they aren't being heard.
Nationwide, massage regulation is being considered at a frequency we haven't seen for many years. California; Georgia; Massachusetts; Arizona; Indiana; Kentucky; Michigan; and Pennsylvania are just some of the unregulated states currently looking at various forms of regulation/licensing. Massage regulation has always been a volatile and contentious subject among massage therapists. The sides break into two general camps: one that wants no part of anyone controlling the ability to practice individual forms of massage or bodywork, and the other that hopes to create a playing field that has minimum standards and limits the ability of some to enter the field.
Nowhere is the argument louder, or the battle lines drawn more clearly, than in California, which is currently an interesting mix of regulatory cacophony. Some California governmental entities regulate massage therapy as a health care field; others regulate massage therapy with ordinances suggesting massage therapists are prostitutes. Some parts of California require a minimum of 1,000 hours of education and passage of an accredited competency examination; others require nothing more than completion of a weekend workshop.
California arguably has the most massage therapists per capita of any of the 50 states. The raw numbers alone make California's actions watershed events. This time period is particularly unique in that California is in a position like none other: to be an example to other states in regard to appropriate levels of regulatory oversight. Those on the extreme edges of both arguments see the regulation issue in black and white terms only. If one listens to these individuals, it seems more likely that California will be a laughingstock than a leader. California is no different than any other governmental entity in that the determination of issues come in many shades of gray, and the sooner those carrying the banner of either "edge" compromise or get shunted to the parking lot, the better the massage situation will be for practitioners and the public.
I continue to see and hear the divergent arguments for and against state licensure. The issues that seem to be causing the most people to grab one another's throats include:
I think it's time to stop bickering. The "I'll never agree to that unless . . ." attitude keeps polarizing the process. From my desk, it's starting to look a lot like the classic right-wing versus left-wing struggle. The right-wing, reactionary forces are clamoring for a market-driven solution only, while the left-wing "big-government" group feels that layers of bureaucratic restrictions on practice will solve the public's social ills. Both positions are just plain silly. I find it humorous how many massage therapists with liberal political leanings are fighting the big-government approach to massage, and how many massage therapists with conservative leanings are taking a stance opposed to a free-market economy. (Massage therapy is not without irony!) It's time to step up to the plate and muzzle those fringe players unwilling to move from their pre-conceived ideas. Remember your mother telling you, "Never say never"? She was right! It's time to start compromising, so the greatest good is realized. It's time to keep the dialogue open, honest and professional. In my opinion, the most important issue facing the profession today is the ability to practice in different parts of the country. This concept was once called "reciprocity," but is now more frequently called "portability."
California has an opportunity to establish operating conditions the rest of the country can emulate to maximize portability. It can accomplish that by establishing massage regulation so correct and comprehensive that almost everyone appreciates its fairness and ability to meet diverse needs, while allowing the "substantially equivalent" clauses in other state laws to apply; or they can develop a regulatory posture based upon the lowest common denominator, and try to convince the 31 licensed states they should do the same with their existing regulations. My guess is that time would be more valuably spent attempting the former; the latter seems a tough row to hoe. California has the opportunity to embrace shades of gray, rather than the black and white. The whole profession is watching with anticipation!
Thanks for listening!
Massage Today encourages letters to the editor to discuss matters relating to the publication's content. Letters may be published in a future issue of Massage Today. Please send all correspondence by e-mail to , or by regular mail to the address listed below:
Former editor of Massage Today, Cliff is owner of Windham Health Center Neuromuscular Therapy LLC. He is nationally certified in therapeutic massage & bodywork and is licensed as a massage therapist by the states of New Hampshire and Florida. Cliff is a member of the International Association of Healthcare Practitioners; a professional member and past president of the New Hampshire chapter of the American Massage Therapy Association; a certified member of the Associated Bodywork & Massage Professionals, Inc.; and a past chairman of the board of directors of the National Certification Board for Therapeutic Massage & Bodywork.
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