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Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
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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