resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
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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