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Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
May, 2003, Vol. 03, Issue 05
Who Owns 'Manual Therapy?'
By Cliff Korn, BS, LMT, NCTMB
I just read an article in Dynamic Chiropractic, the sister publication of Massage Today, that sent chills down my spine. The article, "Can Kansas PTs Perform 'Manual Therapy'?" [www.chiroweb.com/archives/21/08/08.html] reports on a Kansas PT bill many DCs believe will usurp the chiropractic scope of practice if passed.
According to the article, "The bill, which has already passed the state Senate, includes language that could allow physical therapists to perform manipulations on patients," and "Of importance to the chiropractic profession is an amendment that would revise Kansas law and add 'manual therapy' to physical therapists' scope of practice." The article notes that the Kansas Chiropractic Association is working feverishly to defeat the bill.
I'm sure regular readers of this column see the implications of this unfortunate chiropractic grab for power.It underscores the need for broad scope-of-practice language in massage therapy practice laws. Can the chiropractic profession be so self-conscious and unsure of its abilities that it feels threatened if it can't completely block any other profession from the use of "manual therapy?" Can it not recall the restrictions put on it by the allopathic community just a few decades ago? Now that it has won that war, is it adopting the posture of its former adversaries?
The argument supporting this unfortunate abuse of power is a Kansas statute that states individuals who "adjust any misplaced tissue of any kind or nature, manipulate or treat the human body by manual, mechanical, electrical or natural methods" are engaged in the practice of chiropractic. In discussing the term "manual therapy," a Kansas chiropractor noted, "The current definition for the treatment called physical therapy does not include this term. The reason seems obvious - it is included in the exclusive scope of practice for chiropractors." [My emphasis added.]
I see a real danger here. If one assumes Kansas chiropractors are not operating in a vacuum, it is apparent that massage therapists in all states must be vigilant in ensuring their right to work. A title-protection or freedom-of-access law won't necessarily keep the lawyers from having a field day if onerous language supported by Kansas chiropractors affects you. Only a practice act that guarantees scope of practice will provide any protection at all. Who in the world do these people think they are? Have they never heard of overlapping scopes of practice? They don't own the words "manual," "manipulation" and "therapy," any more than any other caregiver does. In my own practice, I "adjust misplaced tissue" daily, and so does every massage therapist I know. We all use manual therapy, manipulate soft tissue and mobilize joints. If the chiropractors want to protect their turf by excluding high-velocity, low-amplitude (HVLA) thrust techniques from other practitioners' scopes of practice, they operate from a position of strength. If they want to restrict the use of manual therapies from other scopes of practice, they operate from a position of folly.
I sincerely hope Kansas chiropractors are operating independently of their associates in other states. I also hope the average chiropractor is confident in the capabilities and benefits of chiropractic, and finds it unnecessary to deny other professions their overlapping scopes of practice. However, as long as stories such as this keep surfacing, we must remain vigilant in protecting our right to practice. It's hard enough fighting city and state officials who can't get it out of their heads that massage and adult entertainment are not synonymous, but now it appears we also need to fight other health-care professionals who appear threatened that we may bring more cost- and result-effective therapies to the marketplace.
With all the fighting going on in our nation and the world, I would prefer we come to an understanding between professional therapists and the different modalities we have available. We all have something to offer, and we may overlap at times, but our differences make our professions unique, and our similarities should keep us working together, not against each other.
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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