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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.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
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.
A Chinese Medicine Story: An Interview with Mazin Al-Khafaji
Mazin Al-Khafaji's work has interested me for years. In February 2014, we invited him for the second time to speak at the Southwest Symposium in Austin, Texas.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
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."
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.
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.
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.
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.
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.
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.
Knee Pain From the Kinetic Chain
As practitioners of manual medicine, chiropractors often treat patients suffering from knee pain.
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
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.
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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