Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
Medicine as Metaphor
The practice of medicine is both an art and a science. We study and learn the system so that when the time comes to apply it, there is a greater possibility of successfully helping others.
The Source-Luo Point Combination, Part 3
Dr. Nguyen Nghi (NVN) was born in Vietnam and is one of the most important scholars, writers, teachers and practitioners of modern time. Many of his theories and applications are the source of modern teachers from Europe and the United States.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
Merger Creates New Model of Care
Two San Francisco powerhouses of holistic healing, the American College of Traditional Chinese Medicine (ACTCM) and California Institute of Integral Studies (CIIS), are merging. Together they are building a visionary approach to applied integral health.
The Art of Creating a Healing Space
I always advise my graduates to examine their group practice or treatment rooms with fresh eyes after they leave my CE workshops. I tell them, "Ask yourselves - is your space qi filled, welcoming and healing? Or is it cold and clinical?"
Can Acupuncture Treat Knee Pain?
Recently, an article in the Journal of the American Medical Association concluded that, "neither laser nor needle acupuncture conferred benefit over sham for pain or function" among older chronic knee pain patients.
Exploring and Learning from the Gift of Life
I'm grateful to have had the opportunity to teach cadaver dissection classes and workshops with Stephen Cina at the New England School of Acupuncture over the past seven years, first through the Sports Medicine Acupuncture Program and later as a NESA elective course.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Online Marketing Basics: Google Ranking, Part 1
We all know there is so much opportunity with online marketing. And, let's face it, if you don't have a presence online with a website and social media, you are probably not where you want to be.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Melatonin: A Promising Natural Agent in the Prevention of ALS
A number of years ago, experimental studies suggested melatonin could block key steps in the development of Alzheimer's disease, primarily by acting as a brain antioxidant and inhibiting the build-up of beta-amyloid plaque in the brain.
The Roots of TCM in Depression Treatment
In traditional Chinese medicine, there is historical precedent for the treatment of so-called "Shen" (Heart-Mind) disorder, or disorder/dysregulation of the spirit, which is also considered as distinct but not separate from the cognitive function of the brain.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Abdominal Acupuncture for Eye Healing: The Sacred Turtle and Ba Gua Map
Our ideas about western medicine have shifted in recent decades, while the public is asking more from health care providers.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
The Integrative Medicine Puzzle: Putting the Pieces Together
The conversation is changing in the broader healthcare community with patients actually moving the discussion toward more integrative topics. Patients today want to know their options.
Colon Health and TCM
I still remember many years ago, the loud "Yuck" from my wife at the time when we were together watching the Chinese movie "Last Emperor."
Adding Microneedling to Your Clinic for Results and Profit
Microneedling has taken the beauty world by storm over the last 10 years. Under the names dermaroller, microneedling or skin needling you will see these treatments listed in the services of nearly every fashionable beauty salon and day spa in the country.
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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