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9 Common Causes of Thyroid Imbalance and How You Can Help
How you sleep, how easily you wake up, and how much energy and stamina you have during the day are directly related to levels of the thyroid hormones.
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.
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 History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
CCE Finally Takes a "Baby Step" Toward Reform
During a 16-month period from October 2010 to February 2012, I devoted four separate columns to the heavy-handed attempt by the Council on Chiropractic Education to radically change the chiropractic profession through the accreditation process.
Why Young People Need Chiropractic Now More Than Ever
According to a recent study published in BMC Musculoskeletal Disorders, "It is now widely acknowledged that neck pain (NP), mid back pain (MBP), and low back pain (LBP) (spinal pain) start early in life and that the lifetime prevalence increases rapidly during adolescence to reach adult levels at the age of 18."
A Vibrating Capsule for Constipation? Relevance to Your Chiropractic Practice
The relationship between gastrointestinal (GI) complaints and back pain is not typically written about or discussed.
Pain Underfoot: Metatarsalgia
Foot pain can interfere significantly with normal activities and severely limit participation in sports. Metatarsalgia is foot pain involving the metatarsal bones in the forefoot – the complaint of pain on the bottom of the ball of the foot.
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.
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.
Chiropractic Research in Review
Chiropractic Treatment of Lateral Epicondylitis; Cost / Benefit Analysis: Different Doses of SMT for Low Back Pain; Imaging for Occult Rib and Costal Cartilage Fractures; Treating Neck Pain: Thoracic Thrust Manipulation vs. Non-Thrust Mobilization.
News in Brief
National Chiropractic Health Month: Be Proactive; Collegiate Roundup: Academic Appointments at Parker, Logan.
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.
Don't Turn a 2 Into a 10
The Wong-Baker FACES Pain Rating Scale1 is so useful because it can be used by almost anyone. Patients can use the numbers associated with the faces depicted on the scale or select the face that demonstrates their current level of pain from 0-10.
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!
MPA Media Wins 7 Publishing Awards
MPA Media, publisher of Dynamic Chiropractic and DC Practice Insights, among other titles, has been recognized for editorial and design excellence with an unprecedented seven publishing awards by the American Society of Business Publication Editors (ASBPE), the nation's largest organization for business-to-business publications.
Waking Up the Gluteus Maximus
In previous articles in this series, we expounded on the importance of the gluteus maximus (GM) in athletic performance and protecting the knee from injury. We also know there is a link between iliotibial band syndrome and GM weakness.
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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