resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
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.
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
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.
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.
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.
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.
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.
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."
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.
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.
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."
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.
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.
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.
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.
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.
May, 2003, Vol. 03, Issue 05
We Get Letters & E-Mail
By Editorial Staff
I appreciated Ralph Stephens' overview of our profession ("No Better Time Than Now," December 2002 MT), and his reminder that our early intention was "to be an alternative to the sickness care delivery system." I share his concerns that certain professional organizations and schools are directing us toward co-option by allopathic institutions.The notion of developing college degrees in massage reminds me of several personal experiences.
I believe it's appropriate to ask the professional massage organizations and massage-school administrators these same questions today. I have met and taught many massage therapists and students who believe they're good enough when they know all the mechanical connections to "fix" the problems. What about results? Determined to fix it, they burn out while ignoring important signals from their bodies and their clients' bodies.
The Connecticut chapter of the American Massage Therapy Association (AMTA-CT) has introduced a bill to require 48 hours of CEUs every four years to maintain our licenses. At least 24 hours must be taught by a NCBTMB-approved provider. Ouch! They're stepping on my toes! I consider that excessive legislation. Where is the evidence demonstrating that MTs aren't getting enough continuing education to practice safely and effectively?
A therapist friend told me, "The massage therapists I know are always taking classes; they take or assist in more classes than anyone I know." My experiences have been quite similar. In addition to basic training, I've trained in three other major bodywork styles. Why? I was curious and I enjoy learning ... what a concept. Why ruin a good thing with laws that take away some of our choices?
Every year, I teach a 50-hour class and a variety of workshops. I spend at least twice that amount of time updating information and refining presentation. I've spent several hours rewriting and re-thinking this article. I enjoy reading the wealth of massage articles published in trade journals. CEUs won't be granted for all of that continuing education. In 20 years of massage and 18 years of nursing, one of my most important lessons is: The work teaches me.
For me, an important feature that distinguishes massage from the illness model is helping clients develop awareness and skills to use their bodies as a resource, rather than focusing on it as a source of dysfunction, pain and betrayal. I believe massage students would be better served by including some body-centered, supervised experiences with no agenda: just observe themselves as they work, observe the responses of clients, and help clients observe the effects of the work. I also believe students should receive more entrepreneurial and practical business training. Many students seem to depend on their schools to provide job opportunities. I have supervised several massage interns whose school expected me to provide and schedule their clients. These students had to fit their internship hours into full-time massage-school schedules. What a joy it was when I had the chance to supervise an intern from a school at which internship was not in competition with other school obligations. That intern learned to attract, schedule and confirm her own clients.
In Connecticut, many of us have noticed a decrease in business; clients have less money for massage. It takes more time, energy and creativity for us to support ourselves, and it's aggravating when these professional hassles divert us from our work. I would like professional and academic organizations to acknowledge that body-centered work is a blend of knowledge-based, kinesthetic and intuitive skills - not brain surgery or physical therapy. As their constituent, I want them to:
Carol Springer, RN, BSN, Trauma Touch TherapistTM
Thanks for Recognizing Massage Vendors and Suppliers
As President of the AMTA Foundation, I want to thank you for recognizing the vendors and suppliers to the massage therapy and bodywork professions. ["Recognition, Part II," March MT: www.massagetoday.com/archives/2003/03/08.html.]
Like you, I have heard or felt that "soft disdain" by some massage therapists for the more commercial aspects of our profession. However, without the companies and manufacturers that provide equipment and supplies, we simply would not be able to practice the art and science of purposeful touch. We do need to thank them for helping us.
In addition to their support of the profession at conventions and trade shows, many vendors and suppliers also exercise significant philanthropy and donate back to the profession in other ways. Most significantly to me, they volunteer to serve as trustees and committee members for the AMTA Foundation, and they financially support our efforts. Without their contributions, we would not be able to realize our mission: to advance the knowledge and practice of massage therapy by supporting scientific research, education and community service. We genuinely appreciate their support. [A complete listing of AMTA Foundation donors can be found on the foundation's Web site: www.amtafoundation.org.]
So, to all the manufacturers and vendors, The AMTA Foundation thanks you for your support.
John Balletto President, AMTA Foundation
"Massage Is Good"
I've been watching and reading about the flap about how we all need to be more educated. I disagree. I attended massage school primarily as a therapy for myself. I was out of touch with the human race. I learned to "touch" in a healthy way. I was told I was good at it. I liked touching and I liked being touched.
I've been practicing massage therapy now for 10 years. I do "relaxation" massage; I'm not a clinical therapist, nor do I want to be one. People enjoy my massages; they come back. I keep reading about how I should be getting into insurance billing. Why? Give a good massage, period. Getting specialized is great, but it's not for me. I just want to help people relax. If you can do that, all the rest falls into place.
Daniel Fay, RMT
A Few Comments on Vaccination
(Editor's note: The following two letters address comments in Ralph Stephens' March and April columns.)
Mr. Stephens' commentary on smallpox contains a few errors. The smallpox vaccine consists of vaccinia virus, also called cowpox; it does not contain the smallpox virus. Vaccination consists of infecting a person with vacinnia, which conveys immunity to smallpox; hence, vaccination will not reintroduce smallpox to the human race and "wake up a dead disease."
Smallpox is quite contagious and has been effectively used as a bioterrorism weapon in the past. During the French and Indian war, the English and colonists would infect blankets with the virus, then distribute them to Indian tribes allied with the French.
I agree there is considerable risk to our population from vaccinia infection. The complication rate in 1950 was approximately two deaths and 18 serious complications per million. This was before HIV, hepatitis C, and the widespread use of immunosuppressive drugs and chemotherapy. Today's complication rate could be considerably higher.
Bruce Klein, ND
I am writing to you to express my great dismay and concern over two of Ralph Stephens' columns. Last month's article was a rant about smallpox vaccination and the harm it could do. This month, he mentioned the subject again, saying that smallpox can only be spread by vaccination. Apparently, Mr. Stephens does not realize that the reason this scourge has disappeared is because of vaccination. The disease is spread by people who have smallpox; they are covered with sores and spread the disease that way! I agree that the policy of vaccinating the entire population, or even a small group of health-care workers, against smallpox is controversial right now; the question of what to do about a possible terrorist spread of smallpox has no easy answer. Regardless, Mr. Stephens' discussion of this problem is paranoid and irresponsible. He also refers readers who are concerned about their health and want to know more about vaccines to a Web site: www. vaclib.org. I looked at that site - one of the first citations claims that germs don't cause measles, mumps, chicken pox, etc., but toxins in the body do! The other site he recommends is by an osteopath who recommends incredibly extreme dietary regimes as a way to achieve health!
I feel strongly that this type of writing is irresponsible. First of all, a massage therapist is not an expert on communicable diseases, immunization or vaccination. It reflects poorly on the entire profession when someone takes advantage of his or her position as a therapist (or in this case, columnist) to sound off and give advice on subjects about which they have no training or qualifications. It is even worse than making unfounded claims about various therapies, or making claims that sound "scientific," but lack supporting research, experimentation or documentation. It reminds me of when I was in massage school: When I would question instructors about the claimed scientific basis behind their claims, they would happily admit there was none, but assert the claims were valid because "This is what I believe!"
Margaret R. Wacks, MD, NCTMB
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