resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
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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