resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
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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