resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
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.
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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%.
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).
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).
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
June, 2003, Vol. 03, Issue 06
Directions in Massage Therapy
By Cliff Korn, BS, LMT, NCTMB
Our profession is changing daily. In the past 10 years, it has entered the light of day and joined the mainstream. Massage therapists are now high on the list of caregivers in many circles of the country: wealthy and poor; white and blue collar; young and old; male and female.The change to which I am referring, however, is not a change in acceptance, but a change in precision and refinement.
Specifically, I have seen a transformation from gross motor techniques to more subtle, specific techniques. This was made even more evident to me while attending the recent "Beyond the Dura" Research Conference (see front-page article). CranioSacral Therapy (CST) and other light-touch therapies are proving their efficacy in research studies and are being utilized by an increasing number of therapists. I find it interesting that more than half of the students taking CST are massage therapists. This statistic amazed me, in part because CST is one of a handful of techniques that have a purpose beyond the realm of "relaxation": it treats conditions.
Those familiar with CST know the premise of the technique: It only takes five grams of force (the weight of a nickel) to effect significant change. The research conference included presentations of clinical data collected in the treatment of widespread issues, ranging from pediatric feeding dysfunction, breastfeeding problems and pelvic floor rehabilitation, to preparing Egyptian conjoined twins for separation surgery. The fact that this technique-which developed out of osteopathy-is taught to massage therapists on equal footing with physicians, PTs, OTs and other allied health professionals says a lot about our capabilities. The large numbers of MTs utilizing techniques such as CST may be one reason I see an industry trend toward more gentle touch.
I used to believe gentle touch could not be anything more than "soothing": useful for comfort and to ease emotional discomfort, but of little value to alleviate chronic physical dysfunction and discomfort. My mind was opened to another perspective when I experienced effective sessions that integrated energy techniques and light touch.
I recently had the privilege of participating in a fresh-tissue CranioSacral Dissection workshop, in which I got to palpate the falx cerebri (cranial membrane) and monitor changes as the instructor applied light manual pressure to the sacrum. I also was honored to participate in a study that measured the manual force required to palpate change. Almost all of the study participants could palpate change in tension of the falx cerebri with measured forces between three and 35 grams. This is good enough for me to believe that light touch can certainly be effective.
Massage therapists also regularly integrate reiki, aspects of polarity therapy and other energetic techniques into their practices, lightening the overall average force used in sessions. In my own practice, I find integration is important because I need to get the attention of some of my clients before progress can begin. The comfort and security of certain deep-pressure techniques and confident touch moves my clients to a relaxed, trusting place where the more subtle techniques can be effective. The client who has learned to accept the more aggressive techniques in our toolboxes is, in my opinion, capable of experiencing a variety of light-touch procedures. My Rolfing friends inform me that they, too, are lightening the forces they use and are losing their reputation as providers of "therapeutic discomfort."
Now, please don't think I'm saying only light-touch techniques are indicated for professional massage therapists! I'm not saying that at all. I am a firm believer in the efficacy of techniques, such as trigger point, cross-fiber friction, assisted stretching, etc., though they are not always comfortable to the client. I also am an advocate of the more subtle directions I have discussed in this article.
Ten years ago, I saw (and experienced) a lot of poking, prodding and elbow use. I now see skilled palpation and use of forearms to obtain a more comfortable myofascial modification. I think it's a trend. I hope so!
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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