resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
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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