resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
July, 2003, Vol. 03, Issue 07
We Get Letters & E-Mail
By Editorial Staff
Editor's Note: Some letters have been edited for space and clarity.
Controversy Over Fees
I would like to thank Alice Belusko for her letter to Massage Today (March 2003, www.massagetoday.com/archives/2003/03/15.html) in reference to my article, "Fees" (October 2002, www.massagetoday.com/archives/2002/10/10.html).
In response to Alice's statement, "I'm not sure if [Vivian] has personally done 25 hours of massage, week in and week out, for any substantial period of time.If she possessed this type of experience, I'm sure her article would have defended the billing fees of LMTs": In my defense, I did not begin to perform massage therapy until I was 45 years old. I worked seven days a week, every week, on seven to eight patients a day. I worked this way for over a year from 8 a.m. until sometimes as late as midnight, often going home in tears with sheer exhaustion. I charged $25-$40 per massage, each being one hour or more, mostly deep-tissue. I opened my own office after a year.
During this time, many of these clients became medical and insurance-related cases. Alice misquoted or misunderstood me in her letter by saying I had charged $95 per massage in 1984-85. I first charged $35 to $40 until I began the prescribed therapy. I then raised the medical-case fees to $56 for years, until I got the nerve to raise prescribed fees to $65. I finally raised the basic rate to $75 in late 1997 for hands-on services, and added $20 for a modality if prescribed (whether or not it was for one or four modalities).
I also served for nine years as the insurance committee chair for the Florida State Massage Therapy Association (FSMTA). We worked very hard to get laws passed that required insurance companies to reimburse massage therapists for massage when prescribed by physicians. We were successful partly because we showed that we provided the same services as other providers, but at a savings to insurers. At the time, workers' compensation was paying a maximum of $58.50 per treatment, which was my average, since most of my cases were from workers' compensation. Now, worker's comp payments average about $96.
Why did I have a successful business? Because I built a reputation providing quality services at reasonable prices people and insurance companies could afford.
Florida law states in essence, "If a policy covers massage then it shall cover the services of one licensed to perform massage."
Make no mistake. All the insurance companies have to do is write massage out of the policies, and WE ARE DONE! Insurers are looking to save money. If we provide the best for less - I didn't say for nothing, only less - then, we will be searched out, not written out.
P.S. At age 63, I still carry my table and give as good a massage as anyone. The client or insurers will still get what they pay for even though I do not charge upwards of $150 or more for the therapy. Luckily, I was able to retire on the measly low rates I charged, so now I do not have to do that. I sincerely wish that for all of you!
I just had to respond to the ludicrous letter from Alice Belusko. I do not dispute the title "My hands are just as important as a surgeon's hands," but all goes downhill from there; the rest of the letter is basically bereft of reasoning.
To the whine: "Do you know how many years the therapist can work? When was the last time you saw a 60-year-old massage therapist dragging his or her table through someone's front door?" I am almost 60 years old, and I can still perform this "heroic" work. I had the basic common sense to purchase a light weight table and a carrying case, so I can actually carry, rather than drag the table. Why would someone who has 25 hours of massage every week, year after year, avoid the common sense to rent an office and avoid all this pathetic dragging?
I agree with Vivian that billing $145 to $175 an hour is excessive. I bill according to Medicare limits, all of my fees, whether private insurance or Medicare. The amount allowed in this area for manual treatment is $25.34 for a 15-minute increment. An hour would be $101.36. This is what anyone would get for this treatment, including occupational or physical therapists who have much lengthier education requirements.
If it's worth it to you, pay it out of your pocket, but spare the rest of us the rapidly accelerating insurance rates by gouging insurance companies and giving responsible LMTs a bad rep.
I am writing in response to Vivian Madison-Mahoney's article, "Fees" (October 2002). With all due respect for Vivian's areas of knowledge and expertise, I feel that the massage practitioners who have invested in specialized training, and have committed to doing the work that results in the resolution of repetitive strain injuries; whiplash; frozen shoulder; failed back surgeries, etc., are well able to command rates other than those commanded by massage therapists with "minimal training." These techniques produce real results.
It's a big world out there, and while traditional forms of bodywork certainly have their place in the scheme of things, perhaps a broadening of perspective would refresh not only Ms. Madison-Mahoney's frame of reference, but also acquaint her with new vistas of paradigm in our wonderful profession - ones that the medical profession are only now beginning to turn to.
The average case of carpal tunnel syndrome costs around $100,000 between lost productivity, worker's compensation and medical costs. A few treatments with a massage therapist highly skilled in the techniques which resolve soft-tissue dysfunction and syndromes (which end in "itis") is a sure bargain.
C. Carow, NCLMT
"A Fully Trained Massage Therapist is a Medical Professional"
This is a commentary to Vivian Madison-Mahoney's view on the "Medical Massage Controversy" (April 2003, www.massagetoday.com/archives/2003/04/07.html).
I am not really sure when "massage" became nonmedical and started to be linked to pleasure, mischief and more. It is not accidental that a massage therapist is called a therapist - a therapist being a medical professional, according to my terminology.
In my opinion, a fully trained massage therapist is a medical professional. I would like someone to explain the difference between a regular massage and a medical massage. If I visit my massage therapist, I will tell him/her where it hurts, which area to concentrate on and which ones to avoid; he or she will do their best to comply. I am usually relieved of pain (if sometimes only temporarily) and feel de-stressed and relaxed - an added benefit.
This I do, because I would rather eliminate aches and pains the natural way than to pop any kind of pain medication, even if it is "only an aspirin or Tylenol", or similar. For those kinds of ailments, I do not need a doctor's prescription, but would recommend that insurance companies provide reimbursement for visits to a massage therapist just as they would for visits to any medical professional; this, along with other complementary medical modalities, should be addressed by the insurance companies, as they will be saving money in the long run by investing in preventative and natural health care from the start. If we would all ban together to make this happen, then we would make progress in all of our fields.
I wholeheartedly agree with Ms. Madison-Mahoney that schools should devote much more time to the medical side of how massage can relieve a number of conditions, and when to refer a client to a doctor; agreed that many years of experience will give a massage therapist more confidence and expanded knowledge, but the base education should be more solid than what is being taught in massage schools today. If like in the medical profession, the massage profession could implement various degrees of LMT to assure clients of the courses and CEDs a therapist has studied and earned, or the specialty of an individual therapist, this would elevate the level of the massage profession and hopefully, one day, will eliminate associating the profession with escort services.
Hannelore R. Leavy
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