resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
After two treatments for back pain, a patient presents for a third
session complaining of rapid breathing and wheezing that is made worse
during cold weather.
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
August, 2003, Vol. 03, Issue 08
Working With Injured or Ailing Patients
By Vivian Madison-Mahoney, LMT
Do we heal patients? No, of course not. Nobody can heal anyone. Healing comes from within, and it takes time. We can, however, help facilitate the healing process in a number of ways: by working to alleviate pain and discomfort; by helping to correct negative conditions that inhibit the body's natural healing processes; by educating patients on the inner workings of their own bodies; and by teaching patients how they can participate in their own healing.
Our ability to help patients is based largely on the fact that we, as massage therapists, really care: We take time with our patients; we listen; and we try to make them feel special.In most cases, hands-on therapy works best to alleviate pain and suffering; however, showing concern for our patients' lives outside of their medical conditions can also help to improve their attitudes - and changes in attitude can help improve the physical body.
In our facility, our patients understood that we were not in it for the money, but to help improve their conditions. Part of our job was to help them understand that returning to work as soon as possible was necessary to promote healing. A main problem I have seen during my years of working with injured or ill patients is that massage therapy has been the "court of last resort," so to speak. Sometimes, patients are treated with every type of medication, physical therapy, or other treatment before we see them. By the time they come to us, their prospects of "getting better" have become almost impossible, because their memory cells are programmed to feel pain.
What Constitutes "Getting Better?"
Can people really improve? Sometimes, we are only able to help patients feel well enough to "get through it," until time heals the injury. I remember an insurance adjuster who was upset that a patient was receiving massage therapy covered by insurance. "I hate that the insurance pays for this guy to FEEL BETTER," she said. I told her that massage therapy is doing the same thing as prescription drugs, surgery and other medical treatments: it helps him feel better. It certainly wasn't to make him feel worse.
If physicians prescribe durable medical supplies, drugs or physical therapy, insurance adjusters do not get upset. Why is it a big deal to prescribe massage therapy? Because they know that MASSAGE THERAPY MAKES PATIENTS "FEEL BETTER"! Maybe we should call it "PAIN THERAPY"; then the problems with insurance companies might go away.
What you do for an injured patient is beneficial and important - you can change their lives. You can also change your own life if you do it with love and caring, and if money is not your only motivation. Success and money will come in time if you truly care for those who need your assistance.
Knowing When to Treat
It is up to the massage therapist to know if he or she is qualified and capable of performing therapy for a specific medical condition. If you do not know what to do, then admit it and refer the patient to someone who does.
Still, 100-percent healing is not possible for every condition. There are things you may do one time that will seem to relieve a condition, only to have it return by the patient's next visit. What works for one patient may not work for the next patient with the same condition. If you do your best and the patient does not improve within a reasonable amount of time, his or her physician may no longer refer the patient to you; moreover, you should not want to continue to treat them if they are not showing some signs of improvement.
If you are billing insurance for the therapy, the insurer may not pay you for very long if you cannot show productive functional outcome. Insurers look for changes that can return the patient to employment, help them remain on the job, or return them to what they were unable to do prior to treatment. This is not always possible, but the intention to do so is necessary; so is thorough documentation to this effect.
Click here for more information about Vivian Madison-Mahoney, LMT.
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