resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
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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