resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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'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.
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.
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.
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%.
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.
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.
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.
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.
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).
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).
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.
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.
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.
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.
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.
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
August, 2003, Vol. 03, Issue 08
We Get Letters & E-Mail
By Editorial Staff
Editor's Note: Some letters have been edited for space and clarity.
Breast Massage and Scope-of-Practice Issues
I am a Florida-based licensed massage therapist and continuing education provider. One of the subjects that I teach is professional ethics and Florida law. I am confused by the advice you offered to female therapists in your July editorial (www.massagetoday.com/archives/2003/07/10.html).
If I understand your comments correctly, you are suggesting that massage therapists palpate the breast tissue of female clients with the intention of detecting cancerous lumps, and that you believe that massage therapists are better trained to detect cancer than trained doctors. I hope that I am wrong here.
I graduated from one of the top massage therapy schools in this country, and nothing in my training addressed how to detect cancer in someone's tissue! In addition, palpation with the intent to discover or diagnose disease does not fall under the scope of a massage therapist; (In Florida, at least) that is construed as practicing medicine. I read that portion of your column last weekend to 35 therapists attending an ethics/law continuing education workshop and asked for their thoughts on the matter. Many spoke up. All were shocked by your advice. One woman responded: "What's next? Do we ask men to bend over and cough while we palpate their testicles?"
I read your July editorial, and I must say I was appalled at your suggestion in relation to women and breast cancer that "It makes sense that a massage therapist trained in the nuances of soft tissue will do a better job of regular examination than the physician you see once a year!" This statement is erroneous and suggests therapists go beyond the scope of practice of any massage therapist with basic massage training. You seem to insinuate that we are more skilled than a physician in detecting tumors and diagnosing cancer. This journalism is, at the least, irresponsible and misleading, and lessens the credibility of our profession. Please clarify your thoughts, if you will.
Jacqueline Landis Ferber
Cliff Korn responds:
Thank you for responding to my editorial, and thanks for reading!
I think you are reading more into my statement than was actually there; at least more than I intended to be there. I am certainly not suggesting that massage therapists palpate tissue with the intent of detecting anything more than tissue texture and feel. My statement relates to my belief that massage therapists are some of the most skilled palpation experts in the field, and regularly detect tissue concerns before our patients/clients do.
I was (and am) suggesting that female massage therapists regularly get massage from therapists specifically trained in breast massage to enhance their breast health. It is my opinion that palpation of tissue on a weekly or monthly basis by a practitioner with highly developed palpation skills will generate referrals to appropriate medical specialists in a more timely fashion that an annual physical exam.
While I believe all jurisdictions that regulate the practice of massage preclude diagnosis of anything more than contraindications, I am aware of very few that put breast massage, performed by a specifically trained practitioner (and with specific informed consent), out of the scope of practice of a massage therapist.
Cliff Korn, LMT
Blowing off Steam
I just wanted to vent. I am tired of reading wonderful articles concerning massage therapy and its benefits (in other publications) only to discover at the end of the article that readers are told that, in order to find a good massage therapist, they need to make sure the therapist is a member of the AMTA! I want to scream when I read this kind of stuff.
I refuse to become a member of the AMTA for various reasons, but it does not, in any way, make me any less qualified as a therapist than any that chose AMTA membership. Why is it that the AMTA is so involved in every aspect of our profession that they place themselves as the almighty authority on our qualifications? I find it extremely unfair for the AMTA to give the general public the impression a massage therapist is unworthy of the title unless they are a member of the AMTA. I earned my title and worked very hard to gain the professionalism that we share as massage therapists. I do not need the AMTA to give me what I have already proven and earned: Licensed Massage Therapist, and a mighty good one, I might add.
Robin L. Shope, LMT
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