resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
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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