resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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 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.
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.
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.
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.
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.
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.
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?
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.
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.
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.
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.
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.
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.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
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.
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.
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.
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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