resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. 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.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
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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