resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
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
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.