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Is It Time for a Popeye Moment? The Flaw in Recommending Chiropractic as a Career.
Step by Step: Long-Term Treatment of Soft-Tissue Injuries Combines Skill and Care
Treating soft-tissue injuries with long-lasting results starts the moment an individual enters the office. When it comes to pain, the only thing that matters to the patient is relief.
Chronic heightened emotional states create a perfect breeding ground for illness. Through my practice I noted the increasingly obvious relationship between one's mental focus on negative thinking, emotions, resistance to experiencing feelings and disease.
Five Element Acupuncture Can Enhance Your Practice
For eight years I have been teaching and supervising TCM students at an acupuncture college in Colorado, in Five Element acupuncture.
Treating Chronic Depression with Acupressure
In Traditional Chinese Medicine there already exists a comprehensive theory linking the body and mind.
The Acupuncture Now Foundation: What Our Profession Needs
Although acupuncture is growing in popularity it continues to be underutilized due to misunderstandings about its true potential. Only a fraction of those who could be helped by acupuncture know enough to seek it out.
Are You Ready for the 2016 Patient?
In October, Apple released its iOS 8 operating system for the iPhone and iPad. The new system includes Health, a new app that will interface with an ever-growing number of other apps.
Peer Points: Promoting TCM Knowledge
When Elaine Wolf Komarow, LAc, received her first acupuncture treatment in 1989, she said it changed her life. "I felt more aware, calmer, and happier. I was so fascinated by the changes that I began to learn everything I could about the underlying philosophy of Chinese medicine," said Komarow.
It Pays to be a Foodie
If there is an inner foodie in you, just waiting to burst out—this article is for you! Do you want to know how I know? I'm that girl. My middle name might as well be "Foodie." I love food! And if my patients are any indication, many of them do as well.
Foundation for Chiropractic Progress Announces First Group Member
The Michigan Association of Chiropractors has joined the Foundation for Chiropractic Progress as its first group member.
Treating Menopausal Women in Your Practice
I love what I do for a living. It's a great way to trade health for bread. And no topic of health, with the right bedside manner, is taboo.
Meat in the Middle
Have you ever wondered what's the truth about meat? Is it really as bad as many people think?
Avoiding "Just a Pop Doc" Syndrome
Yes, it's harsh. Patients don't like to admit it. They have an unspoken plan when they first visit you: to come one time, get rid of their pain and then get rid of you. They know it's unrealistic, but they'd like to pay nothing for this service.
News in Brief
Life to Open Branch Campus in Italy; Northwestern Research Arm Benefits From Big Donation.
Capturing the Essence of Tai Chi
Over the last 12 years, I have been working on one of the few documentaries about Tai Chi. It's called The Professor: Tai Chi's Journey West and it's about Cheng Man-Ching who moved to New York in the 1960s.
Acupuncture Detox as Part of Drug Rehabilitation
In the U.S., more than 2,000 alcohol and drug rehabilitation programs have added ear acupuncture to their practice. The development of the protocol was determined by Lincoln Hospital as it delivered 100 acupuncture treatments daily.
Chinese Medicine: The Natural Way to Children's Wellness
As a child, I did not like going to the doctor. For the most part, when I had to go I wasn't feeling good to begin with, and I was heading into a sterile environment to be awkwardly probed by a man in a white coat for a very short, impersonal period of time.
Inspire Your Patients to Make Healthy Choices
Have you tried to get your patients to change their eating habits or their diet and couldn't get them to succeed? Were they confused and unsure of what the right thing was to eat? You are not alone!
Why Drugs and Supplements Can't Cure Disease
Chronic diseases are the outcome of disease-promoting, goal-oriented behaviors. So, the notion that diseases can be cured with drugs or supplements should be abandoned. Hypertension is the best example of this.
Home Safety: Help Families Avoid Common Injury Hazards at Home
These days, many parents childproof their homes before a baby is even mobile. You will see an array of electrical outlet covers, bumpers on the corners of the coffee table and safety latches on the cupboards.
Following the Thinking of the Classics
I have heard about the "best time of day" to carry out certain examinations or therapies. For example, I remember making a note years ago that early morning is the best time to take someone's pulses.
Solving the Pain Puzzle
Legendary former New York Yankees baseball player Yogi Berra once said, "You can observe a lot just by watching." He would have been a great chiropractor. We are trained to become experts with our hands: palpation, adjusting, soft-tissue release, etc.
The Death of the Travel Card
As long as I have been in practice, the travel card has stood as the primary style of documentation for chiropractic. It is quick, simple and direct. Unfortunately, the rules have changed.
Treating Acute and Chronic Neck Pain With Ischemic Compression and Exercise
There are many reasons not to manipulate the neck with cavitation: the patient is too old, their neck is too tight, etc. But the most common reason is that plenty of patients are afraid of "the crack," mostly because of the bad publicity about that procedure.
Micro-Needle Dermal Roller Use in the Treatment Room
Recently micro-needle dermal rollers have been getting a lot of media attention. As a practitioner who specializes in acupuncture facial rejuvenation, I know that skin needling with a dermal roller (also known as collagen induction therapy), promotes the natural reproduction of collagen and elastin, making the skin feel smoother and tighter.
Are You Ignoring the 10,000-Hour Rule?
Having trained interns and mentored new practitioners, it has been my observation that their No. 1 clinical concern is adjusting skills. Their second clinical concern is their ability to read X-rays. Physical diagnostic skills are a distant third.
The Power of Mu Xiang to Treat Irritable Bowel Disease
Bloating and gas pain is something that everyone has had to deal with at one point or another; however, that's usually reserved for holiday dinners and other large gatherings.
Introduce Your Patients to Collagen Induction Therapy
Cutaneous (skin) aging generally occurs from either intrinsic or extrinsic processes. Intrinsic aging results from natural skin tissue damage and degeneration.
Implications of Section 2706: The Non-Discrimination Provision Survey
In late April 2014, NCCAOM diplomates received an email survey with the subject line: "End discrimination against acupuncturists" polling CAM practitioners for a Request for Information from the Department of Health and Human Services, released in mid-March.
Make Low-Level Laser Therapy Part of Your Evidence-Based Practice
Low-level laser therapy (LLLT), also referred to as photobiomodulation, has been increasingly utilized in the clinical setting over the past decade.
October, 2003, Vol. 03, Issue 10
Massage in the States: An Updated Look at the Data
By John Fred Spack, LMT
I have recalculated massage therapist densities based on new census and circulation data. My report on data last year appeared as a letter to the editor several months ago in Massage Today (www.massagetoday.com/archives/2002/11/16.html).The new figures show a continuation of last year's trend. These data are drawn from the July 1, 2002, United States Census Estimate for Total State Populations, and the June 2003 circulation reported by state for massage therapists in Massage Today, a publication of MPA Media.
Use caution when quoting these statistics. In conducting this research, it was unknown how Massage Today obtains its circulation mailing addresses, and whether the state-by-state breakdown bears a fair resemblance to the actual number of practitioners in a given state. Moreover, there is a small discrepancy in comparing 2002 estimates of population with 2003 circulation figures, which have been changing almost monthly. The census data used here did not account for state-to-state variations, which may occur in prospective massage therapy numbers. For instance, the data do not eliminate prisoners, members of the armed services abroad, or infants. Neither do the figures used show variations in concentrations of ethnic minorities, which may represent new opportunities for market penetration.
Density was determined by finding the ratio of total state population to total circulation of Massage Today in that state. A low figure may be interpreted as beneficial, meaning there are fewer members of the public apportioned to the services of one massage therapist. Per capita was determined as the reciprocal ratio: A high figure here equates to a low density, meaning there are more massage therapists as a portion of the population.
A nonregulating state was defined as a state that does not yet issue certificates for title use or licenses for practice. Twenty-one states were counted as nonregulating, including Kentucky; Illinois; New Jersey; and Arizona, where laws have passed, but are not yet implemented. Thirty jurisdictions were classified as regulating states, almost all of which are licensing states in the traditional sense of that term. Of the 14 states with the lowest density, all are licensing states. Many of these administer the oldest regulatory programs in the country. Of the 14 states with the highest density, eight are nonregulating states.
The overall per-capita availability of massage therapists in the U.S. is 2.9 times greater in regulating states than in nonregulating states. The mean density of 51 jurisdictions (50 states and the District of Columbia) is 3,428 persons per massage therapist. For regulating states, the average density is 2,497 persons per massage therapist; nonregulating states have an average density of 7,529 persons per massage therapist. The range of densities runs from Utah (low with 990) to Maryland (high with 16,053). South Carolina has the median density of 4,426. (Note: Massage schools may want to use the average density figure of 3,428 persons per massage therapist to encourage enrollment by those who welcome the challenge of developing a market, which is still fairly untapped.)
Massage Today reports that 68 percent of massage therapists are readers of its publication, according to an independent random survey of U.S. massage therapists (www.massagetoday.com/readershipsurvey). This may mean that Massage Today's circulation figures only represent 68 percent of U.S. practitioners; even so, there are no data that say this can be applied proportionately state by state. Nevertheless, even at 68 percent, it is unlikely that the corrected variation, state by state, would make a significant dent in the advantage of regulating states, having a magnitude of nearly triple that of non regulating states.
Some states present data extremely outside the trend. The three states with the highest densities are all regulating: Maryland (16,053); North Carolina (11,989); and Mississippi (13,675). However, most case comparisons show compliance with the overall trend. The per-capita occurrence of massage therapists in Florida (regulating density 1,119) is five-and-a-half times that of California (nonregulating density 6,331), if these data are to be believed.
Nonregulating Georgia (9,750) is nearly surrounded by regulating states with more favorable densities: South Carolina (4,426); Tennessee (3,762); and Alabama (5,608). Even so, all of these Southern states have densities above the national average, which may lead to some speculation about the nature of the market for massage therapy in this region.
Nonregulating states Massachusetts (3,367) and Vermont (3,178), while below the national average, are in the regional company of regulating states, most of which have even more therapists per capita, according to these data: Maine (1,941); Connecticut (2,544); New Hampshire (1,555); "anti-trend" Rhode Island (4,212); and diverse New York (6,738). The New York statistic is large enough to flip this region from a below-average density of 2,718 without inclusion, to an unfavorably high average of 4,138 persons per practitioner when New York is included. Nonetheless, seven of the 11 states with higher densities than New York are non-regulating states.
The case of Minnesota is also interesting; Minnesota is the pioneer Freedom of Access state, which makes it semi-regulated, but still subject to a patchwork of local laws. Being the 17th most dense (5,750), it falls into the pattern of nonregulating states when compared with regulating neighbors Iowa (2,919); North Dakota (2,114); and Wisconsin (3,016). With the implementation of Illinois' new law, it will be telling how this 14th highest state (6,667) changes. Another state that will bear comparison with Minnesota is Arizona, if only because it, too, has a new law to be implemented and has a comparable density (5,732), as well as total population (about 5 million people).
Another aspect of these data is correlation to longevity of licensure. At first glance, it appears that the longer state licensure has been in place, the more therapists - as a portion of the population - are available to the public. It is a challenge to explain the differences between regulating and non-regulating states. The trend is frequent, large, logical and comprehensive; however, certain assumptions may be challenged (like, for instance, that MPA Media is as aggressive at searching out subscriber addresses in nonregulating states as in regulating states, or that access to an address by MPA Media is comparable to access by the public to a corresponding massage therapist).
At minimum, these data cannot be used to support the Friedmanite Theory often presented to legislators, which argues that implementation of state licensure will reduce competition among therapists by lowering overall rates of entry into the profession.
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