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Designing a Fitness Plan (Part 4): Blending Pain Relief With Healthy Aging
Pain relief is still the No. 1 reason patients come to my office. However, most of my patients have other goals as well, such as: "I want to lose 10 to 20 pounds"; "I feel old and want to slow down the aging process"; "My doctor says I am becoming a diabetic and need to exercise"; or "I'm tired and want more energy."
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.
Identify & Adjust the Apex Posterior Sacrum
Low back pain involving an apex posterior sacrum (+θX-axis misalignment) typically presents with signs of lumbosacral joint impingement or facet syndrome.
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 Alarming Lack of Accountability
Accountability seems to be a lost quality today. The simple act of taking responsibility and doing the right thing just doesn't happen as often as it should. Maybe it is the litigious nature of our society.
News in Brief
Northwestern Student Honored for Addressing Concussions Head-On; Northwestern Announces New CFO; Life U. to Provide Unique Opportunity.
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?
Let's Streamline Your Front Desk
Your front office can be your greatest source of efficiency or a constant bottleneck. Increasing the productivity of this area without sacrificing the quality of patient interaction can be a little tricky.
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.
F4CP Launches New Social Media Campaign
The Foundation for Chiropractic Progress has launched a new service to help member doctors: a social media campaign called "Accelerator."
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.
How Many of Your Patients Have Sarcopenia?
Figure 1 demonstrates the typical appearance of sarcopenia in the paravertebral muscles. Have you considered evaluating your patients for this problem? Sarcopenia is the progressive loss of skeletal muscle mass and function that affects the older population.
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.
Day in the Life of an Advanced-Practice DC
Can you tell us a little about your background in the profession? Why did you want to become a DC? I studied at Boston University from 1968-1972 as a pre-med student majoring in biology.
Specialized Pro-Resolving Mediators: 21st Century Inflammation Fighters
Specialized pro-resolving mediators, or SPMs, are a portion of the omega-3 fatty-acid spectrum that have been shown to have a powerful effect on reducing inflammation.
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.
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.
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 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.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
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.
Misconceptions & Opportunities With Medicare
As I speak around the country on how to properly document Medicare patient encounters, I get questions regarding opting out of Medicare. There are many misconceptions about opting out of Medicare, including just what it means to opt out.
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.
Excited to Share the Science of Chiropractic: An Interview With Dr. Heidi Haavik
Dr. Heidi Haavik has become known in the circle of chiropractic researchers as not only a rising star, but also one willing to do research that can have a major impact in the scientific world and how chiropractic is perceived.
October, 2003, Vol. 03, Issue 10
By Cliff Korn, BS, LMT, NCTMB
I was recently read an online newsletter with the following statement: "Jared Adair, Director of the Office of HIPAA Standards at the Centers for Medicare and Medicaid Services, has written 'Alternative Link' to clarify the status of participants in the ABC codes demonstration project.'His letter essentially says that all contractual trading partners of registrants for the federally authorized demonstration program are eligible to use ABC codes commercially in HIPAA transactions with those registrants,' says Synthia Molina, Alternative Link CEO."*
Jargon, in general, is confusing to those not schooled in "the code." There are so many acronyms and terms we use that were developed to increase understanding and provide specificity of meaning; unfortunately, many do just the opposite. I came up with the following incomplete list that applies to our profession. Many rolled off the tip of my tongue in a heartbeat.
If this were in a quiz, could you define these?
ABC ~ ABMP ~ AMTA ~ CAM ~ CEU ~ CMT ~ CPT ~ CST ~ HIPPA ~ IMA ~ LDT ~ LMP ~ LMT ~ MFR ~ NCBTMB ~ NCETMB ~ NCTMB ~ NMT
The following are the 'unofficial' definitions, some from the owners' Web sites!
ABC is the Advanced Billing Concepts code set developed by Alternative Link, Inc., for use in alternative and integrative medicine. It's a group of five-character alphabetic codes, with two-character practitioner modifiers (and a topic for a future column!).
ABMP (Associated Bodywork and Massage Professionals) is a membership organization serving the massage, bodywork, somatic and esthetic professions.
AMTA (American Massage Therapy Association) is a 60-year-old professional association representing the field of massage therapy.
CAM (Complementary and Alternative Medicine), as defined by the National Center for Complimentary and Alternative Medicine (NCCAM), is a group of diverse medical and health care systems, practices and products that are not presently considered part of conventional medicine (also referred to as allopathy; Western; mainstream; orthodox; regular and bio medicine). Although some scientific evidence exists regarding some CAM therapies, key questions have yet to be answered as to whether CAM practices are safe and whether they work for the diseases or medical conditions for which they are used.
CEU is Continuing Education Unit. Frequently used synonymously with contact hour, this actually falls under the International Association for Continuing Education and Training's (IACET) continuing education terminology and definition for credit hours. According to the IACET, one CEU is awarded for each 10 contact hours of organized approved continuing education experience.
CMT (Certified Massage Therapist) is a title sometimes awarded and/or allowed by a state, county or municipal regulating entity.
CPT is a billing code system owned by the American Medical Association. It stands for Physician's Current Procedural Terminology.
CST stands for CranioSacral Therapy, a gentle, noninvasive method of evaluating and enhancing the function of the membranes and cerebrospinal fluid that surround and protect the brain and spinal cord. Developed by Massage Today columnist John E. Upledger, DO, OMM, this therapy enhances the body's natural healing processes and has proven effective in treating a wide range of medical problems associated with pain and dysfunction.
HIPAA is the Health Insurance Portability and Accountability Act (see www.massagetoday.com/archives/2002/12/10.html; www.massagetoday.com/archives/2003/02/09.html; www.massagetoday.com/archives/2003/01/05.html).
IMA is the International Massage Association, which provides insurance services for massage, complementary and healing arts, and health and beauty.
LDT (Lymph Drainage Therapy) is an original hands-on method of lymph drainage developed by French physician Bruno Chikly. It offers a highly efficient approach to working with the lymphatic and other fluid systems. While its concepts are based on traditional procedures, LDT is the first modality to teach practitioners how to manually attune the specific rhythm, pressure, quality and direction of the lymph flow by using a combination of precise anatomical science and distinct manual techniques.
LMP (Licensed Massage Practitioner) and LMT (Licensed Massage Therapist) are titles sometimes awarded and/or allowed by a state, county or municipal regulating entity.
MFR (Myofascial Release) is a gentle and effective hands-on manual therapy technique that uses sustained pressure into restrictions in the fascial system to eliminate pain, and restore motion and function to the body.
NCBTMB is National Certification Board for Therapeutic Massage and Bodywork (the organization!); NCETMB is National Certification Examination for Therapeutic Massage and Bodywork (the test!); NCTMB is Nationally Certified in Therapeutic Massage and Bodywork (the credential!).
NMT, (Neuromuscular Therapy or Technique) is a program of soft tissue manipulation and recovery from acute and chronic pain syndromes which uses specific massage therapy, flexibility stretching and home care in an effort to eliminate the causes of neuromuscular pain patterns. It is designed to bring about balance between the musculoskeletal system and the nervous system. NMT enhances the function of joints, muscles and biomechanics (movement), and it releases endorphins, the body's own natural pain killers.
I hope this list has been helpful. I find that we frequently use and misuse these terms, and that misuse can undermine communication greatly!
Thanks for listening!
*CHRF NEWS FILE #52, August 18, 2003; The CHRF News Files is a product of the Collaboration for the Healthcare Renewal Foundation.
Massage Today encourages letters to the editor to discuss matters relating to the publication's content. Letters may be published in a future issue of Massage Today. Please send all correspondence by e-mail to , or by regular mail to the address listed below:
Former editor of Massage Today, Cliff is owner of Windham Health Center Neuromuscular Therapy LLC. He is nationally certified in therapeutic massage & bodywork and is licensed as a massage therapist by the states of New Hampshire and Florida. Cliff is a member of the International Association of Healthcare Practitioners; a professional member and past president of the New Hampshire chapter of the American Massage Therapy Association; a certified member of the Associated Bodywork & Massage Professionals, Inc.; and a past chairman of the board of directors of the National Certification Board for Therapeutic Massage & Bodywork.
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