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Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
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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