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Meshing TCM With Environmental Pediatrics: Where's the Overlap?
Pediatrics has a long history within Chinese medicine dating back to the late Han dynasty (i.e., the late 200s CE), with the two primary areas of emphasis being herbal medicine and xiao er tui na (pediatric massage).
All Fiber Is Not Created Equal
Sometimes the best place to start is at the end. So, the conclusion of this article is that all fiber is good ... but some fiber is better. Let's break it down. There are two main types of fiber: soluble fiber and insoluble fiber.
Chiro School Reunion: Whatever Happened to...?
I opened the door to the closet slowly, carefully, since I knew it contained a large number of precariously stacked file boxes. It also held numerous outdated gizmos with electrical cords of various lengths that could trip or strangle a person.
DVT: Know the Signs and You Could Save a Life
I lost a friend several months ago. He died from a pulmonary embolism (PE) secondary to a deep-vein thrombosis (DVT) that originated in his lower leg. Bobby was in his mid-60s, soft-spoken and had a big heart.
What We Can Learn From Spine Surgery
Patients with lumbar stenosis presumably present for conservative care to improve their quality of life and avoid surgery. However, providing clear guidance to these patients can be difficult for a number of reasons.
Southwest Acupuncture College Brings It to Division 1 Athletes
When Michael Phelps' photograph with the distinctive round marks left by cupping went viral, the Division 1 student athletes treated through the Dal Ward Athletic Center at the University of Colorado (CU) could relate.
A First for the Profession: CCE Accredits First Chiropractic Residencies
The Council on Chiropractic Education (CCE) has awarded accreditation to all five chiropractic residency programs currently administered at Veterans Administration facilities, "the first residency programs in the nation ever to be awarded this distinction, a significant advancement in the evolution of chiropractic education," according to a VA press release announcing the milestone.
Another Chance to Make a Difference
Just a few months ago, "the worst natural disaster to strike the United States since Hurricane Sandy" hit Louisiana. During this storm, one area experienced 31 inches of rain in 15 hours as almost 7 trillion gallons of water rained down in just one week across the state.
Assessing Core Stability and ROM: 5 Basic Checks
One of the first steps in addressing core stability is assessing static posture, ranges of motion, and motion of the pelvic bones, sacrum, femurs, lumbar spine and thoracic spine.
Can a Multivitamin Reduce Breast Cancer Recurrence?
There is a great deal of controversy regarding the value of multivitamin supplements in cancer prevention. However, with respect to preventing breast cancer recurrence, an important study was published in the Journal of Breast Cancer Research and Treatment in 2011 by Kwan ML, et al.
Branding: Set Your Practice Apart
Dr. Brad started his practice seven years ago on a shoestring budget. He created his generic logo in five minutes using a website because he didn't have the time to figure out how to make something special.
News in Brief
New President / CEO Takes Office at Yo San University. Electroacupuncture for Constipation?
Dedicated to Defending Chiropractic
Whether you're a veteran DC or a first-trimester student, the name George McAndrews should be part and parcel of your professional vernacular, as familiar as the word chiropractic.
End of an Era Looms at NYCC
New York Chiropractic College recently announced that Dr. Frank Nicchi will retire in August 2017 after 36 years with the college, the past 17 as president.
A Letter to the Profession from the New President at AAAOM
Volunteering for a national, nonprofit organization brings with it such highs, lows, and accomplishments, as well as a steep learning curve.
Herbs for Digestion: The Power of Bitter
Many cultures (and indeed herbal clinicians) around the world have long respected the role of bitter herbs and foods for promoting digestion. For example, aperitifs – drinks consumed before a meal to stimulate appetite and digestion – were originally derived from bitter herbs.
Overuse Injuries in Young Athletes (Pt. 2)
Most overuse injuries are benign, but there are some high-risk injuries that, if unrecognized or inappropriately treated, can result in significant loss in time from the sport or even require leaving the sport.
Little Sticker, Big Impact
It's the end of an election year. Hilary Clinton and Donald Trump were the subject of conversation for everyone, everywhere for the entire 2016 calendar year. I don't think any of us can deny that this election affected us all very deeply on a personal level.
A Q & A About Updated Codes
Yes, indeed there was an update to ICD-10 on Oct.1, 2016. This is a regular update to the diagnosis coding system and this type of update will occur every Oct. 1, just as it did when the ICD-9 system was in place.
A Simple Protocol for Holiday Stress
It's winter, a time when we should be deep in reflection, eating warming foods and sleeping long hours. Following nature's rhythms, we restore our bodies and minds in preparation for the renewal of spring.
2016: A Year in the Life of Acupuncture
Happy Holidays, may you, your family and friends have peace, joy and blessings throughout this special time of year. As 2016 comes to a close, we can look back and celebrate the many events and accomplishments for the profession of acupuncture.
6 Steps to Make 2017 Your Best Year Yet
People often ask me what defines success. Success, for me, is simple: doing exactly what you want to do in life. Whether it's the kind of practice you run, your life at home, your hobbies or something else, it's achieving anything you put your mind to.
Molecular Motors: Tiny Machines Behind the Rhythm of Life
In the clinic, we aim to restore healthy patterns of movement for qi that has gotten trapped or misdirected, or may have even collapsed. We may be focused on freeing stagnation, releasing heat or redirecting counterflow qi, but it often comes down to helping re-establish a flow of sorts.
November, 2003, Vol. 03, Issue 11
CranioSacral Therapy Outlawed in Mississippi?
By Cliff Korn, BS, LMT, NCTMB and Rebecca J. Razo
Mississippi law governing massage therapy prohibits therapists from engaging in the "manipulation or adjustment of osseous tissue," and it appears that the Mississippi State Board of Massage Therapy (MSBMT) has lumped CranioSacral Therapy (CST) into this definition as a prohibited massage therapy practice.
Massage Today first learned of the situation from Mississippi therapist Brenda Eiland, NCTMB, RMT.Ms. Eiland, who studied Visionary CranioSacral work at the Milne Institute in Big Sur, Calif., was alarmed when she discovered that the Milne Institute application to become a Mississippi CEU provider was denied. A letter signed by MSBMT Executive Director Beverly Limbaugh to the institute stated that its program "does not meet the requirements for approval."1,2 Eiland subsequently contacted the MSBMT to find out if practicing CST in Mississippi was illegal.
"I didn't get a straight answer," she said. Instead, she received an e-mail from Limbaugh stating, "Our law does not permit the movement of osseous tissue" [emphasis ours].3 Unsatisfied with the response, Eiland contacted the Mississippi attorney general's office for a clearer explanation, wherein she received a response from Leyser Hayes, the special assistant attorney general representing the MSBMT. He stated: "Mississippi Law does not permit the movement of osseous tissue [CranioSacral Therapy has been defined by the board to involve this movement] ... Section 73-67-7 (h) Miss. Code Ann. (1972) as amended ... defines what massage means for purposes of the practice of same in Mississippi."4
Mississippi law §73-67-7(h) provides the following definition of massage:
Subsequent inquiries by Eiland and Massage Today to the MSBMT about the practice of CST were referred to the new Mississippi "Scope of Practice" rule, which was mailed to Mississippi therapists in September.
Generally, scope-of-practice statements outline permissible practices for legally operating massage therapists. Mississippi's scope of practice, however, only states what cannot be performed legally. The new scope of practice says:
Massage Today Editor Cliff Korn contacted the Mississippi Attorney General's Office and the executive director of the MSBMT: "Osseous tissue manipulation or adjustment are typically terms referring to chiropractic or osteopathic high-velocity, low-amplitude (HVLA) thrusts or techniques," Mr. Korn said in a letter. "Is it the interpretation of the board that 'manipulation or adjustment' is synonymous with 'movement'? I noticed in your listing of continuing education providers that all of John Barnes' myofascial release seminars were approved, and CranioSacral Therapy is an integral part of his teachings. Please ... confirm or deny the legality of a trained CranioSacral therapist to practice under the Mississippi Professional Massage Therapy Act," he added.7
In its response to Korn, the MSBMT stated the "Attorney general's office does not speak for the board of massage therapy. The Mississippi State Board of Massage Therapy speaks through its minutes." Again, Korn was referred to the Mississippi scope of practice rule.8
In a final attempt at clarification, Massage Today asked the MSBMT if the attorney general's office was incorrect in stating that "movement" of osseous tissue is illegal.9 In a written response, MSBMT President Lynn Cox stated: "The board has not interpreted any particular modality as the manipulation or adjustment of osseous tissue, but rather, reiterated in its statement on scope of practice that any technique that manipulates or adjusts osseous tissue is in violation of the law that governs massage therapists, as well as laws that govern other professionals. If the board ruled that one couldn't do CranioSacral, the name would probably be changed to SacralCranio, wouldn't it? The law has not changed. Massage therapists in Mississippi are prevented from the manipulation or adjustment of osseous tissue, regardless of one's 'expert' training."10
But according to Eiland, Cox's statement is untrue: "They have indeed signaled out a modality, as proved by the e-mail from [Hayes] and a message for me [from Limbaugh, stating] 'you cannot practice CranioSacral work as a massage therapist in Mississippi.' "11
Still, the MSBMT has yet to define the terms "manipulation" or "adjustment." In a letter to the MSBMT, Dr. John Upledger, Massage Today columnist, stated, "CranioSacral Therapy does not incorporate any techniques that involve direct osseous manipulation, mobilization or adjustments. Instead, practitioners focus on releasing restrictions in the soft-tissue, fascia and musculature that surround and protect the brain and spinal cord. How can I be so sure? Because I developed CranioSacral Therapy and coined the name... ."12
Despite repeated requests, the fact remains that the MSBMT has continued to be vague in responding to questions related to the practice of CST in Mississippi. It remains unclear if the MSBMT is defining the terms "manipulation" and "adjustment" to mean HVLA thrusts - or something more. Look for updates of this situation in future issues of Massage Today.
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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