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In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
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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