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News In Brief
A "Modern" Business Model. Acupuncturists may have a new professional atmosphere to consider, as a new concept is on the horizon - at least for one business.
The First (Only) Choice for Spinal Pain
The study on NSAIDs for spinal pain summarized on the front page of this issue is intriguing on a number of levels, the most obvious being the conclusion that "compared with placebo, NSAIDs do not provide a clinically important effect on spinal pain, and six patients must be treated with NSAIDs for one patient to achieve a clinically important benefit in the short-term."
Good Works at the Canandaigua VA
Faculty and students of the Finger Lakes School of Acupuncture and Oriental Medicine (FLSAOM) of the New York Chiropractic College have provided acupuncture to veterans at the Veterans' Administration Medical Center (VAMC) in Canandaigua, New York since September of 2007.
The Qi Focus: A Guide to Managing Stress
Stress, are you experiencing heightened stress levels? Your own, and your clients? Is Trumpitis getting to you? I recently polled a cluster of acupuncturists, Asian Bodywork Therapists (ABT) and psychotherapy colleagues on the issue.
Scope of Chiropractic Practice: Why Now Is the Time to Expand
In my January article, "Scope of Chiropractic Practice: Is It Time for Change?" I discussed the use of the term primary spine care practitioner, the loss of privileges to diagnose in Texas, and the fact that the definition of "chiropractic" varied from state to state.
What's Bugging You? Probiotics and Your Health
An estimated 100 trillion microorganisms representing more than 500 different species inhabit every normal, healthy bowel. Gut-dwelling bacteria keep pathogens in check, aid digestion and nutrient absorption, and contribute to immune function.
How to Correct a Cuboid Subluxation
Cuboid subluxation is a poorly recognized condition, even though it is not uncommon. It has been described in the literature under various names: cuboid subluxation, cuboid syndrome, locked cuboid, dropped cuboid, cuboid fault syndrome or peroneal cuboid syndrome.
Toxicity & Kids: The Importance of Environmental Intake
The old adage is true that children are not little adults. Traditional Chinese medicine (TCM) has long known that the physiology of children is unique, as are the diseases that plague them.
The Chiropractor's Guide to CRISPR
Science magazine's "Breakthrough of the Year" award for 2015 was described as "the gene-editing tool called CRISPR." CRISPR stands for "clustered regularly interspaced short palindromic repeats."
Treating the Terrain of Chronic Sinus Infections
Chronic sinus infections can be stubborn to treat, but the therapeutic path forward can be simplified when utilizing three distinct treatment principles which take into account the terrain of the body, and the way in which microbes grow.
Chiropractic: A Great Fit for the White House
Dr. Eric Kaplan is a New York Chiropractic College alumnus; a No. 1 best-selling author whose books include Awaken the Wellness Within and The 5 Minute Motivator; a chiropractor for professional sports teams and elite athletes; and even served as an advisor under the Clinton Administration to the President's Council on Sports & Physical Fitness.
Give Your Patients the Ergonomic Advantage
Prolonged sitting contributes to low back pain and is a health risk. When I discuss my POLITE technique practice recommendations with patients, ergonomics may be last, but not least!
Treating LBP the Right Way: Think Natural
An updated clinical practice guideline from the American College of Physicians (ACP) recommends spinal manipulation and other non-invasive, non-drug therapies as first options for acute, subacute and chronic low back pain, rather than pain medications, as stipulated in the original 2007 guideline.
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
Shedding Light on the Benefits of Heliotherapy
I can't imagine anyone not feeling good strolling in the sun on a beautiful spring day. The sun is responsible for all life on earth and is best illustrated along the equator touting the richest biodiversity on the planet, in stark contrast to the Arctic Circle and South Pole.
Insomnia Treatment Based on the Yu Theory
In recent years, acupuncture has risen in popularity as a form of alternative or supplemental medicine for the treatment of many different types of disorders.
Waist Circumference: A Conversation Starter (Part 2)
Now let's discuss the clinical approach to reducing WC and implementation in today's chiropractic practice. The primary intervention centers around dietary modification and lifestyle habits aimed to reduce adiposity, improve insulin sensitivity and ultimately, diminish systemic metabolic dysfunction.
Caring for Refugees in Greece
At the beginning of 2016 I had no idea what was in store for me, but I was looking forward to a personal retreat on the Greek island of Paros; a graduation gift to myself after 22 years of motherhood, and four-plus years of Chinese medicine school.
Help Save an Important Chiropractic Landmark
The chiropractic profession has a splendid and varied history. Sadly, many landmarks have been lost to bulldozers and wrecking crews, such as the Ryan Building, Little-Bit-O-Heaven, Spears Chiropractic Hospital, and Clearview Sanitarium.
NSAIDs No Better Than Placebo for Spine Pain
A meta-analysis of randomized, placebo-controlled trials comparing the efficacy and safety of NSAIDs with placebo for spinal pain concludes that among 6,065 spine pain patients, "NSAIDs reduced pain and disability, but provided clinically unimportant effects over placebo."
5 Ways to Enhance Your Family Practice
Every practice has a personality style. A practice that caters to athletes, PI cases or adults, for example, projects differently to patients than a family wellness practice.
January, 2004, Vol. 04, Issue 01
We Get Letters & E-Mail
By Editorial Staff
Editor's Note: Some letters have been edited for space and clarity.
The State of Massage Education
I must agree with Ralph Stevens that massage education is still failing (November 2003, www.massagetoday.com/archives/2003/11/10.html); however, I do not believe that adding more hours to training programs will automatically result in higher standards.
Many schools with 500-hour programs fail to make the best use of those hours, and tacking on additional hours would simply result in more wasted time for students.I fear the problem runs deeper than hours or even external standards imposed by accreditation agencies. At the heart of the issue, the failing of massage education reflects our society's dreadful "dumbing down" of education, in general. We have shifted the focus of education to coddling students, and making them feel good, regardless of their performance. True education demands excellence!
Instead, we kowtow to slackers, afraid to bruise their fragile egos by pushing them to be accountable to higher standards, work harder, and strive to achieve their best. As a nation, we have forgotten that the only place where success comes before work is in the dictionary! When we spoon-feed "knowledge" to students, we rob them of the joy of true learning. They learn nothing of the struggle to master an idea or skill, and the confidence that is built as a result of that struggle. To quote Michelangelo: "If people knew how hard I have had to work to gain my mastery, it wouldn't seem so wonderful."
Gail Frei, LMT, NCTMB
(Editor's note: Read more about Gail's position on education in her article, "A Quality Education Benefits More Than Students," in this issue. www.massagetoday.com/archives/2004/01/04.html)
There are many massage schools lacking in quality. I have been teaching for three years now, and have seen less than adequate teachers in the massage profession. My [school's] program is one of the most expensive in the state, but we seem not to give the students their money's worth!
Some more comments on Ralph Stephens article: I don't feel that the educational level of practitioners is as much of a threat to our profession as the proliferation of massage parlors. Businesses that represent their work as "massage" when they have only one credentialed therapist are committing acts tantamount to misrepresentation and fraud. The organizations that offer these businesses memberships should also be sanctioned.
Also, after 10 years as a registered nurse in holistic health, I must agree that despite its problems, it may be essential for the U.S. to switch to a national health plan. While Mr. Stephens may not want to help pay for the care of affluent Americans, I hope he understands that he is currently paying for the care of many "noncitizens." Many of my patients "worked the system," getting better health care than was available to me. Yes, it will be a tough fight to limit health care to the basics for all and pay-as-you-go extras, but won't it be worth it to have all Americans covered for basic medical necessities, including post-accident massage?
Suzanne Christy, RN, BSN, CMT
Misgivings About Massage Poll
Massage Today's October 2003 online "Massage Poll" asked: "Do you think the National Certification Examination for Therapeutic Massage and Bodywork (NCE) is a reliable tool to evaluate the knowledge and skill of a massage therapist?"
The National Certification Board for Therapeutic Massage and Bodywork (NCBTMB) is interested in the perceived value of its exam and national certification. That's why NCBTMB conducted a survey in conjunction with FGI Research (a unit of Yankelovich Research) of nearly 800 practitioners this September. In direct contrast to Massage Today's results, the NCBTMB survey indicated that:
Survey participants were selected randomly from three categories - current nationally certified practitioners; those who had let their certification, lapse; and certificants approaching their renewal period - for the 20-minute phone survey.
The discrepancy between Massage Today's poll and NCBTMB's study lies in the nature of the research. Massage Today indicates that its poll is "nonscientific," but fails to mention that visitors to its Web site may vote on the poll as many times as they wish. Massage Today stated that the survey results represented "responses from 4,166 people" [December issue]. In fact, the survey may not represent the responses of 4,166 people inasmuch as it represents 4,166 votes - not exactly a fair representation of the voice of the profession.
National certification is more than an exam - it's an entire program of requirements developed to ensure competency and standards, including 500 hours of formal in-class education or a portfolio of comparable experience, as well as passage of the NCE and a pledge to uphold NCBTMB's Standards of Practice and Code of Ethics. Certificants must recertify every four years to demonstrate continued competence. Considering these factors, it's difficult to accept the Massage Today poll as a true indicator of practitioners' perceptions of the NCE and national certification.
NCBTMB is committed to maintaining the quality of its certification program and listening to its certificants. We will continue to pursue our mission to foster high standards of ethical and professional practice through a recognized credible credentialing program that assures the competency of practitioners of therapeutic massage and bodywork.
Garnet Adair, NCTMB Chair, NCBTMB
The following letters were not published in this month's print version of Massage Today.
"Canyon Ranch at the Venetian only finds 'acceptable' candidates from the Nevada or Utah Schools of Massage Therapy"
I am writing in response to the featured article "An Interview with Blake Feeney, Director of the Canyon Ranch Spa Club" (Talking Spas, September, www.massagetoday.com/archives/2003/09/15.html); specifically, in regards to a quote in the article pertaining to where Canyon Ranch at the Venetian finds "qualified personnel."
It is well known in the Las Vegas massage community that Canyon Ranch at the Venetian will only accept applicants who have graduated from either the Nevada School of Massage Therapy or Utah School of Massage Therapy (both schools are from the same parent corporation).
Applicants who have "confidence, therapeutic skills and a professional massage," as well as spa experience and local licensing are summarily ignored. Bottom line is: Canyon Ranch at the Venetian will hire a graduate from the Nevada or Utah schools with zero spa experience, zero private practice experience, no licensing, no national certification, and zero continuing education. Other applicants -- no matter how experienced, qualified or credentialed -- are ignored.
Surely, in a resort town with a thriving spa industry and many quality massage schools, there are any number of candidates who possess the skills to land a position at any resort spa. And while some spas are specific in their expectations of applicants (such as having at least one year of spa experience), I find it odd -- bordering on discriminatory -- that Canyon Ranch at the Venetian only finds "acceptable" candidates from the Nevada or Utah Schools.
The glossy corporate spin of the article only pays lip service to the mirage of Canyon Ranch Spa at the Venetian as an equal opportunity employer when it comes to massage therapists.
"I had the same experience with NCBTMB"
Just viewing letter to the editor from Robert Orzel [December 2003, www.massagetoday.com/archives/2003/12/14.html]. I had the same experience with NCBTMB. I went to an AMTA-approved school in Washington, D.C. nine years ago, passed the national certification exam and was licensed by my state. Then I moved to Arizona where they do not recognize national certification. I also think there should be a grandfather clause. I know exactly how Robert feels. Maybe if more of us spoke up, the Board would look into this.
Readers Appreciate Our Writers
I am a Sports Therapist in Gaborone, Botswana, Southern Africa. I really enjoyed [Michael McGillicuddy's] article on post-event sports massage (September, "The Art and Science of Post-Event Massage," www.massagetoday.com/archives/2003/09/09.html). It was straight to the point and made for easy reading.
I was pleased to see [Karen Jones'] iridology article in October's Massage Today (www.massagetoday.com/archives/2003/10/05.html) and was glad to see information on the International Iridology Practitioners Association (IIPA).
It is nice to see a mostly accurate description of iridology in the media, as this has often not been the case. One thing I find helpful as a massage therapist is identifying the presence and amount of contraction furrows. A client with a high quantity of these concentric rings is most likely to have extremely tight muscles and a lot of resultant myalgia. They [tend to] desire the deepest massage work to help unwind those tight muscles. Without significant lifestyle changes (i.e., slowing down, exercising, yoga/stretching, deep-breathing/relaxation practices), they are destined to be long-term massage clients! On the other hand, clients with loose iris stroma cannot tolerate deep work and do best with lighter work.
Dr. Bill Caradonna, Cofounder, IIPA
I'd like to compliment Maria Mathias on her article, "Infant Massage - Everyone Benefits" (November, www.massagetoday.com/archives/2003/11/05.html). The content is excellent, and it is written in a way that is very easy to comprehend. The main points are very well stated. A wonderful summary!
Thank you to Ralph Stephens for providing a clear, true voice for our profession; for your activism; for your wisdom and understanding of our current health system; for demanding accountability and integrity from our massage schools; for a vision of health care that is inclusive; for your independent thinking; and for defending your right to present your "view."
I look forward to more insightful columns and am glad you care so much about our profession. Mahalo nui loa, Ralph Stephens, and Massage Today for publishing a man of conscience.
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