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Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
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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