resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Code Connection: Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
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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