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Melatonin: A Promising Natural Agent in the Prevention of ALS
A number of years ago, experimental studies suggested melatonin could block key steps in the development of Alzheimer's disease, primarily by acting as a brain antioxidant and inhibiting the build-up of beta-amyloid plaque in the brain.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
Online Marketing Basics: Google Ranking, Part 1
We all know there is so much opportunity with online marketing. And, let's face it, if you don't have a presence online with a website and social media, you are probably not where you want to be.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Medicine as Metaphor
The practice of medicine is both an art and a science. We study and learn the system so that when the time comes to apply it, there is a greater possibility of successfully helping others.
The Integrative Medicine Puzzle: Putting the Pieces Together
The conversation is changing in the broader healthcare community with patients actually moving the discussion toward more integrative topics. Patients today want to know their options.
Exploring and Learning from the Gift of Life
I'm grateful to have had the opportunity to teach cadaver dissection classes and workshops with Stephen Cina at the New England School of Acupuncture over the past seven years, first through the Sports Medicine Acupuncture Program and later as a NESA elective course.
Can Acupuncture Treat Knee Pain?
Recently, an article in the Journal of the American Medical Association concluded that, "neither laser nor needle acupuncture conferred benefit over sham for pain or function" among older chronic knee pain patients.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Adding Microneedling to Your Clinic for Results and Profit
Microneedling has taken the beauty world by storm over the last 10 years. Under the names dermaroller, microneedling or skin needling you will see these treatments listed in the services of nearly every fashionable beauty salon and day spa in the country.
The Art of Creating a Healing Space
I always advise my graduates to examine their group practice or treatment rooms with fresh eyes after they leave my CE workshops. I tell them, "Ask yourselves - is your space qi filled, welcoming and healing? Or is it cold and clinical?"
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
The Source-Luo Point Combination, Part 3
Dr. Nguyen Nghi (NVN) was born in Vietnam and is one of the most important scholars, writers, teachers and practitioners of modern time. Many of his theories and applications are the source of modern teachers from Europe and the United States.
The Roots of TCM in Depression Treatment
In traditional Chinese medicine, there is historical precedent for the treatment of so-called "Shen" (Heart-Mind) disorder, or disorder/dysregulation of the spirit, which is also considered as distinct but not separate from the cognitive function of the brain.
Merger Creates New Model of Care
Two San Francisco powerhouses of holistic healing, the American College of Traditional Chinese Medicine (ACTCM) and California Institute of Integral Studies (CIIS), are merging. Together they are building a visionary approach to applied integral health.
Abdominal Acupuncture for Eye Healing: The Sacred Turtle and Ba Gua Map
Our ideas about western medicine have shifted in recent decades, while the public is asking more from health care providers.
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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