resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
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).
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.
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.
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).
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.
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.
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.
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.
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.
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.
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.
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.
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.
February, 2004, Vol. 04, Issue 02
We Get Letters & E-Mail
By Editorial Staff
Mixed Feelings About Mississippi's Massage Law
Mississippi's ruling on CranioSacral Therapy (CST) has opened a huge can of worms ["CranioSacral Therapy Outlawed in Mississippi?" www.massagetoday.com/archives/2003/11/01.html].Let's see, this would rule out the periodontist who must hang on to my jaw for several hours to do his work (my neck was practically frozen until I got CST), and the dentist is prohibited from applying his work.
The chiropractor must do the adjusting without affecting soft tissue (now let's be fair - tit for tat). Since we are being territorial, we must be fair. General practitioners can no longer tell us to open up and say "aah" while depressing the tongue, because they will be affecting the movement of the facial bones. Yes, that is how little pressure CST applies. Can we hug without moving bones? And, really, a five-minute kiss can move more cranial bones than one can imagine. Is all that to be outlawed?
In my opinion, I believe there may be a purposeful splitting of hairs spawned from professional jealousy, without any consideration for the patients benefiting from CST in particular. It is my opinion that this is all politically motivated. How many professions will this affect? We have to be fair.
Donna Snow-Spears, LMT, NCTMB
Shortly after massage school (I've been practicing for seven years), my osteopath told me that while in school he saw one student deafen another student before class by "practicing." The teacher fixed the damage immediately, but this story made an impact on me. I was looking for growth in the scope of my practice at the time. I truly agree with my DO that we, as massage therapists, don't really have the educational background to practice without harming. This young osteopathic student was well into his education at the time of hurting his classmate, by the way. I say, "Yay, Mississippi!" I do think, however, that MTs with further credentialing (such as RNs) should have places like The Upledger Institute where they can study.
Moreyn Life Kamenir
Who benefits from a law that prohibits CST? Could it be that this entire issue over the wording in the law, which was originally designed to prohibit massage therapists from practicing chiropractic, is now being used by the same industry to push massage therapists off the CST-providers list? If this issue is allowed to stand, any massage modality that indirectly and/or passively moves osseous tissue will be prohibited. Think about it. That will include Swedish massage and passive range of motion. This [law] threatens to end massage therapy as a valuable alternative to the traditional medical model. If this law is not dealt with soon, it could cascade into other states, like Texas, Florida, or California. I can guarantee that the rest of the country is watching us; we must take action. Massage therapists must rise up as one voice to put a stop to this.
I was told by a senior member of the Texas House of Representatives that chiropractors and other interested professions (i.e., PTs) submit this same sort of bill to the congressional floor every fourth year (at the same time that new medical bills are in committee). He told me that these efforts of prohibiting massage therapy from practice always fail, due in part to the fact that the right to move osseous tissue among MDs and DOs is also being threatened. We need to help Mississippi find the same justice.
Claude Barrett, RMT
In Support of COMTA
I wanted to voice my opinion and concerns with the lawsuit brought against COMTA [www.massagetoday.com/archives/2003/11/02.html]. When I read this article, I became sick to my stomach. I have been a massage therapist for 11 years and have been the director of a massage program for six. I can't begin to describe my disappointment with the Galen Institute for its lack of desire to elevate the profession of massage.
The idea of an accrediting body is to give a profession a set of standards that is recognizable and uniform. When there is more than one agency doing this, it sends an unclear message to the public about the qualifications of the practitioners. I am also an athletic trainer and have seen the benefit of one nationally recognized accrediting body. The National Athletic Trainers' Association (NATA) began certifying only athletic trainers that have graduated from accredited programs about six years ago. Lists of competencies were created so that no matter where a student has graduated from, they will be able to perform certain skills. This hurt some internship programs but has elevated the profession to a new level. This is exactly what COMTA wants to do.
I have been to the COMTA accreditation workshop and have seen the competencies and other school requirements. I truly feel that by moving in this direction, our profession will be elevated to a new level and gain new respect. Having worked in many different environments, one hesitation in accepting massage as a legitimate modality is the inconsistency of knowledge bases from therapist to therapist; massage will be more readily accepted by creating some uniform standards and educating the public about those standards.
The comment was made that completing an accredited program cannot guarantee a quality student. That is true. No method of education can guarantee a quality product because there are many other factors besides knowledge that go into making a therapist. Having a set of uniform required skills will at least guarantee a consistent level of training. The big outrage is that some schools do not agree with COMTA and that, as Chris Folkers states in the article, "Presently, many schools out there will never meet and live up to the criteria for accreditation, either due to course hours or financial restraints. This puts these schools at a disadvantage when prospective students read from other agency Web sites that accredited schools are better than nonaccredited schools."
If some schools don't make the cut, so be it. Why should we continue to tolerate schools that put substandard therapists into the profession? Shouldn't the focus be on the good of the profession and not the individual? Massage regulations will vary from area to area, but that does not mean we should lower the educational standards to meet the regulations, it should be the other way around. The "don't pass, don't pay" approach to accreditation is not the common-sense approach; it is the stupidity approach. We continue to settle with just the bare minimum and feel that if we have to conform to higher standards we are being forced into doing something wrong. How can making the profession better be wrong? It is not a policy of exclusion, but one of qualification. There are no uniform standards for massage education and it is a shame that for the sake of financial gain, there may not be.
Steve Jurch, MA, ATC, LMT
Taking a Different Kind of Stand
I read Cliff Korn's editorial, "Take a Stand" (www.massagetoday.com/archives/2003/12/08.html), with interest. Potential government "oppression" is why I've opposed state regulation and the attempt to "legitimize" massage by kissing up to "authority" from day one. It's a major reason why I quit the AMTA and haven't joined any other group. The AMTA was, and probably is, also obsessed with kissing up to conventional medicine. "Ever dance with the Devil in the pale moonlight?"
So ego, professional hubris and greed drive us more and more into the limelight, until the threat to [our own] vested interests becomes more and more obvious. Naturally, chiropractors are threatened - much what they do is obviated by the proper visceral and soft-tissue work. By the way, this exemplifies a prevalent symptomatology in the alternative venue in general - an egoistic professional jealousy, wherein "my" modality is the answer.
I've written to various proponents of statewide standards/licensing, begging people not to pander to bureaucracies, which are notorious for serving agendas driven by lobbies. I've suggested we'd be better off in the bureaucratic shadows than in the limelight, and that massage was doing quite well just loping along in the background. But now, thanks to zealots, we're very likely seeing the tip of the iceberg of the regimentation that may descend as we try to define every little thing and move from art to "science." Even in face of this evidence, however, you insist that fighting state hall is best. Thus, thanks to screaming about what we can do, instead of just quietly doing it, we are faced with energy-draining activism to "buck the current trend" that's liable to take a decade or more, if it gets us anywhere but all "bucked" up with red tape, regulation, higher licensing, education and insurance fees, and so on. Talk about jumping into the belly of the beast!
Here's my stand: If you're in a state where state regulation isn't in place but is being pushed by the zealots, do your best to discourage their misguided enthusiasm. The one who will suffer most from this egoistic drive to stand out is the client, who will have to pay more and more per treatment to cover the costs of this yuppie mentality.
Peter G Tocci, BA, MT
Kudos to Korn
I loved Cliff Korn's recent articles on New Jersey's new proposal, Mississippi's law, etc. It doesn't seem like anyone is fighting for massage therapists in this country other than Mr. Korn and Massage Today. Where is the AMTA on all these issues?
Massage Therapy Survey Results
Regarding "Three Surveys Confirm Massage Relieves Pain" [Dec. 2003, www.massagetoday.com/archives/2003/12/03.html]: How can a massage therapy survey conducted by the AMTA (or any other massage organization) have any credibility? A proper and respectable survey should be conducted from an independent source.
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