resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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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