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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.
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Patient Retention Techniques
When talking about techniques to grow your business, we tend to focus on the "large" aspect of the patient base, that is, on strategies to attract new patients. However, it is important to remember that "loyal" is equally, if not more, important.
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
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.
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.
Preaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
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.
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.
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
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.
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
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.
Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
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.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
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.
The Ethics of Herbal Prescribing
While teaching ethics classes, I often encounter licensed acupuncturists who are surprised that our use of herbs and supplements has a specific section in the material. It is often an aspect within ethics that clinicians don't think of in practice.
April, 2004, Vol. 04, Issue 04
Of Foxes and Henhouses
By Cliff Korn, BS, LMT, NCTMB
I rarely shy away from expressing my opinions about issues - good, bad or indifferent - related to the massage profession. I have written columns suggesting that state regulation in Mississippi and New Jersey is seriously flawed and detrimental to practicing therapists, and misses the mark of protecting the public.I recently was made aware of another state's massage board exercising its right to obtain a few minutes of fame. North Carolina's massage board recently posted proposed changes to its administrative rules, which rank up there with "world-class" bad legislation!
The individual who suggested I take a peek at the proposed rules did so because of some draconian clauses involving schools. Many who know me share my disdain of schools that use last year's students as this year's instructors, so I was prepared to be pleased to see that some of the schools' oversight was being tightened up. Unfortunately, "tightening up" in North Carolina means "bringing overbearing force."
One new rule would require schools to submit documentation and application on prospective new staff members before they begin working at the school - Stanford and MIT don't require that much oversight, nor does your local school district! If a faculty member gets hit by a bus the day before school starts, this rule would make it illegal to hire a completely qualified individual to meet the start of the school program! I understand the need to develop qualifications of instructors for any professional or trade school, but requiring the vetting of a board is several steps beyond reasonable need.
The massage board is further looking to regulate schools by doubling the fees and changing school renewals to $100 per student. From my brief analysis, this surely is adverse to all small schools in North Carolina, and is a major slap in the face to the profitability of one of the fastest-growing segments of massage education - the community college system. Community college tuition fees are mandated by law, whereas proprietary schools can pass through the new fees to students by charging higher tuition. It would be interesting to see if a proprietary school owner had a hand in the wording of these proposed rules, which seems to give that segment of massage education a competitive edge.
My guess, though, is that the average massage therapist is willing to let the schools fight their own battles and will focus instead on the impact on practitioners. I found these items of particular interest. There is a requirement to report others in violation of the state rules within 10 days, or be subject to the same penalties as the person causing violation. While I am a proponent of evaluation and policing by peers, I find this mandatory tattletale regulation offensive. I find it morally wrong when, as in North Carolina, the requirement is to report all charges of wrongdoing to the board, not just convictions. They seem to have missed the "innocent until proven guilty" clause in jurisprudence.
Arguably, the worst of the offenses that these proposed rules enable is the inclusion and misuse of much of the NCBTMB's Standards of Practice into North Carolina regulation. The new rules suggest that the proposed Standards of Practice section will provide a more comprehensive template for licensees to use as they carry out their professional duties. They say the requirements are intended to provide a greater measure of protection for the public as it receives massage and bodywork therapy in a wide range of practice environments. I think not; further, I think that the North Carolina massage board is attempting not to protect the public, but to shape the profession into a clinical perspective that the board itself holds.
It chooses to not develop its own Standards of Practice, but to cut and paste those from the NCBTMB. Its cut-and-paste method, however, is seriously flawed. In its wisdom, the NCBTMB chose to include, "if applicable" to many of its standards, realizing that circumstances and type of practice determine applicability. North Carolina chooses to say, "licensees shall" instead of "if applicable!" It has taken something good and turned it into something else to suit its own purposes. This is a common evil: using something for other than that which was originally intended.
I have long been a proponent of massage therapy as a regulated profession. One of the reasons I prefer it is because it lends itself to massage therapists providing peer review of complaints against other massage therapists. I have been a loud critic of nurses, chiropractors or others having oversight of massage therapy. That is particularly why I find the trend of poorly administrated regulation so frightful.
I see situations like this one (and those I recently reported on in New Jersey and Mississippi) as driving our professional self-determination into the hands of others. I hope that the ABMP, AMTA, IMA, and every other state and local association in North Carolina make their collective voices heard as to why the proposed changes should be reworked.
More importantly, I hope that all the practicing massage therapists in North Carolina exercise their rights to make comments to the massage board about these proposed changes. Any person has the right to comment on proposed changes to the rules.
If you wish to make such comments, the board requests that you:
It accepts written comments via United States Postal Service, private carrier or e-mail - but not fax. Your comments should include your full name, address and phone number. For more information, visit www.bmbt.org.
Thanks for listening!
Massage Today encourages letters to the editor to discuss matters relating to the publication's content. Letters may be published in a future issue of Massage Today. Please send all correspondence by e-mail to , or by regular mail to:
Former editor of Massage Today, Cliff is owner of Windham Health Center Neuromuscular Therapy LLC. He is nationally certified in therapeutic massage & bodywork and is licensed as a massage therapist by the states of New Hampshire and Florida. Cliff is a member of the International Association of Healthcare Practitioners; a professional member and past president of the New Hampshire chapter of the American Massage Therapy Association; a certified member of the Associated Bodywork & Massage Professionals, Inc.; and a past chairman of the board of directors of the National Certification Board for Therapeutic Massage & Bodywork.
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