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.
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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