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Chiropractic Research in Review
Predicting Pain With Disability in Office Workers; Traction Approaches for Discogenic Cervical Radiculopathy; Intra-Articular Gas Bubbles Following Manipulation; Nonresponsive Chronic Ankle Sprains: Think Tendon Rupture.
Essential Orthopedic Testing: Tests That Involve Standing on One Leg
Since these tests have a common mechanism of performance (standing on one leg), there are differential diagnostic concerns during testing. The tests cannot be completely isolated from each other for performance.
Uncle Sam Needs You (Part 2)
Where chiropractic care has been used in the military health services, it has been deemed very successful.
Jingei Diagnosis: An Effective and Powerful Diagnostic
I graduated from the Kotatama Institute under the direction of Drs. Masahilo and Katsuharu Nakazono in 1984. As a student, I was exposed to the practice of most of the various theories and modalites of Oriental Medicine.
To The Finish Line With the Help of TCM
When acupuncturist Eddy De Smedt pursued a career in Traditional Chinese Medicine, he knew he wanted to make a difference.
Managing Today's Fertility Patient
I recently received an email from one of my fertility patients: "Got my lab results back. FSH is 11, AMH is 0.7. My doctor said these numbers aren't good. I guess I'm infertile. Just as a thought. Just set up an appointment to speak with an adoption agency."
The Wonders of Light Therapy: An Interview with Wes Burwell
I first met Wes Burwell in 2011 when he was teaching a class on light. Since then, every time I hear him speak, his understanding of the benefits, function and capacity of light has evolved.
The Case for Immunization
As long as I have been a chiropractor, I have seen many in this profession oppose vaccinations. Indeed, it has often been taken as a "given" that to be a principled chiropractor requires a curmudgeon's willingness to hold aloft that banner of opposition.
Pulse Diagnosis: What We Know
I am still finding pearls of wisdom from the books and papers that I inherited from my pulse diagnosis mentor Jim Ramholz.
CMT & Stroke Risk: Myth vs. Fact
By now, most of you have probably heard that the American Heart Association recently published a statement regarding the association between cervical dissection (CD) and cervical manipulative therapy (CMT).
The Tao of Gender
If you think gender is as simple as having a new client check off the "male" or "female" box on your intake form, we hope this article will expand your understanding and thus the reach of your health care.
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 2)
As mentioned in part 1, using a flexion-distraction table is a great way to unlock this particular fixation. You have found the stuck segment. You have determined whether it is unilateral, midline or bilateral.
The Heart Protector
On the physical level, the Pericardium is a double-layered sac of fibrous tissue that envelops the Heart. The space between the layers is filled with serous fluid that protects the Heart from external shock or trauma and lubricates to allow for normal Heart movement.
Communication 101: Please Explain Yourself!
Twice this past week, I overheard conversations about chiropractic. As you can imagine, it is a topic my ears naturally pick up. In both cases, a patient was talking to a friend about their experience with a chiropractor.
Commingling Money: 12 Questions for the ACA About the CHAMP / NCLAF Merger
The American Chiropractic Association recently announced it was merging the National Chiropractic Legal Action Fund and the Chiropractic Health Advocacy and Mobilization Project into a single entity that will support both legal and legislative actions.
Simple Ways To Find True Happiness
Patients in our clinics are always seeking happiness. As their health advocate, we need to ensure we inform them that in order to find happiness, they have to make sure to identify what makes them happy in the first place.
Correcting Pelvic Rotation Around the Long Axis: Adjustment Protocol
The pelvis can be considered a ring that can misalign on the sacrum rotating around the long axis. The following is a description of an adjustment that helps to correct sacroiliac rotation around the long axis.
Managing Patient Expectations About Acupuncture
Last year, I attended the Pacific Symposium in San Diego for the first time in six or seven years. It was the 25th anniversary of this event, and on one evening there was a panel discussion with the title; "What is Qi?."
AOMA Strengthens Leadership Team
AOMA Graduate School of Integrative Medicine, a leading college of acupuncture & herbal medicine, announced the appointment of Donna LaPoint Hurta, MBA as the new VP of Finance & Operations this Fall.
Sports Science: What's in That Drink?
Athletes frequently ask me what the best liquid is to drink during exercise – water or a sports drink? Water provides the necessary hydration, but unfortunately, it lacks the key nutrients to aid in performance and recovery.
Dr. George Goodman and His Legacy to Logan University
Those who knew him called him a revered leader, a visionary and one of chiropractic's biggest advocates. George A. Goodman, DC, Logan University's sixth and longest-serving president, passed away on Sept. 9. He was 70 years old.
Lime Jello on Morphine
Taste is in the eyes... actually the mouth... of the beholder. My food preferences have changed, lightening from the food of my youth. My parents loved heavy eastern European cuisine and I loved it as a child. Now I enjoy leaner, healthier whole foods.
Healing With TCM at San Quentin State Prison
For the prisoners at San Quentin State Prison, life-sentences are the reality of every day life. It is not often that prisoners get the opportunity to use alternative medicine to deal with common ailments they encounter behind bars such as, depression, anxiety and pain.
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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