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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.
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.
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.
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.
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.
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.
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.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
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).
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).
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.
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.
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.
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%.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
May, 2004, Vol. 04, Issue 05
Is It Time to Implement Levels of Education?
By Ralph Stephens, BS, LMT, NCTMB
In my previous article, the question of whether massage is a trade or a profession generated many interesting responses (www.massagetoday.com/archives/2004/03/11.html).One came from a person on the trade side: She claimed to be a "multiple-degreed professional" who teaches massage at the continuing education level, but misspelled many words, including "therapeutic." She informed me, "It is a massage, not brain surgery!" and indicated that she is part of a group that will "file a class-action lawsuit over any attempt to raise core requirements for massage therapists" in her state. She feels massage is nothing more than a trade, and "how dare anyone try to professionalize it," especially through education. This supports my theory that the status quo will always defend its cash flow.
From the professional side, a therapist from Canada held up his country's 3,000-hour model, which has a bachelor's program on the way. He wondered when the United States would catch up. Those are the extremes. They are far apart. David Palmer and others have promoted the idea of a multi-level profession for a long time. I have always resisted the idea of a tiered profession. The professional boundaries and scope-of-practice issues between each of the levels would be one of those proverbial "sticky wickets." The challenge is in defining where relaxation ends and therapy begins, and the entry-level education requirements for each level will undoubtedly create interesting discussion. I am beginning to think it may be the best idea after all. Is it time to establish and recognize a trade level and professional level of massage?
The trade level would be chair and table relaxation massage routines only; the professional level would include wellness enhancement and therapy. I'm just asking - not advocating. It's a discussion that needs to take place again. It was discussed and rejected in the early 1990s, but things have changed a lot since then. From my view, it is beginning to appear inevitable that some sort of split must occur. However, it will require a dramatic change in our current educational structure, which leads me to the next point: how to increase the quantity of skilled massage educators.
What's a School Without Instructors?
A fellow philosopher went beyond the trade/profession argument to point out that it will be very difficult to raise the educational component of our profession, unless we raise the competency of massage educators in entry-level programs. He is working on developing innovative programs that will accomplish that. He said:
The Council of Schools has been sponsoring massage instructor conferences for the last few years. This program needs to be expanded. Our educators need more training, especially in teaching psychomotor skills to adult learners. In regulated states, massage boards need to lead the way in establishing instructor credentials.
Do we need to create an instructor level or class within our profession? Of course, this would require determining what the requirements should be to become a professional massage educator. It needs to include more than just being a practicing therapist. (Last year's graduates are not acceptable as instructors.) It especially needs to be more than a therapist who cannot make a living doing massage or has destroyed their own body doing massage. Such incompetence does not need to be passed along. Whatever change happens in massage education, it will occur as a slow, evolutionary process...In the meantime, how about something useful, instead of philosophical?
The Deltoid Trap
Most of you only know me as a controversial columnist. While I enjoy sharing my views on the politics and philosophies of our profession in order to motivate people to think (and hopefully act), my first love is massage therapy and helping people find relief from their pain. To make my column more immediately useful, I plan to include a short, practical, clinical tip occasionally. The following relates to the upper trapezius muscle generally thought to elevate the shoulder, which is really more of a stabilizer that holds the clavicle against the sternum (www.chiroweb.com/archives/22/05/09.html).
This muscle often harbors trigger points that cause headache-like pain from the base of the skull, up around the ear to the temple. I often find it difficult to get this muscle to relax, and the trigger points refuse to deactivate. Look at "The Musculature System" wall chart from the Chicago Anatomical Chart Company, drawn by Dr. Peter Bachin. Notice the trapezius fibers share a common fascial attachment with the deltoid at the acromion process.
"Ah- ha!" I exclaimed when I noticed that. I treated and stretched the deltoid and went back to the upper trapezius, treated it again - and it melted into my hand - the trigger points reducing in 10 seconds of sustained pressure. Headache gone! This has worked hundreds of times for me. Think about it. Look at it. Try it. Your patients might like it!
Until next time, remember: A bad law is worse than no law at all, and no matter what you choose to call it, to the public it's all just massage.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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