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The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
July, 2004, Vol. 04, Issue 07
San Francisco Passes Controversial Massage Ordinance
By Editorial Staff
The Golden Gate Bridge. Lombard Street. Cable cars. San Francisco, long known for its distinct charm and appeal, has a little something for everyone. And effective July 1, 2004, "The City by the Bay" will add a controversial massage ordinance to its long list of unique characteristics.
In December 2003, former San Francisco Mayor Willie Brown passed the ordinance, which, among other things, shifts massage permit authority from the San Francisco Police Department to the Department of Public Health (DPH), and creates a two-tiered massage permit system that recognizes "therapeutic massage practitioners" on the one hand, and "adult entertainment massage workers" on the other.
According to information posted on the San Francisco Massage Ordinance Web site, the ordinance was created out of the need "to regulate adult entertainment massage and, in particular, massage parlors, which were perceived as a cover for prostitution-related crimes and as a magnet for activities ...that degrade the quality of life in a neighborhood." And though it was not intended to regulate massage practitioners, "therapeutic practitioners have been directly affected by the ordinance," nonetheless.1
The San Francisco Coalition of Therapeutic Massage and Bodywork Practitioners -- an alliance of professional massage therapists created to protect their interests -- did not believe in the necessity of city massage regulation; however, the coalition ultimately consented to the ordinance because of ensuing politics: "Most San Francisco elected officials have no desire to wipe out the massage parlors, so the net result is that therapeutic practitioners have to coexist, for the time being, with adult entertainment practitioners. We have come to the best compromise that we believe possible at this time."1
On the San Francisco Ordinance Web site, the coalition cited the following reasons for supporting the ordinance:
Under previous local legislation, all massage therapists were referred to as "masseuse/masseur" and required to have 70 hours of massage education. Under the new two-tiered system, the first level of practitioner, the "general massage practitioner," is required to have 100 hours to practice, while the "advanced massage practitioner" is required to have 200 educational hours.2
The ordinance also adds the "solo practitioner massage establishment" - a third business-permit option - to existing "massage establishment" and "outcall massage" options. The solo massage establishment business permit is available only to advanced massage practitioners and subject to fewer regulatory conditions.
While the ordinance may ease the permit process and clearly distinguishes therapeutic massage practitioners from adult entertainers, its implications do not sit well with some Bay Area massage therapists, especially since adult entertainment massage is often - though not always - associated with prostitution.
"Giving San Francisco's 'sex slave' rings, a compromise gift is not my idea of good massage legislation," said Brian Goodwin, BA, NCTMB, a massage therapist for over a decade. "I'm not necessarily saying California's massage law has to follow paths used by other states, but I do think any massage law should help protect the public. The new San Francisco massage law may offer the public a license to look at, but a license [that] represent[s] nothing."3
However, David Palmer, founder of the TouchPro Institute and co-chair of the coalition, sees things differently. "Legislation in the massage field is a complex issue," Palmer said in a phone interview with Massage Today. "The primary reason for all massage legislation is because of prostitution. Because prostitution is illegal, [some] are using massage as containers for business. In order to control adult entertainment, [we] need to regulate massage parlors...San Francisco is unique in that the Board of Supervisors does not see massage parlors as a 'legal' issue; they prefer to see massage parlor prostitution decriminalized except when there is a victim [of a crime]."4
According to Palmer, San Francisco city officials are primarily concerned with human trafficking offenses and the proliferation of sexually transmitted diseases. In order to address these issues, "San Francisco has not chosen to take a standard route to separate or distinguish adult entertainment from therapeutic massage," he said.4
And though Palmer admits the ordinance is "not a perfect solution," he believes it is a "clear step forward," and insists it is not a setback for the massage profession or future massage regulation. Instead, Palmer believes the ordinance benefits therapeutic massage practitioners, especially in regards to establishing private practices.
Palmer also stressed that the ordinance had the support of the American Massage Therapy Association (AMTA) and Associated Bodywork and Massage Professionals -- something Goodwin finds disheartening. "Months back, I wanted to get my picture taken setting my AMTA certificate on fire, and get [the photo] published," he said.
Goodwin has since taken a less drastic approach of conveying his distaste for the AMTA's support of the ordinance by simply withdrawing his membership.3
Conversely, Palmer is unfazed by critics. "San Francisco is a trendsetter," he said. "The message going out is that we've grown up in the past 20 years in this culture. San Francisco is saying, 'We trust [that] our citizens can make the distinction [between adult entertainment and therapeutic massage].'"
Palmer believes the ordinance is just the first of many transitions relative to San Francisco massage regulation. "It's not the last word in massage," he said. "But it's a good first word."
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