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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%.
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.
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.
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.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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).
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.
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.
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.
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).
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.
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.
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.
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.
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.
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.
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.
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.
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.
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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