resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
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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