resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
July, 2004, Vol. 04, Issue 07
We Get Letters & E-Mail
By Editorial Staff
The following letters were not published in the printed edition of Massage Today. E-mail your comments to . Some letters have been edited for clarity.
In this segment:
Letters regarding Ralph Stephens' March article, "A Trade or Profession?" (www.massagetoday.com/archives/2004/03/11.html).
Letters regarding Cliff Korn's March editorial, "The Evils of Money," (www.massagetoday.com/archives/2004/03/09.html).
Letters regarding Cliff Korn's April editorial, "Of Foxes and Henhouses," (www.massagetoday.com/archives/2004/04/11.html)
"Ralph Stephens' rants are thought-provoking"
I have to admit that Ralph Stephens' rants are thought-provoking, and this installment in the March issue is no exception.In my experience, massage is neither a trade nor a profession, but rather a vocation -- literally, a calling or even a spiritual calling. Caring human touch is the basis of massage, and is the energy that facilitates healing in all modalities. Without it, massage is just physical therapy.
The proliferation of mediocre schools is not what makes mediocre therapists, as Mr. Stephens asserts. This is a symptom, not the cause. The cause is mediocre students. (No, I don't teach massage nor run a school.) Cartoonist Gary Larson caught the essence of the problem in his cartoon strip, "The Far Side," when he showed Captain Hook in a job counseling office trying to decide whether to be a pirate or a massage therapist.
The fact is, a good student will become a good therapist even after going to a mediocre school, because he or she will make the extra effort needed. Conversely, you can send mediocre students to the best schools in the world and train them for thousands of hours, and they will still be mediocre therapists. This is true in all fields.
A 1988 Chinese study found that experienced qi gong masters emitted greater than 20 dB (100 times) more infrasonic acoustic energy from their hands than the control group. If this test or one like it could be applied to massage therapists, perhaps we could weed out mediocrity so that Mr. Stephens could sleep at night.
Warren Marsh, NCTMB
I'm a massage therapy student in Ohio, and will graduate around Thanksgiving, sit for the exams, and (as long as I pass) be able to stick those three important letters -- "L" for Licensed, "M" for Massage, and "T" for Therapist -- at the end of my name.
I plan to further my education after graduating by learning and adopting a large number of different modalities to be the best therapist I can. With regards to the whole Trade/Profession argument that's abounding in the massage world (and in particular this publication over the past few issues), I say "Phooey!" Let's look again at the definitions that Ralph R. Stephens gave us:
As far as I see it, we're both. We're skilled practitioners who work on the body for a fee (or not if you're so inclined) and require specialized training and education. In most cases, we continue to educate ourselves beyond graduating from school: we attend seminars and workshops; learn special modalities; and work with our peers to train and develop further skills.
Do allopathic doctors graduate into their professional lives without having skills? Would you want a doctor to operate on you with no surgical skills? Do architects graduate without specialized or extensive training? Would you hire an architect to build you a house if he or she didn't how to apply the laws of physics to construction?
The argument for massage to be seen as a profession instead of a trade smacks of elitism and wanting to be elevated to the mythical status that doctors, lawyers and accountants. Vice versa, wanting massage to be seen as a trade smacks of not taking pride in our continuing education, interfacing with all other facets of the medical community and building on the knowledge that already exists.
The "rub" is that educational standards and requirements differ from state to state for massage, and there's no baseline for education. There's no overall organization responsible for overseeing and regulating massage nationally. The current national examination, the NCETMB, is performed online -- theres no practical exam. How on earth, as physical professionals, can we not be tested on our palpation and manipulation skills? Some states regulate massage and provide their own examinations and licensure, while others do not. Some states don't even require a certification, never mind a license.
There needs to be a national licensure organization, just like there is for registered nurses. With a national organization at the helm, establishing a baseline for education, there would be a nationally recognized license that would allow therapists to work easily in different states (as they often find hard to do right now). Massage would also attain a level of acceptability within the medical community that it currently doesn't have; massage therapy can only benefit from such a thing.
In Ohio, massage therapy is a limited branch of medicine and regulated by the State of Ohio Medical Board. I'm proud of that, because massage therapy is perceived to be a healing profession, with regulation comes compliance and protection of the client base. We still suffer by not having practical testing, but I think we're better of than a number of other states.
Jason Paul McCartan
"Cliff Korn's column...opens a needed dialogue"
I just finished reading the March 2004 edition. Congratulations on the success of this magazine. I'm writing because I agree with Cliff Korn that massage therapists are under paid because many of us love what we do and aren't good business people. But, as our profession works diligently to increase the level of public awareness to the benefits of massage therapy it is time our profession stop putting a zero or discounted value on the importance of our work.
For example, in the article "Are You Sitting on a 24-Karat Gold Mine?" (www.massagetoday.com/archives/2004/03/07.html), Colleen (Steigerwald) Holloway's ideas for increasing business is to discount a massage by 50 percent or offer two massages for the price of one. I have yet to see any other profession offer suggestions such as this, unless they are selling a commodity that is overstocked. In the world of business it is important to know your target market. If massage therapists wants to increase their businesses, they should be more proactive. But, that doesn't mean selling services at a discount. There are plenty of other things that therapists can do to keep clients, such as sending birthday cards or reminder notices. As our profession becomes more aligned with the health care field, articles on how to run a successful health care practice would be appreciated.
Linda DeGray, MA, LMT
I have converted to the electronic form of Massage Today and it works great for me; the reminder in my e-mail box prompts me to read it. My only complaint is the same one I have about the paper issues: I mean to read just a couple of columns and wind up perusing the whole thing!
As always, Cliff Korn's [March 2004] column makes great sense and opens a needed dialogue. When I began massage practicing therapy in the 1970s there was a prevalence of the attitude "a massage should be as free as a hug," and for many, that outlook still has unwarranted resonance. The psychological makeup of caregivers and the prevailing attitude in the marketplace combine to create treacherous territory. Some massage consumers consciously or unconsciously expect that the therapist who enables their wellness should enable non-massage benefits as well. Although I do not practice anymore, I have acute memories of frequently hearing, "You have such a gift!" and having to ready myself to deflect attempts to receive my "gift" gratis.
I developed this rationale: My time and good name are all I truly have in life. I will give away some of the treasure of my time by doing massage, but it will be in exchange for someone else's treasure (of money or services), and will be done in a way that enhances my good name. I still donated my time to charitable enterprises and felt that was a way of adding to my good name.
Most schools are run by massage therapists who struggle with business concepts and applications. Just as one school in my old neighborhood had an entirely inadequate and absurd class in ethics ("Don't have sex with clients" and "Never break contact with your client's skin during a session"), some schools minimize or skip the very important topic of how massage works in the real-world marketplace
I hope your call for better a business foundation in massage schools brings about therapists who are better equipped to run their businesses.
P.S.- Regarding another issue you mentioned in your column: Do you remember Andrew Weil's address to the AMTA National Convention in New Orleans back in the 90s? He said that as he left Alaska to fly to Louisiana, people there were envious of his opportunity to be among hundreds of massage therapists. On the airplane he contemplated the shift of public attitude toward the profession. At the New Orleans airport he got into a taxi and when the driver asked what he was doing in New Orleans he said he was there to give an address to a meeting of the American Massage Therapy Association.
"Massage, huh?" the cabby said. "I bet you get lucky a lot."
Regarding Cliff Korn's March 2004 editorial, I definitely agree that massage therapists need to evaluate their fees based on their levels of expertise and their local market; however, I disagree with the insinuation that a massage therapist should charge more when "more advanced skills" are necessary to provide massage to his or her clients.
My physician does not charge more to bring all his knowledge to bear in diagnosing and treating patients, nor does my chiropractor charge more for a difficult adjustment. I passionately believe that my clients come to me for all my expertise, and to charge more or less for certain techniques would violate my code of ethics. That may be part of the reason I have never had to advertise, why many of my clients have been with me for over a decade, and why my appointment book is as full as I want it to be. I also believe that a "relaxation" massage, in many instances, is as therapeutic as a massage labeled as "therapeutic." The wise therapist is the one who recognizes and honors the value of both.
Paula Z. Hamelik, LMT
I have over 15-plus years in this business and can relate to this article. It was not long ago when folks said, "customer service in the health care field" when asked what I did for a living. NOT FOR FREE is what I take serious issue with in this article! I value myself as an incredible human with an ability to effect lives and not a work drone in a mundane field of body "fluffing." I disagree that most massage therapists/bodyworkers devalue themselves or are afraid of money or even success. Extreme cases are in all professions; for the purposes of this letter, set those aside.
In my experience it's those clients/patients that need us the very most that canot afford it. If payment had been demanded for all of our services and I taught my students to demand payment, that would be wrong! Yet, I would be monetarily thousands of dollars richer in cash. Yet, at what ultimate price would I have had to pay for such?
This is a healing-art profession; we are neither hairdressers nor car mechanics -- both wonderful fields, yet not the same. We are the tools that enable others to "heal" themselves in a triad of ways: body, spirit, mind. It is my divine gift to be able to work in this field. The inability to "share" or "give" free touch is more of an issue than the worthiness of the receipt of payment for it.
I have worked and felt, at times, like I had lost my ethical soul in several extremely high-end Houston "conveyor belt" spas, that charge clients an hourly rate for 50 to 55 minutes, give them some herbal tea and a promise for a brighter day. Really, the most ethical thing to do is to assist clients in a longer session that tackles the problem; explain the reasons for them to be aware of how to modify their actions/behavior to enhance each day of their life; or, in many cases, refer them to a specialist, such as a chiropractor or medical doctor -- not focus on "washing instructions for that fancy terry robe" that came with their spa visit or sell them some "magic cream" to make it all go away till next time; moreover, in my experience it's the "spa employers" that treat each therapist like a lower-class citizen and not appreciate the "gift" they have as a part of their intuition. That really knocks down even the healthiest spirit of a therapist.
Do not get me wrong, my hourly rates are higher than the average massage therapist, and justly so, due to my years of experience and education. As the sole-proprietor of my business, every day is a profit or loss. Just put it into perrspective of life: every moment is priceless; use each one for the "higher good," and abundance is yours! I practice bodywork to create such happiness and peace for others in our world.
What do we receive in compensation for these "freebies?" It's called "Karma," and each day it comes back to me, so make a mental note in your check register. Each day of my life, I am thankful and privileged to "touch others" for my bounty of health, family and prosperity.
I will never regret my "free" hours of "touching the lives" of the terminally ill hospital patients and families, AIDS clients, breast cancer survivors, war veterans, nursing home residents, newborn babies or burned children, animals and laid-off Enron employees. These bodies riddled with disease, disfigured through physical or emotional trauma and tortured by neglect are the most valuable of my clients.
Most importantly, it is a privilege to be there for them, and I never, never told a soul or promoted these "good deeds" for monetary gain from them or other clients. It is my gift to receive them into my life as a reminder of my own abundance in all aspects.
So who is receiving more? Think on that. I am thankful that my check register is filled with notes in black ink and sometime numbers in red. It's not the measure of the bottom line...behold the "Brass ring" that I hold.
Sheri Wood-Rogers RMT, MTI
More From the North Carolina Board of Massage and Bodywork Therapy
The following letter is in response to Cliff Korn's April 2004 editorial concerning rule changes to the massage licensing law in North Carolina (www.massagetoday.com/archives/2004/04/11.html).
Read a letter from the North Carolina Board of Massage and Bodywork Therapy's legal counsel in the June 2004 issue at www.massagetoday.com/archives/2004/06/12.html, and Mr. Korn's comments regarding the letter in his June 2004 editorial at www.massagetoday.com/archives/2004/06/09.html.
As the former Vice-Chair of the North Carolina Board of Massage and Bodywork Therapy (Board) and former chair of the board's School Approval Committee, I am responding to your editorial in the April issue of Massage Today. From my perspective, the article is inflammatory, inaccurate, and poorly researched. That you would receive information from an "individual" who suggested you "take a peek at the rules" and then choose to publish an article without bothering to confirm or verify facts demonstrates irresponsible journalism. I question what agenda and whose agenda you are attempting to convey to your readers.
First, let me state that I am not a current recipient of your publication. I was given the article when I attended the Spring conference of the North Carolina Chapter of AMTA (AMTA-NC) held recently in New Bern on March 26-28. Copies of your editorial along with copies of the draft of proposed rule changes by the board were provided to the chapter membership. I was concerned that your editorial comments were presented as factual, along with comments by the leadership of this organization, about the negative impact of these rule changes on the practice of massage in the state. Your editorial was touted as proof of this fact.
This was the first time I had attended an AMTA-NC conference. As the program director for the Therapeutic Massage Program at Pitt Community College in Greenville, NC, I had taken a group of my students to the conference as a way to introduce them to a "professional organization." Imagine the surprise of new students to see an article on the North Carolina Board of Massage and Bodywork Therapy presented in such a negative light, especially when their instructor was a former member. They were confused about what to think. It left them with negative impressions of the North Carolina board, before they had any experience with this regulatory agency.
I would agree with your statement in paragraph 4, of your editorial: you did provide a "brief analysis." I would also add from my opinion it was inadequate. For your information, North Carolina is the only state with massage regulations that do not have another state governmental agency administering some part of the licensing process for schools of massage and bodywork therapy. This responsibility used to be the domain of the North Carolina Department of Community Colleges (NCCCS).
When the North Carolina Massage and Bodywork Practice Act (our massage law) was written, it was assumed by the authors that the NCCCS would continue the licensing of massage and bodywork schools and the massage board would approve school curricula and instructional staff. After the Practice Act was passed, and the board was appointed, it was discovered that, due to state regulations, the NCCCS no longer had the statutory authority to license massage and bodywork therapy schools.
For the board, this meant it had to bear the full responsibility for creating and administering a comprehensive school approval process. As a former member of this agency, I can attest to the fact that the board had never imagined that it would be forced into the regulation arena without adequate funding or staff to administer such a program. As you may know, approving a school on paper is not the same as verifying compliance with all standards. As a result of this, the board formed a School Approval Committee, which I chaired.
For your information and enlightenment, there were no "former school owners" on this committee. Besides myself, the committee was made up of the board's public member (an attorney who is the current board chair, and who has taught in the state university system), and another therapist member of the board with years of practical and teaching experience. We all have advanced degrees. As a foundation for our research, we examined educational standards from the NCCCS, Commission on Massage Therapy Accreditation (COMTA), and the Accrediting Council for Continuing Education and Training (ACCET), as well as other state regulations. At that time I was maintaining my own private practice. I cannot speak for the other members of my committee, but I spent countless hours researching these processes and during that time reduced my practice to four days per week so that I could provide a service to my profession and contribute to the professionalism in the field.
Furthermore to insinuate that a "proprietary school owner" spearheaded the increase in school fees to drive small schools and the community colleges out of the massage education business is just plain irresponsible and complete nonsense. The fees that the board has collected to administer the program are about 25 percent of the actual costs. Without funding from the legislature, (which is precluded under our Practice Act) or another agency to administer the licensing process, the funding would have to come from the regulated group: the schools themselves.
There are several other issues in your article that I would like to address:
Candace C. Frye, MA, LMBT
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