resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
How Many of Your Patients Have Sarcopenia?
Figure 1 demonstrates the typical appearance of sarcopenia in the paravertebral muscles. Have you considered evaluating your patients for this problem? Sarcopenia is the progressive loss of skeletal muscle mass and function that affects the older population.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
An Alarming Lack of Accountability
Accountability seems to be a lost quality today. The simple act of taking responsibility and doing the right thing just doesn't happen as often as it should. Maybe it is the litigious nature of our society.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Designing a Fitness Plan (Part 4): Blending Pain Relief With Healthy Aging
Pain relief is still the No. 1 reason patients come to my office. However, most of my patients have other goals as well, such as: "I want to lose 10 to 20 pounds"; "I feel old and want to slow down the aging process"; "My doctor says I am becoming a diabetic and need to exercise"; or "I'm tired and want more energy."
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
Misconceptions & Opportunities With Medicare
As I speak around the country on how to properly document Medicare patient encounters, I get questions regarding opting out of Medicare. There are many misconceptions about opting out of Medicare, including just what it means to opt out.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Let's Streamline Your Front Desk
Your front office can be your greatest source of efficiency or a constant bottleneck. Increasing the productivity of this area without sacrificing the quality of patient interaction can be a little tricky.
Specialized Pro-Resolving Mediators: 21st Century Inflammation Fighters
Specialized pro-resolving mediators, or SPMs, are a portion of the omega-3 fatty-acid spectrum that have been shown to have a powerful effect on reducing inflammation.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
Identify & Adjust the Apex Posterior Sacrum
Low back pain involving an apex posterior sacrum (+θX-axis misalignment) typically presents with signs of lumbosacral joint impingement or facet syndrome.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
News in Brief
Northwestern Student Honored for Addressing Concussions Head-On; Northwestern Announces New CFO; Life U. to Provide Unique Opportunity.
Excited to Share the Science of Chiropractic: An Interview With Dr. Heidi Haavik
Dr. Heidi Haavik has become known in the circle of chiropractic researchers as not only a rising star, but also one willing to do research that can have a major impact in the scientific world and how chiropractic is perceived.
Day in the Life of an Advanced-Practice DC
Can you tell us a little about your background in the profession? Why did you want to become a DC? I studied at Boston University from 1968-1972 as a pre-med student majoring in biology.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
July, 2004, Vol. 04, Issue 07
We've Made It!
By Ralph Stephens, BS, LMT, NCTMB
Massage therapy has finally arrived as a significant player in health care. How do I know? From the article, "Setting the Record Straight," by Rebecca J. Razo in the June issue of this fine publication (www.massagetoday.com/archives/2004/06/02.html).When I read that well-written article, my heart jumped with joy. I shouted, "Alright, we're there - we've finally gotten to them!" Massage has finally tripped the radar of the allopaths, and they have begun their typical attack.
The medical "cartel" does this whenever some product or procedure begins to affect their bottom line. They start attacking it, trying to discredit it. Their first effort is always to scare people away from alternative providers and products, and back into their clutches by labeling the alternative dangerous, unsafe, unproven, blah, blah, blah.
If they can't accomplish that, they demand to control access to the alternative. If you haven't noticed, they have been pulling this same cowardly, poverty conscious routine on the chiropractic profession for decades. They go after any natural food supplement, herb or remedy that becomes popular and negatively impacts the sale of pharmaceuticals. The highest acknow-ledgement the medical-pharmaceutical cartel can give is its effort to eliminate or control you. It is the true measure of your success and effectiveness.
Do not get down about this "hit" piece; it is great news! We are hurting the allopath's bottom line. We are reaching enough people that they are getting upset. This is just the first of many hit pieces to come. Rejoice! Don't worry; be happy! It means we are winning. The allopaths' efforts have not stopped the growth of chiropractic, and they will not stop the growth of massage, unless we sell out to the allopaths by giving control to them.
I have carefully observed the attacks on DCs and the natural food and supplement industries for many years. This hit piece against massage perfectly fits the pattern they used against chiropractic. The media always allows some individual physician to make outrageous, unchallenged statements about some product or alternative therapy that sound plausible to the untrained lay person. When challenged, the physician backpedals, but the media never does an effective retraction. If they even do one at all, they bury it or minimize it.
When Dr. Robert Gotlin was challenged, he said, "Massage therapy is an excellent modality choice if not contraindicated." Well, duh - If that is what he really believes, why didn't he say that? He is like a racist saying, "I'm not a racist, some of my best friends are black, Asian, Indian, etc." The good doctor (I'm being generous here) expresses his real complaint when he says his concern is for those who self- treat without seeking appropriate medical care. What this means is, he thinks doctors should be in control of who can receive massage. He wants his office visit fee; he wants to control who can get massage, how often, and what type. Dr. Gotlin says he does not care if someone without pain gets a nice, relaxing massage. You see, that is all they thought we were doing. That is why they have left us alone this long. Now they are figuring out what massage can really do (and is doing) and they want control of it - to suppress it. (Hey, you up there in New York; anyone ever gotten a referral from the good Dr. Gotlin?)
I wonder how concerned Dr. Gotlin is about the 783,936 people murdered each year - (oh, come on Ralph, don't use such emotionally inflammatory language); all right, just killed - by his conventional medicine "colleagues" in America? (Oh, by the way: Those are just the ones they admit to in their own publications.) The leading cause of death and injury in America is the medical system. Talk about dangerous, unsafe and unproven! What about the 2.2 million people per year having in-hospital adverse reactions to prescription drugs; the 7.5 million unnecessary medical and surgical procedures performed annually; or the 8.9 million people hospitalized unnecessarily each year?
Why isn't Dr. Gotlin -- or the media -- concerned about this? For the answer, just follow the money trail. You should read the study, "Death by Medicine" at www.lef.org/magazine/mag2004/mar2004_awsi_death_01.htm.** We should be sharing it with everyone we can. The public needs to know how it is being systematically abused by the medical-pharmaceutical cartel, and its blind trust in the "conventional medical system" needs to be broken.
When this happens, people will begin to take better care of themselves, and alternative providers will come to the forefront of health care, where they should be. Kudos to the 10,000-plus licensed massage therapists in New York who are doing such good work. New York has a strong massage law, higher than average standards, and its own exam -- and it's working. Keep those storefronts open and keep helping people!
Something to think about: To those who believe "It is a massage, not brain surgery"; that there is no need to increase entry-level standards because it cannot be proven that therapists with 500 hours of training or fewer cause harm; or resist regulation, licensure, standards, and continuing education, one observant reader asks, "Why are our associations billing us for 3-to-6-million-dollar malpractice/liability insurance policies?" Why are massage therapists joining organizations just to get insurance and why are they carrying so much of it? Hmm....
A Practical Massage Tip: Fascia is not inert connective tissue that merely transitions from a more dense "gel" state to its more fluid "sol" state. It is densely innervated with mechanoreceptors, which respond to appropriate manual pressure, lowering sympathetic tonus. Fascia also contains smooth muscle fibers, allowing the nervous system to tension the fascial sheaths. One type of fascial pressure receptor group, the Ruffini ending, responds to tangential pressures and lateral stretch, lowering sympathetic nervous system activity. Next time you are holding a stubborn tender point or trigger point, try adding slight, subtle sideways pressure, preferably cross-fiber and see if you get a faster or larger release or change in the tissue. See you in September - when I will weigh in on the "medical massage" debate. Have a great summer!
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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