resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
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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