resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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).
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).
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.
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 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.
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.
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.
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.
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.
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.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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.
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.
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%.
August, 2004, Vol. 04, Issue 08
Profitable Massage...But Not For You!
By Cliff Korn, BS, LMT, NCTMB
Thanks to everyone who wrote to ask why I left Massage Today! I didn't leave, of course, but many of you expressed surprise at finding last month's editorial written by Managing Editor Rebecca Razo instead of by me.It was flattering to get so many expressions of concern, and I apologize for not adding an explanation to Rebecca's excellent article, which gave me a needed break. So, like it or not, you are still subject to my thoughts and opinions, because I'm here for as long as MT will have me!
Getting right to it for this month, I'd like to ask you to hop on your computer, open your Web browser, and check out www.worldchiropracticalliance.org/tcj/2004/jul/ricchio.htm. If your sensibilities are even remotely similar to mine, you'll find it akin to dumping a bottle of hot sauce on your ice cream - it will make your nose wrinkle up right before your ears start to steam. The article is by Dr. Geoff Ricchio, a chiropractor who "advises" other chiropractors how to create profitable massage programs. In my estimation, Dr. Ricchio appears to be a genuine walking, talking ethics void! He also appears to want to ride your back all the way to the bank.
Some clues to his smarmy business practices are his advertised phone number (831-GET-PAID) and his moneymaking program named the "Rub Club Massage Income System." My first inclination was to ignore this individual as an isolated bump on the continuum of ignorance, but then I read his bio, which says the "Rub Club" is used by more than 600 chiropractic clinics nationwide; moreover, his article was published in a journal touted as being "Read and respected by more doctors of chiropractic than any other professional publication in the world." His preposterous statements to that large an audience deserve to be challenged!
Dr. Ricchio outlines six points ("Ricchio's Rules") for creating a profitable massage program. Three of the six are valid: He suggests creating a low-cost massage therapy program in a chiropractic office for the general public; he suggests it is wise to have the massage program available as part of a wellness program for the business community; and he suggests making massage available seven days a week to meet the scheduling needs of the public, as well as to generate passive income. I have no problems with those concepts.
Where Dr. Ricchio shows his true feelings related to massage are in his first three "rules," which I quote below:
The first rule isn't a rule at all but an opinion of you and me, and very likely a reflection of what a delightful man he is to work for! Rule two is indicative of Dr. Ricchio's feelings on the limited value of massage for anything other than filling his pockets. It is about as valid a point as suggesting that no one should ever pay more than $5 for a chiropractic adjustment. The third rule asks that chiropractors engage in discriminatory hiring practices. Sure, he says he knows it's "wrong" (not to mention illegal!) but suggests chiropractors do it anyway. I'll bet that violates an ethics or standards of practice document somewhere!
The reason for all these suggestions is made clear near the beginning of his article. He states, "I have used massage therapists in my practice for the last 18 years and found them to be an incredible adjunct, not only contributing to improved patient retention but increased income, as well." Isn't it strange that beneficial patient outcome isn't listed as one of the reasons to use massage therapy in a chiropractic setting, but merely for patient retention and increased income? He misses the most important part of why massage therapy and chiropractic share such a symbiotic relationship! It's about the patient, not him!
The complementary/alternative/integrative (pick one!) medicine movement has enough problems proving its credibility. Dr. Ricchio is likely to turn a discerning public away from chiropractic care, but I'll let that industry worry about its own health. My concern is that his espousal of the misuse and abuse of massage therapists will give the public a poor first taste of the abilities and potential for massage therapy as a wellness intervention. That adversely affects all of us! I asked several chiropractors I know to give me their opinions of Dr. Ricchio's article, but a tight deadline didn't allow them respond fast enough to get included in this editorial. I'm hoping that they get back to me with expressions of distaste for the concepts promoted by Dr. Ricchio.
Many of us who have worked for chiropractors or who regularly get referrals from chiropractors know just how well the two interventions work in concert toward optimum health. My suggestion to those of you courted by "Ricchio's Raiders" is to be very, very unavailable.
Thanks for listening!
Massage Today encourages letters to the editor to discuss matters relating to the publication's content. Letters may be published in a future issue of Massage Today. Please send all correspondence by e-mail to , or via regular mail to:
Former editor of Massage Today, Cliff is owner of Windham Health Center Neuromuscular Therapy LLC. He is nationally certified in therapeutic massage & bodywork and is licensed as a massage therapist by the states of New Hampshire and Florida. Cliff is a member of the International Association of Healthcare Practitioners; a professional member and past president of the New Hampshire chapter of the American Massage Therapy Association; a certified member of the Associated Bodywork & Massage Professionals, Inc.; and a past chairman of the board of directors of the National Certification Board for Therapeutic Massage & Bodywork.
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