resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
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.
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
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.
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.
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."
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.
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.
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.
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.
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.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
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.
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.
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.
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.
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.
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.
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.
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.
September, 2004, Vol. 04, Issue 09
The Experiences of Learning
By Cliff Korn, BS, LMT, NCTMB
I'm one of the luckiest guys in the world!
One of the best things about being editor of Massage Today is having knowledge about many of the educational offerings held around the country.Maybe it's because I didn't get into massage and bodywork until I was well into my 40s, or because I could have applied myself more while going to massage school, but I could be quite happy as a perpetual student of the art and science of massage and bodywork. I love the opportunity to attend conventions, conferences, symposia and workshops because they appeal to my preference to enjoy social situations, as well as obtain continuing education.
In June, I attended the 2004 North American Conference on Multidisciplinary Approaches to Low Back and Pelvic Pain in Tampa, Fla. - my eighth continuing education event this year! So, if I go to so many workshops, what makes this one worthy enough to take up editorial space in Massage Today? With the amount of continuing education I take, it's not like I never had a low back pain class before!
This conference was special for many reasons - reasons important enough to share with you. The conference was sponsored by the Journal of Bodywork and Movement Therapies, which is (to my knowledge) the only peer-reviewed journal serving our field, in association with The International Alliance of Healthcare Educators (IAHE). More importantly, the conference presenters were of the highest possible caliber and dealt with what is possibly one of the most prevalent patient complaints we face as practitioners: low back and pelvic pain.
The conference was designed to show new ways to assess the body, offer approaches that can help effect meaningful changes in our clients, demonstrate simple techniques we can employ immediately, and inspire us to learn even more. It did all of those things, providing more than value for the time and money spent. I must admit, the thing that first drew my interest to this conference was a particular presenter who has long been one of my "heroes."
Since reading the book, Soft Tissue Manipulation, in massage school, Leon Chaitow, ND, DO, has held my attention. I now own eight or nine of his books! I flew to Florida primarily because he was one of the speakers. What a pleasant surprise that all of the presenters were of similar knowledge and ability!
It was my first introduction to Dr. Carolyn McMakin, a chiropractor, and clinical director of the Fibromyalgia and Myofascial Pain Clinic of Portland, Ore., and to Dr. John Downes, Dean of the College of Chiropractic at Life University in Marietta, Ga. I further had never experienced the knowledge and presentation style of Jan Dommerholt, a physical therapist from Bethesda, Md., who, among a long list of credentials, serves as cofounder and director of the Janet G. Travell, MD, Seminar Seriessm.
In addition to Dr. Chaitow, I have had previous educational opportunities with both Judith Aston and Judith DeLany and know them all as talented, insightful and superb educators. The three-day event was a masterpiece of intellectual stimulation. I heard Jan Dommerholt share new insights into the role of multifidus muscles in pelvic stabilization concepts, along with treatment options such as intramuscular trigger point stimulation with dry needling; I heard Dr. Downes speak on foot structure and function, and how they directly affect homeostasis of the lower kinetic chain, and the direct impact of lower limb function on the lumbopelvic region.
Dr. McMakin spoke on frequency specific microcurrent therapy (FSM) to treat neuropathic pain and myofascial trigger points, and experienced firsthand the application of FSM on a bout of shoulder tendonitis I was experiencing. (Note: While use of electrical devices may not be included in the scope of practice of all massage therapists, many state regulations are silent on the issue; it is specifically included in Florida's massage regulation.)
I heard Judith Aston, who must be at least as "mature" as I am (she started a movement education program for athletes, dancers and actors in 1963!) but moves like a woman in her 20s, talk about the implications of Aston Patterning® and its relationship to the body's dimension to alignment and function, as well as a demonstration of body positions that increase or decrease support for the pelvis in gait.
I heard Leon Chaitow talk about positional release approaches to the care of low back problems and a fascinating discussion on the influence of low back pain on breathing-pattern disorders. Finally, I heard Judith DeLany discuss the dysfunctions and referral patterns associated with trigger points as sources of lumbar and pelvic pain.
OK, so it was all great stuff, and I can't say enough about it. Two things, though, really stand out for me. First, amid all the degreed and titled individuals presenting, only Judy DeLany listed a simple "LMT" after her name. I was quite pleased to see how she was accepted as a peer among the high-powered presentation group. Her command of subject matter and ability to "fit in" as a leader in a group of PTs, DCs and DOs made me proud to also have "LMT" tacked on to my name!
The second thing that stood out for me was that this wonderful opportunity was woefully under-attended! I didn't do an actual count of the attendee list, but I would estimate only about 80 people were in attendance. This conference appealed to any practitioner dealing with low back and pelvic pain, not just massage therapists. There should have been hundreds in the room! The ability to sit in a room and get actual individual attention from presenters of this stature was incredible! My clients are reaping the benefits of my attendance at this conference; I'm doing better work because I made the investment of time and money. I wish you had been there, too! I wish you could have shared in the experience with some of my heroes!
This was the fourth North American "Multidisciplinary Approaches" conference, and I'm sure there will be more. If your practice includes clinical aspects, you might want to search these out. Who are your heroes in massage and bodywork education? There are so many out there! Go take a class ... not because you have to, but because you want to stir up your passion to learn something new. You'll be pleased you did. You can write it off your taxes, it will actually make you money, and your client load will naturally increase. This sounds like something good for practitioners, presenters and the public! So what are you waiting for?
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. 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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