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Essential Orthopedic Testing: Tests That Involve Standing on One Leg
Since these tests have a common mechanism of performance (standing on one leg), there are differential diagnostic concerns during testing. The tests cannot be completely isolated from each other for performance.
Communication 101: Please Explain Yourself!
Twice this past week, I overheard conversations about chiropractic. As you can imagine, it is a topic my ears naturally pick up. In both cases, a patient was talking to a friend about their experience with a chiropractor.
Healing With TCM at San Quentin State Prison
For the prisoners at San Quentin State Prison, life-sentences are the reality of every day life. It is not often that prisoners get the opportunity to use alternative medicine to deal with common ailments they encounter behind bars such as, depression, anxiety and pain.
Managing Today's Fertility Patient
I recently received an email from one of my fertility patients: "Got my lab results back. FSH is 11, AMH is 0.7. My doctor said these numbers aren't good. I guess I'm infertile. Just as a thought. Just set up an appointment to speak with an adoption agency."
The Heart Protector
On the physical level, the Pericardium is a double-layered sac of fibrous tissue that envelops the Heart. The space between the layers is filled with serous fluid that protects the Heart from external shock or trauma and lubricates to allow for normal Heart movement.
Correcting Pelvic Rotation Around the Long Axis: Adjustment Protocol
The pelvis can be considered a ring that can misalign on the sacrum rotating around the long axis. The following is a description of an adjustment that helps to correct sacroiliac rotation around the long axis.
Chiropractic Research in Review
Predicting Pain With Disability in Office Workers; Traction Approaches for Discogenic Cervical Radiculopathy; Intra-Articular Gas Bubbles Following Manipulation; Nonresponsive Chronic Ankle Sprains: Think Tendon Rupture.
CMT & Stroke Risk: Myth vs. Fact
By now, most of you have probably heard that the American Heart Association recently published a statement regarding the association between cervical dissection (CD) and cervical manipulative therapy (CMT).
The Wonders of Light Therapy: An Interview with Wes Burwell
I first met Wes Burwell in 2011 when he was teaching a class on light. Since then, every time I hear him speak, his understanding of the benefits, function and capacity of light has evolved.
The Case for Immunization
As long as I have been a chiropractor, I have seen many in this profession oppose vaccinations. Indeed, it has often been taken as a "given" that to be a principled chiropractor requires a curmudgeon's willingness to hold aloft that banner of opposition.
Sports Science: What's in That Drink?
Athletes frequently ask me what the best liquid is to drink during exercise – water or a sports drink? Water provides the necessary hydration, but unfortunately, it lacks the key nutrients to aid in performance and recovery.
Pulse Diagnosis: What We Know
I am still finding pearls of wisdom from the books and papers that I inherited from my pulse diagnosis mentor Jim Ramholz.
Dr. George Goodman and His Legacy to Logan University
Those who knew him called him a revered leader, a visionary and one of chiropractic's biggest advocates. George A. Goodman, DC, Logan University's sixth and longest-serving president, passed away on Sept. 9. He was 70 years old.
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 2)
As mentioned in part 1, using a flexion-distraction table is a great way to unlock this particular fixation. You have found the stuck segment. You have determined whether it is unilateral, midline or bilateral.
The Tao of Gender
If you think gender is as simple as having a new client check off the "male" or "female" box on your intake form, we hope this article will expand your understanding and thus the reach of your health care.
Jingei Diagnosis: An Effective and Powerful Diagnostic
I graduated from the Kotatama Institute under the direction of Drs. Masahilo and Katsuharu Nakazono in 1984. As a student, I was exposed to the practice of most of the various theories and modalites of Oriental Medicine.
Lime Jello on Morphine
Taste is in the eyes... actually the mouth... of the beholder. My food preferences have changed, lightening from the food of my youth. My parents loved heavy eastern European cuisine and I loved it as a child. Now I enjoy leaner, healthier whole foods.
Commingling Money: 12 Questions for the ACA About the CHAMP / NCLAF Merger
The American Chiropractic Association recently announced it was merging the National Chiropractic Legal Action Fund and the Chiropractic Health Advocacy and Mobilization Project into a single entity that will support both legal and legislative actions.
Simple Ways To Find True Happiness
Patients in our clinics are always seeking happiness. As their health advocate, we need to ensure we inform them that in order to find happiness, they have to make sure to identify what makes them happy in the first place.
Managing Patient Expectations About Acupuncture
Last year, I attended the Pacific Symposium in San Diego for the first time in six or seven years. It was the 25th anniversary of this event, and on one evening there was a panel discussion with the title; "What is Qi?."
To The Finish Line With the Help of TCM
When acupuncturist Eddy De Smedt pursued a career in Traditional Chinese Medicine, he knew he wanted to make a difference.
Uncle Sam Needs You (Part 2)
Where chiropractic care has been used in the military health services, it has been deemed very successful.
October, 2004, Vol. 04, Issue 10
Thoughts on Being Part of Medicine
By Cliff Korn, BS, LMT, NCTMB
One of the most divisive issues in our profession today is the "medicalization" of massage. The population of massage therapists appears to me to be about evenly split between those who want to be recognized as worthy of standing on the health care stage, and those who want absolutely nothing to do with an already broken system.
Although most probably see me as a medical-massage promoter, I tend to stay firmly "on the fence" about this issue, seeing merit in arguments of both sides.
In the 12 years I have dedicated myself to massage, I have certainly seen the profession become more "medical!" Consider the following survey results: Of the 27 percent of Americans who have received a massage in the last five years, 35 percent got their last massage for medical reasons (AMTA survey, 2001).Thirty-one percent of Americans were referred to a massage therapist by a chiropractor, and a physician referred 26 percent (AMTA survey, 2001). My own practice has an obvious slant toward the clinical, with most coming in for management and abatement of chronic pain patterns.
For all that I am still loathe to deal with third party reimbursement issues, or get pre-approval from some insurance adjuster before working with an individual in need; I tend to yawn at arguments like those recently printed in "We Get Letters and E-Mail" (Sept. 2004, www.massagetoday.com/archives/2004/09/16.html) about what current procedural terminology (CPT) codes can be used for. Even though I have a clinical practice, I am looking forward to having my first client tomorrow enjoy a wrap, instead of my usual mix of neuromuscular and myofascial interventions. I'm finding more and more that, when on a table myself (assuming a lack of my own chronic pain patterns), I enjoy fewer elbows than I used to, and look forward to being "sent to Pluto."
So if I don't fall firmly in one "camp" or the other, what is important enough about this issue to discuss? My great concern is that fewer and fewer of us are allowing ourselves to function capably in both good relaxation massage and effective clinical massage. I find it important that we do both! I don't think the expectations of our public are to see one therapist for orthopedic issues, another for stress-related issues, another for sports-injury prevention, and a fourth just because it feels good. I think the public wants, for a myriad of reasons, to just go get a massage! Their expectation is that the massage therapist they choose is capable of doing all of the above.
With massage therapy coming into it's own as a viable profession, I think tomorrow's massage therapists need to prepare themselves much better than we did. They'll have to be smarter, better trained, and as compassionate as we, to deal with the higher expectations we see daily in our practices. I think the public will expect any given therapist to be able to deal with a stiff neck, a sore back, the onset of adhesive capsulitis, the loss of a loved one, or the need for quiet time to rejuvenate. I'm all for raising the bar - to enhance the ability to use skilled touch in solution to a problem - and to enhance assured pleasurable touch, as opposed to tentative touch.
The pendulum is certainly now swinging toward medicalization. I guess that's good because that was the largest shortfall of skill sets we shared as a profession. I just hope the pendulum swings back soon, so we don't lose all those "touchy-feely" capabilities that got us on the map in the first place. Remember, it's all about the clients!
Thanks for listening!
Massage Today encourages letters to the editor to discuss matters related to the publication's content. Letters may be published in a future issue or online. 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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