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Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
Online Marketing Basics: Website Creation
The various online marketing options make it a challenge, especially when all you want to do is help your patients feel better. With such a broad topic, I'm going to share some basics you should know about website creation.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
The Ethics of Herbal Prescribing
While teaching ethics classes, I often encounter licensed acupuncturists who are surprised that our use of herbs and supplements has a specific section in the material. It is often an aspect within ethics that clinicians don't think of in practice.
Preaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
Patient Retention Techniques
When talking about techniques to grow your business, we tend to focus on the "large" aspect of the patient base, that is, on strategies to attract new patients. However, it is important to remember that "loyal" is equally, if not more, important.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
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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