resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
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.
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.
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.
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.
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.
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.
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."
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.
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.
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.
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.
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.
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.
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
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.
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.
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."
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.
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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