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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.
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.
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.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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%.
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).
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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).
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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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