resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
November, 2004, Vol. 04, Issue 11
Survey Shows CAM Popular Among Military Personnel
Massage Therapy Used Most Frequently
By Editorial Staff
In August, Massage Today reported that the National Center for Complementary and Alternative Medicine (NCCAM) released survey results relative to complementary and alternative medicine (CAM) use in the United States.The survey found that 75 percent of respondents had used some form of CAM at some point in their lives, while 62 percent reported using CAM in the previous 12 months (www.massagetoday.com/archives/2004/08/01.html).1
The results of a similar survey published in the May 2004 issue of Military Medicine confirm the results of the NCCAM's survey, with the additional finding that military families are among those that routinely use CAM therapies. Topping the list of most frequently used therapies was massage.2
Researchers distributed 400 surveys to active and retired military personnel and their family members, ages 18 to 83, in four outpatient clinics in the northwest region of the U.S. Surveys were random, anonymous and self-administered, and asked questions related to the frequency of use and effectiveness of 18 CAM therapies: massage therapy, nutritional food supplements, herbal supplements, exercise therapy, chiropractic, music therapy, relaxation therapy, aromatherapy, meditation, magnet therapy, biofeedback, acupuncture, tai chi, yoga, naturopathy, homeopathy, qi gong, and hypnotherapy.
As part of the evaluation, the survey listed several medical conditions and asked respondents to report on whether they used CAM as a method of treatment for any of the ailments. These included lower back pain, stress, weight loss, neck pain, headaches, knee pain, upper back pain, shoulder pain, anxiety, health prevention [preventative medicine], depression, migraines, colds, hip pain, wrist pain, stomach pain, chronic fatigue syndrome, pelvic pain, sinus pain, viral conditions, and fibromyalgia.
Of the 400 surveys distributed, 291 patients responded. The average survey respondent was 39-years-old; 54 percent were men and 46 percent were women. Forty-six percent of the respondents were on active military duty, while 18 percent were retired and 36 percent were family members. Of the total number of respondents, 235 used at least one form of CAM (81 percent). Additionally, CAM users reported they believed treatment was effective between 81 percent and 98 percent of the time, except when treatment included qi gong, magnets and hypnotherapy, which were reported to be effective between 60 percent and 67 percent of the time.
Massage therapy, nutritional supplements and exercise rounded out the top three most frequently used therapies. Table 1 reflects the complete findings.
The study then asked respondents to rate their use of CAM for several conditions; these results appear in Table 2.
When asked whether patients wanted military medical treatment facilities to offer CAM and if they would be willing to pay for CAM services, 69 percent said they would like CAM services offered, but only 24 percent of those would be willing to pay for them. Ten percent of the patients would not want CAM offered, 31 percent of which would not pay for CAM treatment. Lastly, 21 percent and 44 percent of the respondents were undecided as to whether they wanted CAM offered and if they would pay for CAM services, respectively.
The report notes four limitations to the study, including: 1) "the level of past exposure, experience, or influence that each respondent has had with CAM therapies, which may influence their response to the questionnaire"; 2) "... only certain medical conditions were listed on the survey, which limited the patient's choice response"; 3) "... the region in which the survey was taken may have influenced the proportion of CAM use ... there [is] generally a higher use of CAM in the western region of the United States compared with the east, and this survey was conducted in an area that nationally has a higher percentage of CAM providers"; and 4) "CAM users are usually found to be predominantly in higher income brackets, have higher levels of education and are of middle age ... income and education was not measured."2
Study limitations notwithstanding, these survey results clearly show that CAM, especially massage therapy, has made a positive impact on military personnel and their families.
"Active duty soldiers, retirees, and their family members are turning increasingly toward CAM therapies," the authors note. "It is equally clear that in spite of cost (out-of-pocket or subsidized), they would prefer that these services be offered within the military treatment facility...which may clearly reflect a desire by the patient for better continuity of care.
"The need to further investigate CAM therapies and to consider integrating these practices at military treatment facilities should be further evaluated," the report concluded.2
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