resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
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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