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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.
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
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.
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.
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.
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.
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.
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.
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.
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).
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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).
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%.
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.
November, 2004, Vol. 04, Issue 11
The Road is Still Long
By Cliff Korn, BS, LMT, NCTMB
The practice of massage has come a long way in our lifetime. I'm sure that those who have been practicing for 20 or more years see it much more than I do, but even a practitioner in the field for only five years can experience how far we have come in capability and public awareness.
The very first massage I received was in the health club of the Sheraton Hotel in Lisbon, Portugal in 1979.I was in the Naval Reserve, and my journey home was delayed for a day after a period of active-duty training. To kill time I used the health club; when signing in, I was asked if I wanted a massage. I remember being taken aback and not having a clue what massage was about. I am pleased I answered in the affirmative because the experience was very positive and was, no doubt, part of my "destiny."
In the 80s I had several careers that necessitated travel. Long days, airplane seats, and hustling through airports with a garment bag on one shoulder and golf clubs on the other did nothing to alleviate nagging low back pain. But massage therapists did! In the 80s, determining whether massage was legitimate or a front for sexual services was difficult at best. More than once I was unpleasantly surprised before becoming a more informed consumer.
Since entering the field of massage therapy in the early 90s, the need to become an educated consumer has decreased significantly. At least in my part of the country, there is little if any massage advertising that fronts for prostitution. (The one establishment that did was shut down in the spring.) While tiny ads in urban newspapers may advertise, "Tokyo Rose Massage, body shampoos, open 24 hours, 12 masseuses, credit cards accepted," no one but the most naíve confuses these services for actual massage services. This improvement has been through the efforts of many to educate the public on the true benefits of what we do.
Since entering this profession I have witnessed public dissemination of research news on massage efficacy from the Touch Research Institute, the Massage Therapy Foundation and others, and peer reviewed journals, such as the Journal of Bodywork and Movement Therapies. I have seen the establishment of such positive public relations programs as ABMP's International Massage Week and AMTA's Massage Therapy Awareness Week. The NCBTMB developed a certification program, and advertises heavily to the public on the benefits of skilled, ethical massage therapists. We don't necessarily have to be members of ABMP or AMTA, or be nationally certified to benefit from their actions. The public is made more aware every day. It's working!
I wish we could now let our guard down, but unfortunately we can't. As far as we have come, there are still those whose lack of knowledge works to keep us from proceeding positively. My local newspaper reported recently* on a town whose board of selectmen was deliberating on whether to permit a nonprofit group to use a community center to conduct a poker tournament as a fundraiser.
One town selectman, who is also the chief of police, was quoted by the paper as saying, "Now they want to have gambling at the Community Center. We're turning into Sin City. Before you know it there will be massage tables on the side of the street." With all due respect to the chief, I can't think of anything much healthier for a community than to have massage tables on the side of its streets! It was obvious to me that he was making a reference to prostitution, not massage, but the ignorance of that remark by an individual in a position of authority is most disturbing.
As upsetting as the chief's remark was, the staff writer for the paper made the outcome even worse! In an apparent attempt to generate interest in the article, the chief's picture with the clip of his quote was side-barred, so that visually the article with headline and side bar read, "Selectman: Town becoming 'Sin City.' Before you know it there will be massage tables on the side of the street."
I have spent over a decade trying to exorcise that doubt about massage in the public's perception; coverage of a side comment as unapprised as this just plants it again in the minds of the unknowing. The road is indeed long.
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:
*Source: The Eagle Tribune, Sept. 28, 2004. www.eagletribune.com.
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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