resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
November, 2004, Vol. 04, Issue 11
Medical Massage and More, Part I
By Ralph Stephens, BS, LMT, NCTMB
I believe medical massage is an advanced discipline of massage therapy. In reality, medical massage is more of an orientation than a particular set of techniques. It is not general relaxation massage; it is anatomically precise and patient specific.The medical massage therapist combines education, training, experience, dedication, humility and intuition to create an integrative manual-therapy approach to reducing the patient's soft-tissue related complaint(s).
Initially, I resisted the term "medical massage;" however, I realized that as massage therapists we do treat medical conditions when they are soft-tissue related. Of course, we cannot say we do - we have to play little word games, more in some states than others - but the truth is we do treat medically related conditions like "frozen shoulder" and "medial epicondylitis." So, why not call it what it is: medical massage? If we stay within the scope of soft-tissue manipulation and joint mobilization there is no reason not to call it medical massage. It seems to be accepted without protest from the allopaths. Hopefully, using the term is the first step toward openly and honestly describing what we do when we move from a relaxation paradigm to a therapeutic, corrective and restorative paradigm.
Actually, the term "therapeutic" massage says it all, but it is an old term that no one attaches any significance to these days. And the public does not understand terms that have been coined to describe massage if the word "massage" is not included (terms like somatic re-education, bodywork, structured touch, neuromuscular therapy, myo-skeletal-kinestic-neuro-biological-rearrangement, blah, blah, blah). But it is clear to the public that medical massage will address their pain or problem. It doesn't sound relaxing, and it doesn't sound like adult entertainment. It is a term that allows us to better reach the public and our allopathic colleagues. Isn't that the idea - to help more people? If this is the term that facilitates the needed communication to bring us together with the public and the health care community, then it is the term to use.
Some authors who have recently written about medical massage believe a physician's diagnosis is a requirement to perform medical massage. I strongly disagree. Do you realize where this will lead us? Do you want to be a slave in a physical therapy department for $10 an hour and maybe benefits? Not me!
Massage therapists are currently first-door providers. This means that the public can come directly to us for help first, and we can do whatever we know within certain limits to help them. This is the same privilege and patient-provider relationship that physicians have. We do not need a physician's permission to help someone. Most PTs, OTs, ATCs, nurses, etc., do not have first-door access to patients. They only see a patient after a physician says they can, and then they can only do what the physician says they can do - their hands are tied. They cannot use all of their skills and resources to help the patient. They cannot treat the whole person; they can only treat a knee or an elbow for a set period of time, and in a certain number of visits.
We do not need gatekeepers (physicians) to control the flow of people to our practices. First-door providership gives us an incredible opportunity to help people. We need to defend this privilege above all else. Never surrender it! If we do, patients will only be allowed to get massage if it is prescribed, which will prevent many of the people we now help from having access to our services.
This is not to say that we should not work with physicians, or that patients should not get a diagnosis and/or a referral and bring it to us. The more information we have, the better we can help; however, we should work with doctors as colleagues, as fellow first-door providers, not as subservient slaves. First-door providership is an incredible opportunity, but it is an equally incredible responsibility. We need higher quality entry-level education, including more assessment skills and standard terminology for strokes and techniques so we can communicate better among ourselves and with other disciplines. We need to take advantage of this privilege to help more people. You do not need a physician's diagnosis or referral to perform medical massage, but if the patient has it, so much the better. More on this in my next column.
Got Impressive Credentials?
I get some great mail in response to this column. Here's some recent feedback that I hope will inspire you to personal excellence:
Amen. Become the best you can be. Learn to help people get out of pain, and you will always be busy.
If the presidential elections are not over by the time you read this, hopefully they will be shortly. It's been a long and entertaining campaign. Whichever way it turns out, we will go to work on Wednesday morning. Let go of it. We survived the last four years and the eight before that. Our politicians are merely a reflection of our society.
What's really important is the difference each of us makes in the lives of those we directly interact with. Each one of us has control of what we do. So get good and do good. As massage therapists, we have a unique opportunity to change the awareness and lives of everyone we touch. May our efforts bring about a healthier and more peaceful world.
Happy "Holidaze!" My best wishes for success, health, happiness and prosperity to you all. Thanks for your continued support. May you sell lots of gift certificates and have a joyous holiday season. See you next year!
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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