resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
"Doctor ... Always Do the Right Thing"
So says "Da Mayor" in the iconic Spike Lee movie. As a fresh grad questioning in-network versus out-of-network, it struck me that some doctors have explicitly skirted the issue, while others have argued adamantly for the latter and "sticking it to the man."
Don't Trust What a Patient Says
When a patient presents to the office for care, they typically have a specific complaint in mind – lower back pain, whiplash, sinus congestion, sciatica, etc.
New Leadership Era at the WFC
The World Federation of Chiropractic recently announced not only a new president, as is customary every two years, but also an incoming secretary-general, marking the first time since the WFC's inception in 1988 that someone other than David Chapman-Smith, Esq., will serve in that capacity.
Home Sweet Medical Home
While the Affordable Care Act (ACA) has received its fair share of praise and criticism since its adoption, few question the value of its emphasis on collaborative, patient-centered health care.
The Boston Benevolent Chiropractic Clinic: Standing Up for the Needy
Our chiropractic assistant, Bridget, greeted an arriving patient at the Emmanuel Church in downtown Boston. She said, "Hi, Michael, good to see you. It's been awhile. Have a seat and Dr. Ken will see you soon."
Deciphering the New CMS-1500 Claim Form
Q: I am confused about how and when to use the new 1500 form, particularly block 14 and block 15. What is required and how do I properly fill out these fields? And do I actually have to use this new form or may I continue using the old version?
The Importance of Knowing Mainstream Lingo
There is a secret lingo within mainstream medicine of which the vast majority of acupuncturists and Chinese medical professionals are unaware.
CRREW Rallies for Ongoing Acupuncture Relief Effort in the Philippines
On November 8, 2013, Typhoon Yolanda (Haiyan) made her way through the Philippine Islands, leaving in her wake at least 7,000 people dead, millions homeless and complete communities destroyed.
Vibrational Medicine: Frequency Micro-Current and Color Acupuncture
Vibrational medicine involves the application of various forms of energy frequencies to the body for pain relief, healing and rejuvenation. Vibrational medicine will become a major growing trend in our medical systems for the following reasons:
Replenishing and Restoring Jing
I learned an important principle from my great Taoist Master Sun Hak. He taught me that all people "leak" Jing, and that we can mitigate or stop this leaking, and as a result strengthen our life force, develop enhanced adaptability and lengthen our life.
Halt Allergies With Moxibustion Therapy
An allergy is an immune system disorder in which the body is hypersensitive to normally harmless substances in the environment.
Don't Trust What Your Patients Say
When a patient presents to the office for care, they typically have a specific complaint – lower back pain, whiplash, sinus congestion, sciatica, etc. They are often not interested or engaged in what they consider "unrelated" personal health history.
Low Melatonin Linked to Risk of Advanced Prostate Cancer
Epidemiological and experimental studies suggest the hormone melatonin, which plays a role in regulating the sleep-wake cycle, may play a role in the development of prostate cancer, as lower melatonin levels have been associated with an increased risk of prostate (and breast) cancer.
Working With The Yuan-Source Level: Resonance and the Extraordinary Vessels
How do we stay fresh with our medicine? As healers, how do we balance our medical selves with creative artistry? Chinese Medicine is not a fixed dogmatic entity, but a living system, reliant on a mysterious force called "resonance."
We Get Letters & E-Mail
Imagine What More Could Be Achieved With Your Support; A Lesson in Hygiene: What Do You Do in Your Office? Open Letter to the Profession.
Shared Mechanisms Between Computer-Assisted Mechanical Adjusting and Contemporary Acupuncture?
Can contemporary acupuncture provide clues to the mechanisms responsible for pain relief provided by computer-assisted mechanical adjusting instruments, and clarify whether certain mechanical frequency combinations are superior to others for modulation of acute peripheral pain?
News in Brief
D'Youville Vet Program Gets High Praise; A Moment of Silence for Dr. Paul Reginald ("Reg") Hug.
Medical Qigong for the Heart: Part I
According to the Center for Disease Control and Prevention, heart disease is the leading cause of death in the United States, affecting people of all ages and backgrounds. Coronary heart disease, in just the United States alone, costs close to 109 billion dollars a year.
Wellness: A New Buzzword at the Aging in America Conference
Aging in America is "the nation's largest gathering of a diverse, multidisciplinary community of professionals in healthcare, social service, government, business and philanthropy with expertise in providing services and products for older adults."
Employers Need Chiropractic First and Sooner
From the Journal of Occupational and Environmental Medicine comes a study that gives excellent direction to employers (and insurers) regarding the management of low back problems (LBP).
News In Brief
Pacific College of Oriental Medicine obtains grant funding from NIH; Yo San University of Traditional Chinese Medicine Announces New President; Kentucky Gets Licensed; PCOM Receives Approval from WASC to Offer FPD.
Changes in Herbal Medicines from Ancient Times to the Present
The classical literature of Chinese medicine remains highly relevant in the modern era, as many of the basic theories and herbal combinations emphasized in clinical practice were first established in texts that are nearly 2000 years old.
Medial Knee Pain: 11 Potential Causes (and Corrections)
We have all seen patients with medial knee pain that either has no traumatic origin or lasts well beyond when it should be resolved. How can we help these patients? Here is an overview of clinical scenarios and how we can provide conservative care.
The Search for the Origin of the Wiggle Technique
When Bob had adjusted me previously, most of the time I knew what he was doing. But this time, he had me lie on the treatment table in the usual side-posture position, and he "wiggled" my sacroiliac with the fingers of both hands, while stabilizing my pelvis with his forearm.
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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