resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
How We Can Help the Injured Brain
The majority of patients with mild traumatic brain injuries recover within seven to 10 days. If concussion signs and symptoms continue beyond seven days, the diagnosis changes from acute concussion to post-concussion syndrome.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
News in Brief
ACA Exec. Vice President Out, Acting EVP In; F4CP Executive Director Retires; New ED Named.
Viewpoints: Massage Reduces Nonspecific Shoulder Pain, Improves Function
While seemingly universal, pain and stiffness in the shoulders can be a significant cause of disability. Often a pain that does not go away on its own, shoulder complaints tend to linger, sometimes for 12 months or longer.
What Do You Know About Physician Compare?
Physician Compare is a website that allows consumers to search for and obtain information about physicians and other health care professionals who provide Medicare services.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
God and the Chiropractor
My wife went to church last Wednesday night and brought home a CD of the pastor's message. As she handed it to me, she said, "You should listen to this; you'll like it." Our family regularly goes to church and our faith plays a major role in our lives.
Striking a Blow to the Medical Monopoly
The U.S. Supreme Court has issued a landmark ruling in North Carolina State Board of Dental Examiners v Federal Trade Commission.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Joint Supplements for Athletes (Part 2)
A fairly recent discovery in nutrition supplemental medicine has proven to be a breakthrough in maintaining athletic joint health. Research suggests a combination of undenatured type-II collagen and tetrahydro-iso-alpha acids helps revitalize joint function and performance in athletes.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Keep Seniors Safe: Age-Proofing the Home
I want to give Dr. Claudia Anrig kudos for her Dec. 1, 2014 column, which highlighted safety issues youngsters might encounter in the home.
Pain Is Only a Piece of the Puzzle
More often than not, when a patient presents to the office, it is for a pain complaint: headache, neck pain, low back pain, sciatica, carpal tunnel, etc.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
Managing Tibialis Posterior Tendon Injuries
The tibialis posterior is the deepest, strongest and most central muscle of the leg, with fibers originating from the tibia, fibula and interosseous membrane.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
Older Patients, Stroke Risk and Manipulation
The first population-based study in the United States to evaluate stroke risk following spinal manipulation – and the first involving older adults – suggests that "[c]hiropractic cervical spine manipulation is unlikely to cause stroke in patients aged 66 to 99 years with neck pain.
Treating GERD and Incontinence: Focus on Trigger Points
Gastroesophageal reflux disease (GERD) is defined as the regurgitation of stomach acid in the esophagus. Previously, it was thought that GERD was caused by a hiatal hernia, but recent trials suggest the cause is an inability of the hiatal sphincter to contract normally.
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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