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Web Marketing: Content Is King
Google's sweeping updates to its search algorithms over the past few years have brought a paradigm shift in how you can optimize your chiropractic website to gain maximum marketing leverage.
Calcium Helps Prevent Colorectal Cancer
Over the past 25 to 30 years, studies have suggested calcium may confer protection against colorectal cancer.
The Heart Protector
On the physical level, the Pericardium is a double-layered sac of fibrous tissue that envelops the Heart. The space between the layers is filled with serous fluid that protects the Heart from external shock or trauma and lubricates to allow for normal Heart movement.
Simple Ways To Find True Happiness
Patients in our clinics are always seeking happiness. As their health advocate, we need to ensure we inform them that in order to find happiness, they have to make sure to identify what makes them happy in the first place.
Healing With TCM at San Quentin State Prison
For the prisoners at San Quentin State Prison, life-sentences are the reality of every day life. It is not often that prisoners get the opportunity to use alternative medicine to deal with common ailments they encounter behind bars such as, depression, anxiety and pain.
AOMA Strengthens Leadership Team
AOMA Graduate School of Integrative Medicine, a leading college of acupuncture & herbal medicine, announced the appointment of Donna LaPoint Hurta, MBA as the new VP of Finance & Operations this Fall.
The X Factor in Clinical Research: The Patient
It was the great baseball legend, former New York Yankees catcher Yogi Berra – he of countless aphorisms, each with a mind-bending twist – who once declared, "You can observe a lot by watching."
The Wonders of Light Therapy: An Interview with Wes Burwell
I first met Wes Burwell in 2011 when he was teaching a class on light. Since then, every time I hear him speak, his understanding of the benefits, function and capacity of light has evolved.
Saying No to Medicine
An interesting article recently appeared in Men's Journal titled "When to Say No to Your Doctor." The article begins with the summary statement above and effectively arms readers with information that will help them "take more responsibility for your own health care, because you can't be sure anyone else is.
Managing Patient Expectations About Acupuncture
Last year, I attended the Pacific Symposium in San Diego for the first time in six or seven years. It was the 25th anniversary of this event, and on one evening there was a panel discussion with the title; "What is Qi?."
Understanding and Identifying Pediatric Growth-Plate Fractures
In general, fractures in children heal well with little intervention as long as the alignment is good. Fractures involving the growth plate, however, are a different issue. In fact, growth-plate injuries are the primary reason for the subspecialty of pediatric orthopedics.
Pulse Diagnosis: What We Know
I am still finding pearls of wisdom from the books and papers that I inherited from my pulse diagnosis mentor Jim Ramholz.
To The Finish Line With the Help of TCM
When acupuncturist Eddy De Smedt pursued a career in Traditional Chinese Medicine, he knew he wanted to make a difference.
Managing Today's Fertility Patient
I recently received an email from one of my fertility patients: "Got my lab results back. FSH is 11, AMH is 0.7. My doctor said these numbers aren't good. I guess I'm infertile. Just as a thought. Just set up an appointment to speak with an adoption agency."
Lime Jello on Morphine
Taste is in the eyes... actually the mouth... of the beholder. My food preferences have changed, lightening from the food of my youth. My parents loved heavy eastern European cuisine and I loved it as a child. Now I enjoy leaner, healthier whole foods.
5 Ways to Occupy Occupational Health
Despite the progress that has been made to better protect workers, occupational health and safety remains a priority area for many national governmental organizations due to the widespread problem of occupationally related morbidity and mortality.
Help Patients Achieve Optimal Vitamin D Levels
Much research has been done on vitamin D levels and their impact on health; optimal levels have been correlated with a reduced risk of developing numerous conditions.
Transparency and Accountability: Q&A With the CCE
Every profession needs an organization dedicated to upholding the quality and integrity of its degree programs and educational institutions.
Talking to Patients About Healthy Aging
I've noticed that a particular category of patients seems to make up more and more of my practice – they work out, but still experience lots of degenerative joint disease (DJD) issues.
Blaming the Gluteus Medius, Overlooking the Deltoid
The gluteus medius (Gmed) is commonly written about, strengthened and blamed for many conditions, and rightfully so. After all, the Gmed plays a role in pelvic stability, hip motor control and lower-quarter dynamic movements.
Jingei Diagnosis: An Effective and Powerful Diagnostic
I graduated from the Kotatama Institute under the direction of Drs. Masahilo and Katsuharu Nakazono in 1984. As a student, I was exposed to the practice of most of the various theories and modalites of Oriental Medicine.
November, 2004, Vol. 04, Issue 11
We Get Letters and E-Mail
By Editorial Staff
Massage Today encourages letters to the editor to discuss matters relating to the publication's content. Letters may be published in a future issue of Massage Today or online, and may be edited for space and clarity.Please send all correspondence by e-mail to or via regular mail to:
Responding to Ralph Stephens
I appreciated Ralph Stephens' article, "We've Made It!" (www.massagetoday.com/archives/2004/07/13.html) describing the reality that health care in our country is controlled by a system whose primary goal seems to be economic and political advantage rather than effective healing. I'm glad Ralph continues to write on this topic. As I see it, the origin of this situation is shared among the allopathic community, the pharmaceutical and insurance companies, medical schools, and government policies. We are facing a systemic problem that is not localized to one group of practitioners. It is my hope that the massage community will work toward bringing positive changes to this system. I think respect by the massage community toward allopaths, insurance companies, etc., is only due to those people and institutions who actually work for the best interest of the patients. Unfortunately, as Ralph points out, this is not always the case.
I am presently collaborating with Walt Stoll, MD, on a book titled Recapturing Health, which we hope will encourage health care freedom and bring about positive change in the system. Walt is a holistic medical doctor who long ago awakened to using a wide range of healing modalities, including massage, chiropractic, energy healing and other methods. We hope our book will inspire individuals and practitioners to see the truth and begin an informal grassroots movement to improve how health care is provided in our country. It will be a wonderful day when the health care system itself is healed so that people may be healed. You can read more at http://lifespring.netfirms.com or www.askwaltstollmd.com.
Ralph Stephens' article "We've Made It!" points out how far massage has come now that the medical profession is criticizing us in order to control our scope of practice. He discusses how rehabilitation specialist Dr. Robert Gotlin attacks our profession by pointing out the possible dangers of massage. This is behavior Stephens feels is motivated by allopathic physicians wanting to control and profit from our growing profession as they tried to do with chiropractic. Stephens also states that doctors should tend to their own houses before coming in to clean up ours, emphasizing how many people die and suffer each year from mistakes made in the medical profession.
Although there is probably some truth in Stephens' point-of-view, there is another way to look at this issue. Perhaps Dr. Gotlin truly cares for his patients' welfare and is just giving them his honest professional opinion about massage. Many massage practitioners provide competent, skilled, therapeutic treatments. Still, I have experienced (and know enough people who have also experienced) minor injuries and pain after receiving contraindicated massage techniques. A number of my clients and colleagues have shared similar experiences. As a result, I am reluctant to receive anything but a relaxation massage with a trusted practitioner who will not try to fix or change me in some manner.
After practicing as a professional massage therapist for 23 years, I recognize the value of a good massage for relaxation, relief from muscular tension and chronic pain, and even injury rehabilitation. Unfortunately, our field has grown much faster than our standards. Massage training has become heavy on neuromuscular and orthopedic techniques, but light on teaching practitioners why, how, when and where to use these techniques.
Plus, techniques are a dime a dozen. Knowing when to apply them appropriately with skill requires in-depth, specialized training. If we, as massage therapists, are going to use manual therapies in a physical therapy context, we need to be well trained in their application. Granted, our mistakes will probably never result in the number of fatalities caused by physician error. Still, consumers receiving neuromuscular and orthopedic massage techniques have a right to be educated about the contraindications of these types of modalities, and treated by competent, appropriately trained practitioners.
Mary Ann Foster, CMT
Questioning CranioSacral Therapy
Dr. Upledger speculates that cerebral spinal fluid (CSF) moves in a pulse, and that cranial bones move in relationship to this pulse (www.massagetoday.com/archives/2004/08/12.html). Medical imaging is a technique to validate these speculations. Medical imaging is sensitive enough to detect extremely minute changes in bone position and in the detection of a moving fluid. Let's start with cranial bone motion first.
A standard imaging technique for people with brain tumors or other cranial space occupying lesions is to utilize repeat head computer tomography (CT) scans. In this technique, a series of CT scans are compared with each other to determine if a lesion is microscopically growing or shrinking. For this technique to work, the sequential scans must have a common reference for which to measure change. The common points of reference used are cranial bones. If these bones moved, as is speculated, comparing serial CT scans would not be possible, since the reference would be moving along with any lesion change. Since the cranial bones are fused, comparing repeat scans provides accurate, detailed information about the change in a tumor's size.
Magnetoresonance (MR) imaging cannot record motion. Blood flow, including venous blood flow does not image using the MR technique; however, CSF does image with MR, indicating that CSF moves very, very slowly. If CSF were to move in a pulse, it would not image using MR. Of note, MR can be used to image bone; cranial bones image quite well, indicating that they do not move relative to one another. Dr. Upledger's article speculates that CSF moves in a pulse and the cranial bones move in relationship to this pulse. These speculations are refuted by the results of medical imaging.
Bruce Klein, ND
"There is no way to succeed against a large, profit-driven insurance company"
I have been practicing massage therapy for 17 years and billing insurance for about six. I am also in it for the long haul. In California, if you're billing insurance, it's not only long, but also uphill and into the wind. The latest legislation has slashed care for injured workers and denied claims from many professionals. I applaud Donald Schiff's letter and clear thinking about what is really involved in working with insurance companies (We Get Letters and E-mail, Sept. 2004. www.massagetoday.com/archives/2004/09/16.html).
The articles by Vivian Madison-Mahoney are hogwash, indeed. Her views may have been appropriate 10 years ago, but there is no way to succeed against a large, profit-driven insurance company. Ms. Madison-Mahoney would have us take what we can get and not assert ourselves as the professional, heath care providers that we are. We will not gain any ground by rolling over to insurance companies. Keeping fees low will only drive therapists out of business and allow the insurance companies to win.
Don Schiff is right on about the level of service that medical massage provides versus relaxation massage. The last workers' compensation client that I saw required six long-distance phone calls, resubmission of billing and a three-month wait for payment. How could I stay in business giving this level of service for artificially low fees? Massage therapists are not the only ones who are fighting this battle. The doctors, chiropractors, PTs and acupuncturists are in it, too. In California, many insurance companies are making huge profits by denying care to injured workers. The battle is just starting. If we don't stand up for ourselves, who will? I think Schiff's view speaks for the majority of massage professionals in the modern world.
Jody C. Hutchinson, BA, NCTMB
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