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Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
December, 2004, Vol. 04, Issue 12
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 edited for space and clarity, and published in a future issue or online.Please send all correspondence by e-mail to or regular mail to:
Editor's note: The following letters are in response to "'Rub Club' Creator Rubs Wrong Way," from the August issue, www.massagetoday.com/archives/2004/08/04.html.
The "Ridicchio-ulous" Ricchio
I have been a licensed massage therapist for five years and have worked in physical therapy offices, chiropractic offices and athletic clubs. The only place that was actually fair to me was the athletic club in which I received a 60 percent cut for a four-hour shift. It is time for massage therapists to stand up for their careers. If we continue to work for physical therapy and chiropractic offices, our treatments will be underestimated because their main focus is not massage therapy. They want their businesses to excel. To get started and to gain experience [in massage], we can work for chiropractors and physical therapists, but we should not look at it as a career. We will not move up in that environment.
Dr. Ricchio does have a point. The massage therapists that work for this guy at $20 per massage do not value themselves; I would not want a massage from them. I currently work for a physical therapy office in Manhattan; they take 50 percent and tips are mine. I have not found any place that actually works for the therapist. They are in the interest of their own companies.
Can you blame them? I work here for now, but I have my best interests at heart and am building my own massage practice on the side. Dr. Ricchio sounds as if he is the worst of them all. He is in it for self gain almost 100 percent. Working for 50 percent is not fun, but that is the reality of the business world. The only way to change that is to fight for your own business and career.
Krystal Stone, LMT
I just read both Rebecca [Razo]'s article (www.massagetoday.com/archives/2004/08/04.html), as well as Cliff Korn's editorial in response (www.massagetoday.com/archives/2004/08/09.html) to the chiropractor and his recommendations for the establishment of office massage therapy services for fellow DCs. Thanks for your thoughtful and insightful interpretation, as well as raising the level of consciousness of our fellow practitioners to this potential misuse of our knowledge, skills and professional courtesy by other health care providers.
Judy Dean, MEd., RN, NCTMB, CHt
Once again, arrogance and ignorance go hand in hand. Those that know the true benefits of professional massage therapy are not attracted to establishments such as Mr. Ricchio's. It sounds like he's running a sweatshop. Those therapists are disability cases waiting to happen. It's disgraceful. May some wisdom be applied to this situation.
Thank you for your editorial on the "Rub Club" and Dr. Ricchio. I'm going to go ahead and take his advice. I'm starting a "Crack Club." I plan to hire a chiropractor to do a $10 adjustment; after all, it only takes a few seconds, and any monkey can crack a back. I'll have to find a female, of course, and a rather small one, as a large male might hurt someone and get me in trouble. I plan to have clients come in every day and just garner their wages until they are bled dry and I can have a passive income. I'm also going to have the lady come in Saturdays and Sundays so I can make a ton of money every day of the week, even up to midnight, when I am either in the Cayman Islands or in bed. Thanks for speaking up about this approach to loving health care.
Dennis Diehl, LMT, NCBTMB
Editor's note: The following letter was sent to the World Chiropractic Alliance and copied to Massage Today by its author.
Dear WCA Editor(s):
I read with some interest last month the advice column written by Dr. Geoff Ricchio on the subject of making money with massage therapy in a chiropractic office. As a practicing Massage Therapist, I was insulted by Dr. Ricchio's obviously low opinion of me, my colleagues, and the profession to which I have devoted myself for over a decade. Even so, I resisted my impulse to write him in response. After reading the other two articles he authored on your site, I decided that, aside from a handful of dead presidents, Dr. Ricchio doesn't seem to respect anyone very much.
A week or so after I read the article, I attempted to bring it up on your site in order to show it to a colleague of mine and discovered the following message in its place: "The page cannot be found. The page you are looking for might have been removed, had its name changed, or is temporarily unavailable." I conclude from this that you have deliberately taken the page down. It is about this action that I felt compelled to contact you.
Judging by the wealth of other material on your site about issues important to your organization, your approach seems to be very much "tell it like it is." But in response to the outcry over Dr. Ricchio's column, you snuck off into the night. Either you stand by this guy and what he says - you did choose to publish him more than once - or you stand up straight and apologize in your newsletter and on your site for his and your bad judgment.
Making the offending document disappear (the great luxury of publishing on the Internet) doesn't address the offense and harm you have caused. It only makes you look, if you will pardon the expression, spineless.
Tony Siacotos, LMT
Update: The following notice is currently posted on the WCA Web site, following Dr. Ricchio's most recent online article (www.worldchiropracticalliance.org/tcj/2004/sep/ricchio.htm):
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