resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
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.
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.
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.
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'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.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
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.
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?
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.
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).
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.
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.
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.
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.
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?'
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.
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.
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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