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The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
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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