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The Ethics of Herbal Prescribing
While teaching ethics classes, I often encounter licensed acupuncturists who are surprised that our use of herbs and supplements has a specific section in the material. It is often an aspect within ethics that clinicians don't think of in practice.
Online Marketing Basics: Website Creation
The various online marketing options make it a challenge, especially when all you want to do is help your patients feel better. With such a broad topic, I'm going to share some basics you should know about website creation.
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
Preaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
Patient Retention Techniques
When talking about techniques to grow your business, we tend to focus on the "large" aspect of the patient base, that is, on strategies to attract new patients. However, it is important to remember that "loyal" is equally, if not more, important.
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
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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