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Five-Element Reaches Out to Serve the Community
In 2006, a student at the Institute of Taoist Education and Acupuncture (ITEA) approached the administration about an idea for his senior project.
Who is Your Ideal Patient?
Being in a healthcare practice requires you to think critically about many things including your equipment, techniques, documentation, financial goals, and the retention of clients and staff.
Case Studies and Answer Analysis for NCCAOM Exam in Foundation of Oriental Medicine
Case studies are very common for acupuncture school students, either in class exams or during taking the national board exam. Most test takers feel they have no idea where they should start and how they should start to analyze those complicated cases.
Time for World-Wide Growth
Acupuncture is the organically growing around the world. The legislative body in Quatar has said acupuncture is "okay." The United States has five states to go to have every state recognized and regulated.
The Liver: The Official of Planning
The Liver, with its paired Official, the Gall Bladder, belongs to the Element Wood within us. Wood grants us the power of birth – new beginnings, growth, breaking through boundaries and surging forward. It is the vigorous, exuberant energy of the spring season.
Chiropractic Needs a Lesson in Education
The American Chiropractic Association has launched a campaign, The National Medicare Equality Petition, to enact federal legislation that would achieve full physician status for DCs in Medicare.
The Good, the Bad and the Successful in Social Marketing
You might be thinking, "social marketing, don't you mean social media?" No, I mean social marketing. Every day, I keep reading, hearing and learning more and more about the changes happening in social media.
Shoulder Rehab: The Gait Connection
Shoulder problems can be difficult to rehab completely for several reasons. The shoulder is made up of several joints that must function together smoothly to provide the extreme mobility that is possible and necessary for many activities.
Introducing the Dynamic Chiropractic Digital Edition
In response to the changing habits of our readers, Dynamic Chiropractic is proud to introduce a digital edition of the publication beginning with the July 2016 issue.
Day in the Life of an Advanced- Practice DC (Pt. 2)
Let's continue our Q&A with Stephen Perlstein, DC, APC, chair of the New Mexico Chiropractic Association PAC and president of the American Academy of Chiropractic Physicians. Part 1 of this interview appeared in the May 1 issue.
Acupuncture at a Pain Clinic
Introduction: Pain is the most comprehensive human experience. The experience of pain is associated with the somatic, emotional and social impact. Pain has not only somatic symptoms, but also psycho-social dimension, especially in case of chronic pain.
Bring on the Bitters
Out of all the possible flavor choices with foods, such as sweet, sour, salty, and umami (deliciousness), which would you choose first? Bitter, though not as enjoyable, is also a flavor.
Immunotherapy: Where Molecular Medicine Crosses Into Holistic Thinking
Immunotherapy, and its promise as a cancer treatment, has been in the news a lot in the last few years, and for good reason. Real shifts are happening in oncology and exciting researchers, clinicians, and patients.
Are Herbs Useful for Chronic Pain?
The human nervous system is what makes us special, but our greatest strength also makes us vulnerable: witness the growing incidence of chronic addictions, anxiety, depression, sleep disorders and chronic pain syndromes.
The Eight Extraordinary Confluent Points
The eight extraordinary confluent points are a very popular set of acupuncture points in the modern practice of acupuncture. They are also called the intersection, meeting, command, opening, master, and the flowing and pooling points of the eight extraordinary vessels.
F4CP Campaign Addresses Public Misperceptions of Chiropractic
In late 2015, results of the Gallup-Palmer College of Chiropractic Inaugural Report: Americans' Perceptions of Chiropractic were published. The report found that 33.6 million U.S. adults (14 percent) had utilized chiropractic care within the previous 12 months.
Diet, Nutrition and the Context of Risk (Part 2): Food Poisoning
Other than the morbidity and mortality linked to eating too much food, "all-natural" organisms that contaminate our food cause more illness, more hospitalizations and more death than food contaminated by heavy metals, plastics, preservatives, artificial colors, emulsifiers, artificial sweeteners and pesticides combined.
How to Bill Evaluation and Management Codes
Q: I am in need for guidance on how to bill evaluation and management (E&M) codes in addition to acupuncture the same date of service, I have never been paid for an exam when done with acupuncture and I believe I am doing it wrong.
Does Anyone Know You're a Good Chiropractor?
If you had a chance to read the recent article in Time magazine (April 6), you know it provided some good information about the efficacy of chiropractic to the magazine's substantial consumer audience.
Herbal Medicine Continues to Evolve
Product manufacturers, industry partners, distributors and practitioners work as a collective Traditional Chinese Herbal Medicine (TCHM) community to produce high quality TCHM prescriptions that bring low-risk healthcare to thousands of patients everyday.
The Effectiveness of Chinese Medicine in Treating Infertility in the Philippines
Infertility is defined as the inability to achieve a successful pregnancy after 12 months or more of regular unprotected intercourse.
What Should You Call Your Patients (and What Should They Call You)?
When I walked into the exam room, the new patient looked uneasy, fumbling with his cellphone. He was a huge Polynesian man, probably in his 40s, with unrecognizable island tattoos.
2016 Trudy McAlister Foundation AOM Scholars
This year, the Trudy McAlister Foundation (TMF) received a record number of excellent applications for the 2016 scholarship awards and has awarded five scholarships for $2000 each. More information is available on our website: AOMScholarship.org
We Get Letters & Email
Another Slap in the Face for DCs; I Know Where to Find the Missing Chiropractic Patients; Clarification on Vitamin D Study.
January, 2005, Vol. 05, Issue 01
Massage Therapist Densitites
By John Fred Spack, LMT
Editor's note: The following data is based on the author's nonscientific research methods; caution should be used in generalizing the results.
In 2003, Massage Today published my review of data that suggested that massage therapists are more available to the public in licensing states (www.massagetoday.com/archives/2003/10/03.html).As of July 2004, the trend continued with some diminishment.
In 2003 and 2004, 26 states and the District of Columbia mandated massage therapy regulation. Three states (Connecticut, Wisconsin and Virginia) offered voluntary certification. Regulation was pending in four states as of July 31, 2004: New Jersey (certification), Illinois, Arizona and Kentucky. Aside from everything else in this article, it will be interesting to follow the numbers as these states build their registration lists.
The July 2004 edition of Massage Today was distributed to 72,245 massage therapists in all 50 states and the District of Columbia, according to its published circulation data. Using the July 2003 U.S. census data (the 2004 estimates were not available at this writing), the subscribers of Massage Today represent a density of about 25 massage therapists per 100,000 people in the United States. One way of looking at that is to figure that there are 4,000 potential clients per massage therapist, without discounting infants, prisoners and troops abroad.
About half the U.S. population lives in the 26 licensing states and Washington, D.C. The density of massage therapists is approximately 35 therapists per 100,000 in licensing states - above the national average. Nonlicensing states have an average density of only 15 massage therapists. To the extent that these numbers represent availability of massage services, availability is over twice as much in licensing states.
The numbers change a bit when the three certification states, Connecticut, Wisconsin and Virginia, are shifted into the credentialing column, joining the licensing jurisdictions. Credentialing states average 34 therapists per 100,000 people and non-credentialing states average 14 therapists. Measured this way, availability in credentialing states is still more than double other states, but in 2003 it was nearly triple.
This year, the state with the largest number of massage therapists per capita is Utah, with 82 per 100,000 (down from 101 a year ago). The 14 highest state densities occur in credentialing states, and these are the same states as last year. Montana, ranked 15th overall, is the nonlicensing state with the highest density, at 30 massage therapists per 100,000. The trend favoring licensing is mitigated by the three states with the lowest densities, which are all licensing states: North Carolina (7.5), Mississippi (6.4) and at the bottom, Maryland (5.5).
Individual state numbers must be viewed with caution. North Carolina, for example, has far more therapists than the 633 recipients of Massage Today in that state; the number of recipients in Ohio is 3,902, about half of the 7,820 reported by the state medical board in June 2004. Massage Magazine's online listing showed 7,334 Ohio licensees. There is no authoritative count in any nonlicensing state.
Expanding this report, I investigated numbers from the U.S. Department of Labor for the year 2000 of employed massage therapists only, excluding massage therapists who are self-employed, including independent contractors. (The data on average wages is interesting but not my focus.) Numbers are not available from seven states and Washington, D.C. Of the remaining 44 states, 20 were licensing states and 23 were nonlicensing states (Mississippi did not yet license in 2000.) A total of 25,890 massage therapists were reported as employed in the 44 states. According to an AMTA membership survey, 16 percent of therapists are employed. A calculation with that percentage gives a 44 state total of about 155,000 massage therapists where Massage Today lists 66,152, suggesting that the massage densities I have shown might be about 60 percent short of the actual numbers.
Using just the Department of Labor numbers, the average density for employed therapists is 10 per 100,000 people over all states and is also 10 in either the licensing states or nonlicensing states taken as groups. This data shows near equality between licensing and nonlicensing states as to the density of massage therapists working for employers.
Economists conjecture that licensing deters employment, but these figures do not support that. This Department of Labor data would be an excellent source of information for a massage school student researching a well-balanced approach to the theoretical economic effects of licensing.
We may conclude, as we did a year ago, that these data do not document that state licensing depresses the availability of professional touch to the public. One explanation may be that the very negative affects of local regulation are overcome by state licensing. In theory, state licensing imposed on a free market should dampen entry to the profession. When compared to local patchworks of regulation in the nonlicensing states, massage therapy licensing at the state level uniquely liberates the massage market and affords better opportunities for clients and practitioners.
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