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Another Step Forward for Chiropractic
Chiropractic is now available to 86,000-plus Latter-Day Saints missionaries and you are invited to become a provider. LDS membership in not required; our only concern is that our missionaries get the best quality care available.
Five Branches University Has First Hospital TCM Residency
Established in 1984, Five Branches University (FBU) has campuses in Santa Cruz and San Jose, Calif., which serve the communities of Santa Cruz, the Monterey Bay, and Silicon Valley.
The Case Report: A Valuable Tool
Case reports are a valuable form of descriptive research. The most basic form of practice-based research, a case report is a detailed account of the history, presenting symptoms, assessment, observations, treatment and follow-up of an individual patient, discussed in the context of prior and potential future research.
We Get Letters & Email
Our Country Needs Us Between Elections, Too; Continuing Care: We Aren't There Yet; Our Associations Need to Do More.
News in Brief
Updated Neck Pain & Whiplash Guideline; Attention, IHS DCs; New VP of Institutional Advancement At Palmer; N.J. DC Interns At U.S. Olympic Training Center; Chiropractic Society Of R.I. On The Front Lines.
Nutrition for Menopause: Front-Line Therapy for All Phases
Of all the changes women experience during their reproductive life, there is no doubt the most dreaded are the three phases of menopause. This is not surprising since all of the symptoms associated with menopause are replete with unpleasantness.
Low Back Pain in Running Athletes
After 7 million years of adapting to upright postures, the lumbar spine and pelvis have become remarkably adept at managing ground-reactive forces associated with running.
Let's Clear Up the Collection Confusion
This is an often-misunderstood practice swirling with misinformation. First, a few basics: Insurance is a contract between the patient and the insurance company. The insurance company is simply making a payment for services or care on behalf of the patient.
Crow Like the Rooster
As we welcome in the Year of the Rooster, we look at some of its major characteristics: confidence and communication, which suits the image we have of the Rooster...strutting in the farmyard, crowing to the others that it's time to wake up.
A New Year and Vision for the ACA
Inadequate pain management coupled with the epidemic of prescription opioid overuse and abuse has taken a severe toll on the lives of millions of people in the United States. Every day, more than 1,000 people are treated in the ER for misusing prescription opioids.
Scar Reduction With Acupuncture & Microneedling (Part 2)
Protocols and treatment Timing: A course of treatments should be performed over a period of 12 weeks if possible. Microneedling should be performed once every two weeks.
Prepare for the End, From the Beginning: Wealth Building and Retirement with the Tao
Yin and yang flow into and out from one another continually. Beginnings become endings and endings become beginnings again. Wholeness and cycles are the nature of Tao.
The winter season is upon us and offers unique challenges for the clinician and patient alike. To effectively navigate through the winter season there are two main TCM medicinals, Huang Qi and Gan Jiang, to consider, as well as two important formulas which feature these two TCM treasures.
Anti-Aging With Dr. Ping Zhang
Jennifer Waters, TCM practitioner and writer of the Acupuncture Today column, "Talking With the Masters" sat down with Dr. Ping Zhang to discuss aniti-aging with acupuncture.
Flirting With Alternative Therapies
There are about as many adjunct therapies being marketed to acupuncturists as there are acupuncturists. While some may remain purist in their application of traditional Chinese medicine, others choose to explore new horizons of treatment.
An Opportunity & a Responsibility
Nearly 80 Americans die from an opioid-related overdose every day, and spine-related pain is one of the principle drivers of opioid use. This unfortunate situation creates both an opportunity and a responsibility.
Acupuncture Points: Broadening Our Scope and Diagnostic Work
As every practitioner knows, the correct diagnosis is everything. Most healing disciplines rely on the use of symptomatology for their treatment implementation. Beyond symptomatology, we have clinical tests to provide more objective findings.
An Education in Gluten Sensitivity
A relatively new syndrome officially documented as non-celiac gluten sensitivity (NCGS) or gluten sensitivity (GS) was officially recognized and published in the new list of gluten-related disorders in 2012.
Qigong for Substance Abuse
It is commonly believed that substance abuse, in addition to harming one’s physiological state, hurts the spirit. There is also a belief that one’s spirit does not weaken due to substance abuse, but rather, the person finds solace in addiction due to an already weak spirit.
The Acupuncture Channel System (Part 1)
The earliest Chinese reference to channels is in the Mawangdui Medical Manuscripts,1 which are dated to the Warring States period of the Zhou Dynasty (475 BC-221 AD). The text presents 11 channels. There are no acupuncture points listed in those channels.
True Practice Mobility for the Chiropractic Profession
When natural disasters occur, chiropractors can literally travel to the other side of the world to offer humanitarian relief in less than a day. The chiropractor's license to legally practice, however, can't make it past the state line.
Shoulder Rehab: Start With the Scapula
The scapula is an incredible display of elegance and movement within the biomechanics of human motion. It's evolved for mobility and stability in the scapulo-thoracic region, giving us the ability to do things that are uniquely human, such as throwing with accuracy.
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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