resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Deficiency Myth
If you went to the same kind of medical school I did and took the same kind of licensing exam I took, you were trained to seek out and expect to find primary deficiencies here in the U.S.
We Get Letters & E-Mail
Let's Restore Integrity to Health Care – Starting With Us; MDs Offer More – So Can We.
The Many Faces of Cervical Compression
When evaluating the neck, there are any number of orthopedic tests to be considered.
Putting Public Health Into Action: Thinking Globally, Acting Locally
The Chiropractic Health Care section of the American Public Health Association (APHA) met at the 141st APHA Annual Meeting and Exposition in Boston late last year, and it was another triumph for chiropractic and its public health advocates.
Peer Points: Spreading The Word
Pedram Shojai describes his venture into Traditional Chinese Medicine as a journey led by various "mystical experiences." Shojai decided to change the course of his career when he looked deeper into the basics of TCM.
New Knee, New Pain (Part 2)
The patient presented to the chiropractic clinic with symptoms of genu varum and pain on the medial aspect of the tibiofemoral joint.
Why Stretching Doesn't Work
Like most chiropractors, a good part of my day is spent working with sedentary office workers who spend eight to 12 hours a day glued to a desk chair in front of a computer.
Ask and You May Receive
A friend of my mother has had a problem with her ears for almost 20 years. Whenever the wind blows, it sends shooting pain through her jaw. She has seen any number of medical specialists over that time, but with no relief.
Gallop Confidently Into The New Year
Happy New Year! As you may know, this is the year of the Wooden Horse. I received a wonderful gift for Christmas. It is a beautiful glass sculpture of a horse, by Luili Gong Fong, a Chinese artist.
Qigong to Empower Our Youth
Qigong is an ancient form of exercise and meditation used to promote longevity and health. This practice has traditionally been used by adults to balance the body through mindfulness, focused breathing and gentle movements.
The Importance of Staying Focused
Our world is so full of over stimulation and constant information. We live in a fast paced, ever-changing society. If you seek you will receive.
News in Brief
Parker Announces Executive Director of Parker Professional; Athletic TIPS Program Getting Financial Support; ANJC Award Recipients Named.
Embracing the Light
Four years, ago I was diagnosed with a labral tear in my hip that was excruciating and "required surgery" according to an orthopedic surgeon. I tried everything and although the symptoms had mostly abated, I had to give up Yoga practice and everything that could exacerbate the tear.
Betraying Patients and the Profession
Imagine flying from New York to Paris on a jumbo 747. Your thoughts are on your vacation and experiencing the City of Lights. Midway over the Atlantic Ocean, you overhear the flight attendants talking in muffled voices.
Gaining an Independent Occupational Code with the U.S. Bureau of Labor Statistics
One of the most important national activities currently taking place in relation to the development of the field of AOM profession is the Department of Labor's Bureau of Labor Statistics' (BLS) revision of the 2010 Standard Occupational Classification (SOC) system.
Increased Breast Cancer Risk: Another Implication of High Cholesterol
In addition to being a known risk factor for heart and cardiovascular disease, recent studies have highlighted the link between high cholesterol and increased risk of breast cancer. Breast cancer is the second most common malignancy in women after skin cancer.
An Introduction to Evidence-Based Clinical Practice - Again
One of your patients is in for treatment and catches you off guard by asking you a question about a news article she recently read. It seems that a new intervention for back pain was found to reduce the rate of serious side effects by 50 percent.
Climbing the Ladder of Opportunity (Part 1)
President Obama spoke of building "ladders of opportunity" in his State of the Union and Inauguration addresses.
Acupuncture Ambassadors: A Chat with Leader Anthony M. Giovanniello, MSAc,LAc
When you first meet Anthony Giovanniello, you realize he's a humble practitioner, yet is bursting with a type of dedication that you can't help but be overwhelmingly inspired by.
Preserving the Natural Resources and Culture of Chinese Herbal Medicine
As the world experiences unprecedented population growth and ever-increasing ecological pressures, the topic of preserving Chinese medicine's natural resources has attracted steadily increasing attention from practitioners.
Common Disorders of the Temporomandibular Joint
The evaluation and management of craniofacial pain is a complex endeavor, which often encompasses the presence of temporomandibular joint disorders.
The Urinary Bladder Official
The Bladder Official is known as the Official Who Controls the Storage of Water. In Western medical terms, this organ collects the urine excreted by the kidneys.
An Alternate Method For Choosing The Right Formula For Your Patients
A constant question for us in the clinic is when to make adjustments and when to stay the course. A patient comes in and says, "Things are the same as last week."
Using Facial and Scalp Acupuncture To Treat Neuromuscular Facial Conditions
As a practitioner and instructor of facial rejuvenation acupuncture I have gotten many calls over the past 10 years from individuals seeking help for various conditions affecting the facial muscles, nerves, and overall function of the face.
Look, Listen and Learn to Code
Study of the Current Procedural Terminology (CPT) Evaluation and Management (E&M) coding system can leave a doctor of chiropractic a bit confused. The description of the five new-patient and five established-patient examination codes takes up several pages in most coding books. The degree of detail and charts used to describe the codes can be overwhelming.
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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