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Not All Evidence Is Equal; An Abundance of Misinformation; A Well-Researched Decision; Far Too Dangerous.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
Are Your Work Orders in Order?
There are times when a patient's occupational duties will delay or prevent them from recovering. These circumstances create the need for the doctor to recommend modified duty or remove the patient from work.
The Wisdom of the Second Office Location (SOL)
There are some things I never want to do again, like riding a motorcycle 100 mph. I call these things my "negative bucket list." Other things I have on that list include water skiing, riding a roller coaster and eating habanero peppers.
Love a Nurse – and They'll Love You Back
According to various sources, there are about 3 million registered nurses in the U.S., and according to the American Nurses Association, they are under serious pressure in today's health care reality.
A Dream Come True for Chiropractic: Funding Prevention and Public Health
Back in 2005, Sen. Tom Harkin (D-Iowa) said: "Let's face it, in America today we don't have a health care system, we have a sick care system.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
A Chinese Medicine Story: An Interview with Mazin Al-Khafaji
Mazin Al-Khafaji's work has interested me for years. In February 2014, we invited him for the second time to speak at the Southwest Symposium in Austin, Texas.
Image Is Everything: The Power of Branding
Successful businesses use color and design to attract people to their service. They understand how important image is and hire experts to create an attractive package. Starbucks works hard to create an atmosphere that is warm and inviting.
Billing for Same-Visit Extraspinal and Spinal Manipulation
Q: I have always been under the premise that when billing 98943, extraspinal chiropractic manipulation, on the same visit as spinal manipulation, 98940-98942, that the extraspinal manipulation requires modifier 51.
Women's Health: Herbal Formulas to Help Patients With Dysmenorrhea
Chiropractors have long treated women for menstrual pain (dysmenorrhea). Since roughly 60 percent of all chiropractic patients are women and 30-50 percent of women have a history of menstrual cramps, the vast majority of doctors of chiropractic will inevitably see patients with dysmenorrhea.
State by State: Comparing Chiropractic Scope of Practice
"The issue of 'scope of practice' has been a bugaboo ever since our early quests for legal recognition for chiropractic," according to Dr. Claire Johnson, editor in chief of JMPT and National's other two chiropractic journals.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
Is the EHR Ship Setting Sail Without Us?
The numbers are in: As of July 2014, 10,253 doctors of chiropractic have received $123,059,868 in EHR stimulus funds – and yet that represents less than 15 percent of our profession.
Overcoming Barriers to Exercise Compliance
One of the most common questions other practitioners ask me is, "How do I get patients to do their exercises?" I am not frustrated by my patient compliance, as many doctors are; in fact, I am actually happy with my patients' involvement and commitment.
The Art of Day-to-Day Assessment and Treatment: Clinical Pearls
Let's focus on the day-to-day process of assessing and treating the patient. I am proposing a particular attitude; a way of looking at the patient. This often evolves over a few treatments and then changes as you figure out what is significant.
Defending With Vitamin D: Helps Prevent Progression to Diabetes
A 2014 clinical trial published in the American Journal of Clinical Nutrition provides additional evidence that optimal vitamin D nutritional status may be important in preventing the progression of prediabetes to diabetes in prediabetic adults.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
January, 2005, Vol. 05, Issue 01
Medical Massage and More, Part II
By Ralph Stephens, BS, LMT, NCTMB
In November, I shared my definition of medical massage, why I like the term "medical massage," and the importance of maintaining our status as first door providers (www.massagetoday.com/archives/2004/11/11.html).This generated some interesting responses. I want to share two of them. A physical therapist turned massage therapist wrote:
I find it amusing that as other health care professional like chiropractors, dentists, physical therapists, and even some MDs are fighting to get out of the insurance/government-controlled system and get back to cash practices, the massage profession is fighting to get in. Hoping for status, I guess, or recognition by the "gods of allopathy," or maybe ego gratification. I hope not just lust for money. There is no higher status than a first-door provider. Why not try learning our stuff - and maybe professionalism? A massage therapist, quite concerned about the egotism in medical massage, wrote:
I am one medical massage advocate that does not look down on relaxation therapists as a class and hope we never fit the Western medical model. It is just as much an art and skill to provide a high quality relaxation massage on the entire body, as it is to provide a high quality medical massage on the rotator cuff. The key words being "high quality." It is the individual's choice which area they want to specialize in. I do make a clear distinction between the two. If you look at them objectively, they share the same foundational techniques (strokes); however, they have very different intents.
Relaxation massage should intend to elicit the general parasympathetic response. It should soothe, nurture, promote and maintain wellness. If we had a health care system (we do not, we have a sickness care system), relaxation massage would be one of the premier modalities of wellness care. Relaxation massage therapists should be respected and well-paid primary providers of wellness health care; however, because I hold relaxation massage in high esteem, I believe relaxation therapists should know their anatomy, strokes, contraindications, and be very well trained, in general. It's not "just a massage"; it is wellness health care, and it should not be practiced by people with only a few weeks of training.
Medical massage exists because accidents and injuries do happen. Since wellness is not practiced in general, sickness occurs on many levels, including at the musculoskeletal level. Medical massage requires additional training, beyond the level of how to give a good full body massage. One must be able to address pain, injuries, dysfunctions, postural distortions, etc. Having knowledge about medical procedures and protocols is essential when working in a hospital, clinic, or other medical facility. So medical massage differs from relaxation massage in intent, direction (focus), scope, and quantity of training. Medical massage builds upon the foundation of relaxation massage.
However, the medical massage therapist should never lose sight of the wellness paradigm and always treat the whole person, not just the symptom. They should address the cause of carpal tunnel syndrome (in the neck and shoulder, for example) not just the symptom at the wrist. Of course, the first few appointments might focus on symptomatic relief for patient comfort, but the goal is to eliminate the cause. In the case of carpal tunnel syndrome, treatment should not be restricted to only the forearm by the prescription of a physician.
While medical massage therapists can work well with allopathic sickness providers, they should be there to provide an alternative, when appropriate, to more invasive procedures like surgery and drugs. Medical massage should also help with rehabilitation and recovery from surgeries and other injuries. If medical massage becomes controlled by the allopaths and insurance companies, it will most likely only be used like drugs to treat symptoms and not allowed to treat causes. Treating causes cures conditions, which allopaths hate because there is not as much money to be made in curing people as there is made treating symptoms.
Once they control massage, it will soon be eliminated from allopathic protocols, again. Drugs and technology phased out massage, or "manual medicine," during the 1950s. Massage has come back and now competes with their cash flow. The pharmaceutical cartel always tries to get control of a competitive procedure or discipline and co-op it. This is why I reject the Western medical model (sickness care) and hope we never get sold out to it. If we do, history shows it will be by the leadership of the profession. More on scope of practice in March.
Try this: When treating tennis elbow (lateral epicondylitis) and golfer's elbow (medical epicondylitis), remember that the involved muscles run all the way down to the hand and fingers. By examining and treating the entire muscle, you will get much better and faster results than just treating the injured tendons at the elbow where the symptoms manifest. Adding active movement of the muscles (flexion - extension of the hand) as you massage them will increase your therapeutic impact. Stretching both flexors and extensors of the forearm, for either condition, using Active Isolated Stretching - Mattes Method© should be done before and after massage. And don't forget to address the superficial fascia, preferably first.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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