resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
April, 2005, Vol. 05, Issue 04
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:
"I agree with the AMTA's position on accreditation"
I would like to add to the discussion on accreditation for massage programs ("Massage Therapy Education Accreditation: Industry Professionals Voice Their Opinions," Dec. 2004. www.massagetoday.com/archives/2004/12/02.html). I agree with the AMTA's position on accreditation. As long as all of the agencies use the same educational standards in their process, the overall goal of consistency of education in the profession will be achieved.
The problem with having different standards for education is that the potential students don't know who provides the best education, and the public is confused about the qualifications of the practitioners. The comments about accreditation not affecting curriculum or course content are true if the accrediting agency does not dictate the curriculum standards through the use of competencies. I have been involved in the accreditation process for the NATA and have seen how the implementation of competencies has boosted the level of education in the profession.
As far as higher educational costs, I would think that the administrative cost of hiring an experienced teacher would be well worth the student's investment. The only way we will elevate the profession is to have similar standards of education no matter what agency does the accrediting and have it mandatory that schools obtain accreditation.
Steve Jurch MA, ATC, LMT
"...50 percent plus tips won't look bad"
In response to Krystal Stone, LMT, (Jan. 2005, "We Get Letters & E-Mail," www.massagetoday.com/archives/2005/01/18.html) and others like her that don't like working for 50 percent plus tips. I suggest she open her own business then hire massage therapists to work at 70 percent or more -- plus they keep their tips! As new owner, Krystal will now be entitled to the percentage she only dreamed of before, along with the realities of having employees (who love her sense of fairness).
Krystal will now have to pay unemployment insurance state and federal, workmen's compensation, match social security and medicare payments, incur payroll expenses, which includes all the proper filing of government paperwork and yearly W-2 forms, and, of course, retaining these records. Did I mention malpractice insurance, public liability insurance, supplies, equipment for the therapists rooms, reception furniture, office supplies, etc.?
To keep her staff happy, Krystal will need a receptionist to schedule appointments and take care of the front desk duties -- and pay this person fairly, too. Fixed overhead expenses must be met, such as business lease of space, utilities and telephone. Variable expenses must be met, such as Mastercard machine and fees, client herbal teas, other refreshments, laundry and facility cleaning costs. (You can't expect the professionals to clean toilets and floors -- that is not what they went to school for.)
Advertising is a must in order to keep the staff working. Brochures should be printed, gift certificates and business cards. Is there room to negotiate health insurance or incentive packages for her staff? There are miscellaneous expenses, too: office supplies, appointment books, computer software, etc. I'm sure there are things I am forgetting, but I'll stop here and see if Krystal is now working at a 10 percent profit of her own service income, or worse, if she has provided a great business opportunity for other massage therapists, while she herself has spent all her money and long hours just to end up broke.
If Krystal has an attitude now, just wait until when she becomes the employer. I wonder what her idea of fairness will be then -- 50 percent plus tips won't look bad.
Dianne Marshall, LCA, MT
On Continuing Education
I agree with many of the points Alice Paprocki set forth in her letter complaining about the CEU requirements (Jan. 2005, "We Get Letters & E-Mail, www.massagetoday.com/archives/2005/01/18.html). The sticker shock from the price of workshops alone gives one pause.
However, as a massage practitioner, I must take issue with her on the matter of the need for all of us to have exposure to modalities that are not our own. As a former social worker in the public sector, I have seen what happens when professionals are not required to lift the lid from the jar on occasion. The air becomes stale, and innovation, improvement and flexibility are the casualties. We owe it to our clients and the profession to keep our minds open to new ideas; were we not required to do so, our busy lives might distract many of us from taking a look around.
Al Watkins, BSW, CMT
I am a massage therapist in Houston and have been doing massage therapy for over 30 years; the last few years I have done neuromuscular therapy exclusively. I have perfected a system that is effective for any muscular condition, particularly severe conditions that most doctors and other therapists cannot treat. I have worked extensively with chiropractors medical doctors who refer me patients when they don't know what to do with them anymore. In most cases, I can improve the conditions dramatically. I have taught seminars, trained massage therapists, worked in hospitals, and given lectures. I have contributed articles to medical and therapy journals. I have extensive knowledge of muscular anatomy.
When I first arrived in the U.S., I got my local massage therapy certificate and attended a comprehensive series of seminars, including kinesiology, sports massage, CranioSacral Therapy, neuromuscular therapy and many others. Some time ago the Texas board started a continuing education program that requires every massage therapist to attend each year in order to keep his/her license. I have taken a few six-hour classes that I found useless and elementary for the type of work I do.
I have reached the stage where I do not know what courses to take any more. Why must I spend my money for things that I already know and/or used to teach? I do not perform general massage. My patients need specific medical therapy. Can you suggest what I must do to avoid the boredom and the expense of taking continuing education classes that I do not need? Is there any provision that considers cases like mine?
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