resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
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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