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Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
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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