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How to Correct a Cuboid Subluxation
Cuboid subluxation is a poorly recognized condition, even though it is not uncommon. It has been described in the literature under various names: cuboid subluxation, cuboid syndrome, locked cuboid, dropped cuboid, cuboid fault syndrome or peroneal cuboid syndrome.
The Qi Focus: A Guide to Managing Stress
Stress, are you experiencing heightened stress levels? Your own, and your clients? Is Trumpitis getting to you? I recently polled a cluster of acupuncturists, Asian Bodywork Therapists (ABT) and psychotherapy colleagues on the issue.
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
Toxicity & Kids: The Importance of Environmental Intake
The old adage is true that children are not little adults. Traditional Chinese medicine (TCM) has long known that the physiology of children is unique, as are the diseases that plague them.
Treating the Terrain of Chronic Sinus Infections
Chronic sinus infections can be stubborn to treat, but the therapeutic path forward can be simplified when utilizing three distinct treatment principles which take into account the terrain of the body, and the way in which microbes grow.
Help Save an Important Chiropractic Landmark
The chiropractic profession has a splendid and varied history. Sadly, many landmarks have been lost to bulldozers and wrecking crews, such as the Ryan Building, Little-Bit-O-Heaven, Spears Chiropractic Hospital, and Clearview Sanitarium.
NSAIDs No Better Than Placebo for Spine Pain
A meta-analysis of randomized, placebo-controlled trials comparing the efficacy and safety of NSAIDs with placebo for spinal pain concludes that among 6,065 spine pain patients, "NSAIDs reduced pain and disability, but provided clinically unimportant effects over placebo."
The Chiropractor's Guide to CRISPR
Science magazine's "Breakthrough of the Year" award for 2015 was described as "the gene-editing tool called CRISPR." CRISPR stands for "clustered regularly interspaced short palindromic repeats."
Give Your Patients the Ergonomic Advantage
Prolonged sitting contributes to low back pain and is a health risk. When I discuss my POLITE technique practice recommendations with patients, ergonomics may be last, but not least!
Treating LBP the Right Way: Think Natural
An updated clinical practice guideline from the American College of Physicians (ACP) recommends spinal manipulation and other non-invasive, non-drug therapies as first options for acute, subacute and chronic low back pain, rather than pain medications, as stipulated in the original 2007 guideline.
Waist Circumference: A Conversation Starter (Part 2)
Now let's discuss the clinical approach to reducing WC and implementation in today's chiropractic practice. The primary intervention centers around dietary modification and lifestyle habits aimed to reduce adiposity, improve insulin sensitivity and ultimately, diminish systemic metabolic dysfunction.
What's Bugging You? Probiotics and Your Health
An estimated 100 trillion microorganisms representing more than 500 different species inhabit every normal, healthy bowel. Gut-dwelling bacteria keep pathogens in check, aid digestion and nutrient absorption, and contribute to immune function.
The First (Only) Choice for Spinal Pain
The study on NSAIDs for spinal pain summarized on the front page of this issue is intriguing on a number of levels, the most obvious being the conclusion that "compared with placebo, NSAIDs do not provide a clinically important effect on spinal pain, and six patients must be treated with NSAIDs for one patient to achieve a clinically important benefit in the short-term."
Good Works at the Canandaigua VA
Faculty and students of the Finger Lakes School of Acupuncture and Oriental Medicine (FLSAOM) of the New York Chiropractic College have provided acupuncture to veterans at the Veterans' Administration Medical Center (VAMC) in Canandaigua, New York since September of 2007.
News In Brief
A "Modern" Business Model. Acupuncturists may have a new professional atmosphere to consider, as a new concept is on the horizon - at least for one business.
5 Ways to Enhance Your Family Practice
Every practice has a personality style. A practice that caters to athletes, PI cases or adults, for example, projects differently to patients than a family wellness practice.
Shedding Light on the Benefits of Heliotherapy
I can't imagine anyone not feeling good strolling in the sun on a beautiful spring day. The sun is responsible for all life on earth and is best illustrated along the equator touting the richest biodiversity on the planet, in stark contrast to the Arctic Circle and South Pole.
Caring for Refugees in Greece
At the beginning of 2016 I had no idea what was in store for me, but I was looking forward to a personal retreat on the Greek island of Paros; a graduation gift to myself after 22 years of motherhood, and four-plus years of Chinese medicine school.
Chiropractic: A Great Fit for the White House
Dr. Eric Kaplan is a New York Chiropractic College alumnus; a No. 1 best-selling author whose books include Awaken the Wellness Within and The 5 Minute Motivator; a chiropractor for professional sports teams and elite athletes; and even served as an advisor under the Clinton Administration to the President's Council on Sports & Physical Fitness.
Insomnia Treatment Based on the Yu Theory
In recent years, acupuncture has risen in popularity as a form of alternative or supplemental medicine for the treatment of many different types of disorders.
Scope of Chiropractic Practice: Why Now Is the Time to Expand
In my January article, "Scope of Chiropractic Practice: Is It Time for Change?" I discussed the use of the term primary spine care practitioner, the loss of privileges to diagnose in Texas, and the fact that the definition of "chiropractic" varied from state to state.
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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