resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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).
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.
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%.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
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.
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.
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'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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
May, 2005, Vol. 05, Issue 05
Lots of Stuff
By Cliff Korn, BS, LMT, NCTMB
Lots to talk about, not enough time to write it or space to print it all. What's an editor to do? It may prove difficult, but in this editorial I'd like to cover my thoughts on a possible way to expand your practice, the benefits of working in a spa setting, and follow-up thoughts on happenings at the NCBTMB that I wrote about in the February issue ("Trust and Expectations," www.massagetoday.com/archives/2005/02/09.html).None of these are earthshaking (or related!), but I feel a need to express them. I hope you'll not only read, but provide me comment and feedback, as well.
I'm not sure why, but in just the past month or so I've been exposed to more massage therapists reflecting on why their practices weren't robust enough to support them than I have in the past several years - some of them from my own clinic. Being a typical "guy," when someone presents a problem, I tend to offer a solution rather than just lend a friendly ear.
But as most of us know, there are few easy solutions to practice building, and what works just fine for me might not work as well for you and vice versa. So, over the past few weeks I've been searching for some additional methods to pass on to the newer practitioners in the office who are looking to ramp up their businesses.
Trying not to overlook the obvious, I "Googled" lots of massage terms with "practice building" and then perused the results. One jumped out at me, and I just have to share it because it is so all-encompassing and involves a piece of equipment most of us already own or have access to - a massage chair.
I found a Web site (www.bodyworkbiz.com/conference.php) outlining an International Chair Massage Conference that appears to demonstrate how to profitably and effectively use chair massage in support of a growing massage practice. I have absolutely nothing to do with the conference nor do I have any real knowledge of it other than what I read on the Web site, and I will not, in principle, endorse or support any private commercial venture in Massage Today. I do like the conference schedule as outlined, however, and this appears to be the very type of educational information that might have kept the therapists who left my clinic with enough revenue to have remained. If I end up attending, I'll report my findings here! I used to utilize my massage chair a lot in my practice, and it was always set up in my treatment room near my table. It was a very non-threatening way for teens who thought undressing was "weird" to get massage, and many seniors seemed to feel more at ease when their feet were firmly planted on the floor. Maybe I'll be taking it out of its case once again!
Next item - SPAS! I am always surprised to find the dichotomy of emotion in the massage world that surrounds spas. Our clients love them, and survey after survey indicates that the majority of first timers receive their initial massage at a spa. Many massage therapists though express great disdain at working in a spa environment. Most of the "charged" expressions of disdain, some to the point of red-faced stammering, involve a perceived misuse of the poor overworked, underpaid massage therapist. C'mon, it's just another place to work, people! I just returned from a vacation at a resort and spa in Jamaica. (Yes, I know, the New England snow finally got to me!) Being a chatty and inquisitive kind of guy (some would even say nosey!), I asked lots of questions of the massage therapist assigned to work with me - and yes, I was on a table under the palms on the beach - sigh.
She was quite good, demonstrated multiple skill sets, had trained for about a year and a half in massage school, and received regular continuing education. She loved her job at the spa, and it showed. She particularly enjoyed just having to "show up" at work and not needing to invest in equipment and supplies. She also said that she wasn't one to enjoy actively marketing her abilities, and the spa allowed her to have ready access to clients without her feeling that she was pushing herself on the populace. While I didn't specifically ask her about her satisfaction with the compensation she received, neither did she say that it would be a better job if it paid more, and this was at a resort with a no tipping policy!
Last fall I was fortunate enough to spend a few days at the Green Valley Spa in St. George, Utah. It may well be the best spa in the country (I haven't been to lots of others) but it was so good to me that I now use it as the yardstick upon which I compare others. The massage therapists there expressed similar stories to my therapist in Jamaica. These therapists were delighted to continue learning new things and enjoyed the ready stream of clients (tipping clients here!). None appeared to be burnt out or bored, and they had a large menu of services they provided, from Lomi Lomi to Watsu.
I'm not suggesting that all spa therapists are delighted at their lots in life! I have known several who were treated badly, scheduled poorly and paid less than their peers. I have known others suffering the same fates at chiropractors' offices and massage clinics, too. Worse still, I have known many more who worked for themselves, set their own prices, arranged their own schedules, and couldn't keep enough people on their tables to stay in business. If you have ideas or suggestions on how to make spa work more desirable for the "average" massage therapist, I'd love to hear them!
Last item - NCBTMB! I really didn't want to feel a need to write this, but just can't see why this isn't the big deal issue in massage therapy today. In February, I wrote about a reported elections process fiasco at the NCBTMB. Concurrent with that editorial, the NCBTMB adjusted its election procedures to ensure not only fairness but also the appearance of fairness, which included appointing a new Nomination Committee (NC), implementing revised election criteria, and subsequently reopening the application process.
Based on that, I wrote the following: "Scandal is a terrible thing for everyone, and this one certainly gets in the way of much of the good that the NCBTMB has done for the profession. If the NCBTMB satisfactorily exorcises this demon, I feel it deserves our support in fulfilling its ideals. If it chooses not to or fails to do so for other reasons, it will have not regained our trust and will likely wither and die." I felt confident that our support would soon be in order.
In the time between that occurrence and now, the NCBTMB has taken other actions. To fill vacancies that occurred when a portion of its own Board Executive Committee resigned their directorships, the board voted in as chair-elect the very individual central and subject to the election irregularities. Thus, the new chair-elect, who was otherwise ineligible to even be considered by the 80,000-plus certificants to run for re-election (her original complaint), bypassed the nomination process, bypassed the election process via certificant votes, and is assured an additional year on the board with the subsequent elevation of position to chair. This is not, in my opinion, the way for the NCBTMB to exorcise its demons! Is it me, or is the NCBTMB going out of its way to ensure that the steps to redemption are ridiculously steep?
Thanks for listening, and please tell me what you think!
Massage Today encourages letters to the editor to discuss matters related to the publication's content. Letters may be published in a future issue or online. Please send all correspondence by e-mail to , or by regular mail to:
Former editor of Massage Today, Cliff is owner of Windham Health Center Neuromuscular Therapy LLC. He is nationally certified in therapeutic massage & bodywork and is licensed as a massage therapist by the states of New Hampshire and Florida. Cliff is a member of the International Association of Healthcare Practitioners; a professional member and past president of the New Hampshire chapter of the American Massage Therapy Association; a certified member of the Associated Bodywork & Massage Professionals, Inc.; and a past chairman of the board of directors of the National Certification Board for Therapeutic Massage & Bodywork.
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