resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
May, 2005, Vol. 05, Issue 05
By Ralph Stephens, BS, LMT, NCTMB
It spring again, at last! Daylight savings time is upon us. Flowers are blooming and legislatures are in session. Exciting times. There is so much news about so much sickness and the lack of insurance.I am amused that there is so little news about how insignificant the flu epidemic was this year, without enough vaccine. We should hope for another contamination "crisis" in the vaccine industry next year.
Preventive maintenance is recommended for your car, but not for you. Just live life until your health fails and then see your friendly neighborhood allopath (medical doctor). Vitamin and mineral supplements are recommended for animals but not for you. All humans need to do is eat a balanced diet of chemical encrusted, GMO foods.
The wellness model seems to be fading. As our profession frantically scrambles for acceptance by insurance companies and allopathic physicians, the focus seems to be turning more to crisis management. Accidents happen and soft-tissue injuries generally are best addressed by massage and stretching; however, the focus should be on getting people well and then keeping them there. We should be about health, not catastrophes. Of course we should handle injuries when they occur, but an ounce of prevention is worth a pound of cure. How much pain and injury could be eliminated if people were educated about posture, movement and proper soft-tissue care? The wellness, holistic care paradigm needs to be taught in all massage schools and promoted to the public. We, and our alternative health colleagues, have a better mousetrap, and the public is beating a path to our door. Already, more people pay out-of-pocket to see alternative providers than to see allopaths. If we could promote personal health savings accounts, the number would increase in our favor.
Where are our beloved associations on this? Talk about creating opportunities for their members! Why are we squandering our resources trying to prove that what we do works in order to gain the acceptance of the allopaths who accidentally kill between 200 and 2,000 people a day? (Estimates vary but are still ahead of any other cause of death, including wars.) The allopaths say we are unproven and quacks. Let's see, maybe 50 people have died from a chiropractic manipulation in the last 50 years, a few dozen from supplements, and none I am aware of as the result of massage.
Allopaths kill more people in a day - at the low estimate - than all alternative providers have in over 50 years. Who are the quacks? Who's dangerous? The only thing I can see that's proven about what the allopaths do is that it's damn dangerous. We should be educating the public to this incompetence and promoting our alternative. Who should have to prove what is safe and effective? Allopaths should have to prove medicine is safe and that it is not the biggest killer on the planet or be relegated to second-tier providers. Look at the number of causalities. Where is the outrage? Wouldn't the public be much better off with alternative providers as the gatekeepers, except at the emergency room?
There is such an opportunity for massage and other alternative professions to upset the allopathic applecart, once and for all. Other alternative professions such as acupuncture and chiropractic are positioning themselves for this step. They are fighting for larger scopes of practice and higher standards of education. The massage profession is fighting among itself as to whether 300-500 hours is too much because not everyone can afford to go to a longer program, and schools couldn't make as much money if programs were longer and besides it's "just a massage."
The massage profession needs to step up to the plate and take advantage of the opportunity at bat before we are relegated to slave labor under the thumb of other alternative providers, or worse, the allopaths. How about we begin to call for a nationwide boycott of health insurance programs, by everyone - patients and providers? If no one had insurance, health care would quickly become affordable. We would be a bargain. If no providers accepted insurance, the public would stop buying it. Where would they go - to the most cost-effective providers.
That's us, and other alternative providers. Radical? You bet! But it's spring, time for rebirth, new ideas, new beginnings, hope and idealism.
What's wrong with proposing any idea that might end the reign of death and disease resulting from allopathic medicine's control of health care? What's wrong with wanting to promote health, wellness and awareness, not to mention increased opportunities for massage therapists? It's spring again, at last! Exciting times!
Try This: Remember when treating elbow and wrist conditions, such as medial and lateral epicondylitis (Golfer's and Tennis elbow) and carpal tunnel syndrome, the muscles involved run from the elbow to the fingers. If you do not get the resolution of the complaint when you only treat at the point of the discomfort, the lateral epicondyle, for example, treat the entire length of the muscle, from elbow to hand with both massage and stretching. Compression with engagement has been found to be very effective.
After warming up the tissues with myofascial and massage techniques, engage (compress) a spot on the problematic muscle with your thumb or finger and as you hold, have the patient flex and extend their wrist. After two or three cycles of flexion/extension, begin moving your thumb or finger in a circular motion (circular deep friction) as they continue to move through two or three more cycles. Release and move about an inch and repeat. Continue until you have treated the entire muscle or the entire forearm. I have found I get slightly better results when working from distal to proximal. It will take some time, but it will bring dramatic results. More next time (July).
Correction: In my March column, while discussing our scope of practice I wrote, "Due to poorly written laws, in some states, CranialSacral Therapy cannot be practiced by massage therapists." I was referring specifically to Mississippi; I have recently been advised by the Upledger Institute that this dark moment of our history has ended: "As of Dec. 17, 2004, The Upledger Institute was approved as a Continuing Education Provider by The Mississippi State Board of Massage Therapy to teach CranioSacral Therapy to massage therapists in Mississippi." At this time there are no states preventing the practice of CranialSacral Therapy by massage therapists. I am most happy to stand corrected. Congratulations and thanks to The Upledger Institute for fighting for our scope of practice.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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