resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR 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.
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.
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.
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.
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.
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.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
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.
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 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.
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.
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.
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.
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.
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.
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.
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.
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.
May, 2005, Vol. 05, Issue 05
By Ralph Stephens, BS, LMT, NCBTMB
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, NCBTMB.
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