resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Code Connection: Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
May, 2005, Vol. 05, Issue 05
Parkinsonism Redux: The Movers and the Shakers of the World
By Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President
My last article on Parkinsonism generated more feedback than usual, and it was wonderfully supportive of the positive influence massage can have on the lives of people who live with this disorder (www.massagetoday.com/archives/2005/03/14.html).I heard from so many people with such wonderful things to offer that I decided, instead of moving on to another topic, I'd recap what some of they had to say. The fact that I am listing these resources and techniques is not an endorsement, and I haven't explored them myself; however, I encourage interested readers to get more information from the organizations provided here. My heartfelt thanks to all those who wrote, and in particular to the people quoted below, who quickly and enthusiastically gave me permission to use their letters in this article.
I have worked with many people over the years with Parkinson's and other chronic illnesses both in my private practice, and as part of my work as supervisor of the massage therapy program at HospiceCare of Boulder and Broomfield Counties in Colorado. Through this work I have developed a particular style of bodywork called Comfort Touch, which is safe and appropriate for the elderly and the ill, and easily adapted for those in medical settings.
I demonstrated on a volunteer as she sat in a chair, explaining the rationale behind the techniques I use (slow, broad, encompassing pressure directed into the center of the part of the body being touched, e.g., nurturing acupressure), and then I had the participants practice a simple sequence - shoulder, arms, hands - on each other. They were all so enthusiastic about the work. Those receiving the touch felt it to be very relaxing, and the givers of Comfort Touch felt it enjoyable to give. In just a few minutes, they felt calmer, more grounded, and a bit more hopeful in coping with their disease.
Mary Kathleen Rose, BA, CMT
I am surprised that you did not mention Daybreak Geriatric Massage Institute in your article. This would probably be of interest to some of the readers. We have been the certified geriatric work modality since the early 90s, and have published many articles on working with many challenges, including Parkinson's and ALS. We teach beginning and advanced levels of classes. I, along with four other teachers (all are RNs or OTs, as well as massage therapists), teach about 60 workshops per year both nationwide and internationally.
Sharon Puszko, PhD, CMT
Shortly before my husband was diagnosed, I took several short-term training courses in massage therapy. I began giving him regular weekly massages. Not much happened. He felt a lot better after the massages, but not really that much better than you or I would feel.
About a year later, I took a weeklong massage course, where in the process of the training, I gave and received a massage every day. It was that daily massage that made an impression on me. I felt so much better after seven days of regular massages that when I got home, I told my husband that was the program I felt he should go on - daily massage (by the way, my husband takes no chemical drugs to treat his condition). As I am sure you can guess, the daily massages I gave him brought about remarkable changes, including restoration of facial expression; 90 percent elimination of tremor; sleep patterns returned to normal; handwriting improved; aches and pains almost completely reduced; and continued improvement of joint movement.
Although the PD was still progressing, we both felt that we had slowed its progression down. I continued with the daily massages for one year, after which time I discovered the FSR. (Forceless Spontaneous Release put forth by the Parkinson's Recovery Program in Santa Cruz, Calif.) In the early days of his condition, the daily massages made all the difference. I know they helped him and he knows they helped him. There were three factors that were essential that I would like to share with you: 1) Deep work was detrimental; 2) Very slow movements were essential; and 3) One massage a week didn't do a thing. He needed at least one massage a day.
My mother is one of many Parkinson's patients undergoing treatment. There is discussion online at , which can be browsed, joined or queried. They have found that studies indicate in Parkinson's the brain areas thought to be dead are dormant, with undifferentiated cells, which can be brought back and the patient becomes "symptom free," undiagnosed as having Parkinson's - the best one can say, because the medical establishment categorizes Parkinson's as "incurable." This categorization itself is quite debilitating for people who have the condition, which the practitioners at pdrecovery.org prefer to call "reverse of the stomach channel."
I was a massage therapist for 21 years. When I moved back into my parents' home to help them; one of the reasons that help was needed was my father's Parkinsonism. His lower legs and feet were in great need of massage but were exquisitely sensitive. I began by working gently on his quadriceps, which let him understand the pressure and motions that would eventually be used on his calves and feet.
I proceeded after a week to "shank work" and finally incorporated his feet. He was happily surprised at how his tolerance for touch increased, and I cherished the half-hour sessions for all that I received during them.
Thank you for your article in Massage Today. In addition to informing your readers, it led me down a lovely memory trail. PWP rely upon a sense of humor to help them meet challenges. As "they" like to write in their listserv group: always remember, "People with Parkinson's are the real movers and shakers of the modern world!"
Deanne Charlton, retired massage therapist
To all of these contributors, I owe great thanks for their generosity and dedication. I am humbled to be in the same business with all of you.
Readers: Next time I will continue in the CNS dysfunction vein with an article on amyotrophic lateral sclerosis, or Lou Gehrig's disease. I'd like to hear from anyone working with clients who live with this disease to share your experiences with other readers. Please write to me and let me know what you do and why, if it works, and why you think so.
As always, many blessings,
Ruth Werner, LMP, NCTMB
Click here for previous articles by Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President.
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