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Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
May, 2005, Vol. 05, Issue 05
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
Out of Touch?
I was amused to see a full-page advertisement for a massage ointment, which featured photographs of eight well-known massage educators, all of whom are men. Evidently, the company doesn't have a clue that the vast majority of massage therapists are female! Get in touch with the profession, please!
Continuing the Dialogue Over Texas & Educational Hours
Editor's note: The following letters are in response to "Stop Pushing for More Hours," We Get Letters & E-Mail, March 2005, www.massagetoday.com/archives/2005/03/17.html.
I have been a massage therapist for about 10 years now, specializing in "loving people's feet." I just read Betty Jacobs's letter. I'd like to say: RIGHT ON! With gratitude to Betty for speaking her peace and to Massage Today for printing her letter,
I was appalled at the two letters written in reference to Janine Ray and her work with the TAMT and Texas coalition to raise the standards of massage therapy in Texas. Panhandle Association of Massage Professionals, Inc., hosted Janine at its February meeting to discuss the proposed changes. I was impressed with her professionalism and preparedness to speak to our group about these changes and keep us informed. Janine is a professional extraordinaire; we will have her back soon for another meeting and continuing education classes. I started this association in 1996 to promote massage therapy and to raise the standards locally. At this time, Panhandle Association of Massage Professionals, Inc., is proud to support Janine Ray and the TAMT in this endeavor to raise the standards in Texas.
Larry Brooks, RMT
My educational background is as a Certified Occupational Therapy Assistant, although I prefer to practice as a massage therapist. After working in a rehab setting for several years, I am very aware of the importance of anatomy in the field of massage. My clients have experienced a more thorough and rapid recovery because I am familiar with the bone and muscle structure. Allowing for increased learning in massage schools, which is what the increase to 500 hours would do, can only lead to quality work by quality professionals. This effort of passing key bills to support this is to be commended.
Irene M. Castaneda, RMT
Where do I begin? In response to Rich Haslam's letter: Are you kidding? I mean no disrespect but, of course you use anatomy - you use it every single day! Did you or did you not take the state board test? We are nothing without our knowledge of anatomy. I, too, am practicing in Florida, and in my neck of the woods it is a respected profession because of our knowledge! My patients will often ask my opinion and ask me to explain what the doctor just told them.
Not only has [Haslam] just cut his clients down, he is making the profession look bad. Anyone can give a "fluff job" - my 8-year-old can. A professional helps people. Open your books and expand your horizons, buddy, and let Texas take care of Texas. Anatomy is 100 percent of our business. Thank you Massage Today. This is why I love reading you - real therapists with real thoughts and issues!
I don't think anyone needs to be a lawyer to be a judge of what's true about Texas schooling hours. In the Nov. 2004 issue, Janine Ray said: "The existing education requirement is limited because the current law specifies that the schools can only require a maximum of 300 hours of training in their entry-level programs" ("Updating Texas Massage Legislation," www.massagetoday.com/archives/2004/11/04.html).
In response, [Haslam's] letter said: "To say that 'The existing education requirement is limited because the current law specifies that the schools can only require a maximum of 300 hours of training in their entry-level programs' is a lie, pure and simple." Texas state law says: "Sec. 455.205. PROHIBITED PRACTICES. (b) A massage school or a massage therapy instructor may not require the successful completion of more course hours than the number of hours required for registration as a massage therapist under this chapter" (www.capitol.state.tx.us/statutes/oc.toc.htm).
Forgive me for presenting a double shot of Janine's words - sometimes that happens.
John Fred Spack
On behalf of Texas and serious massage educators and therapists everywhere, I want to say that Rich Haslam's letter revealing, to quote, "the fundamental truth...that you do not need any anatomy to be a...massager" was the most flabbergasting letter I've ever read in our field. So much so, were it not tragic, I also had to laugh. I could go on and on but here are few important points: 1) If Rich finds anatomy unnecessary, this is probably an indictment of his anatomy teachers as well as of his standards; 2) Rich is right. You can do a massage without knowing anatomy. You can also speak without knowing how to read. But no one would then make the positive case for illiteracy! 3) Stating boldly "I started TAMT to oppose the AMTA" reveals the negativity of his agenda. We need more cooperation, not more opposition in our profession.
I co-founded The Lauterstein-Conway Massage School in Austin over 16 years ago. Since beginning, we have offered up to 750 hours of rigorous, wonderful massage and bodywork training. We don't vastly care whether the law changes or not. We will maintain high standards no matter what. Here's a vote of thanks and confidence to all who continue to aim high in our profession.
David Lauterstein, RMT, Cert. ZB
I continue to be surprised and shocked by the individuals who want to limit the educational requirements needed to practice as a massage therapist. Clients come to us with problems affecting their health and well-being. They are looking to us to help them return to normal functioning.
I cannot believe that Rich Haslam can say he has never used his 75 hours of A&P or the additional 150 hours he took in Florida. Or how he can claim that more hours only benefits massage schools. In my opinion, an understanding of anatomy and physiology and how the body works is an essential component of our work. How can you assess the client without understanding A&P? How can you determine which direction to apply forces and strokes without understanding the orientation of structures and fibers in the body? To randomly apply massage without considering the structures and tissues you are working with provides a disservice to the clients. This is particularly true as many more massage therapists are working in more traditional health facilities, with more involved clients.
Yes, a generally applied massage may feel good anyway and it may help temporarily, but it doesn't help address the underlying issues that cause recurrent pain. In my opinion, education needs to become more in-depth. Therapists need to be trained to assess their clients and determine appropriate treatment plans based on those assessments, and 500 hours of training just does not cut it.
Robert Benson, PT, LMT, CSCS, MA.Ed.
No Distinction Between Therapeutic & Relaxation Massage Necessary
I read the interview with Nancy Schmitt (March 2005, www.massagetoday.com/archives/ 2005/03/04.html) and was dismayed by the interviewer's question, "What separates Mindful Touch Therapy from therapeutic or relaxation massage?" It is the "therapeutic or relaxation massage" with which I am concerned because the interviewer's question leads one to believe that therapeutic massage is not relaxing, nor is relaxation massage therapeutic.
I take issue with that thinking and have voiced my opinion in meetings on a few occasions when other therapists have said, "just" relaxation massage. I admit that I don't really know how those who say "just" relaxation massage define it; I can only assume that they envision pressure that is too light in their view, but I was taught that the client is to gauge the appropriate level of pressure.
In any case, I believe that it hurts all massage therapists for one to put down any modality and imply that relaxation massage is not therapeutic. I refer to another letter to the editor from Kenneth J. Klak, DO, published in January 2005 ("We Get Letters and E-Mail," www.massagetoday.com/archives/2005/01/18.html). Dr. Klak wrote, "...my profession is evolving into an understanding of osteopathy being most appropriate when we can take a patient to their most relaxed state," and further stated, "...the benefit of relaxation massage whose purpose is to take this patient to a state of peace may have ultimate value as far as being primary for the 'medicalization' of massage. I hope your profession never lets go of the thought of relaxation as a form of medical therapy." One more quote I found in Deepak Chopra's newsletter in a list of seven simple ways to ignite your immune system, "Get touched. Massage awakens immune function and feels good." No distinction necessary! Please review your editorial policy and represent all modalities responsibly.
"Fair and Balanced"
Dear Cliff Korn:
Excellent editorial in Massage Today. How fair and balanced you write ("Trust and Expectations," www.massagetoday.com/archives/2005/02/09.html,Feb. 2005). I am struggling as an approved CE provider trying to do the right thing renewing, adding courses, providing paperwork and not getting clear answers from the administrative side about what's required, say, to add courses between renewals. Given my (and others') ongoing nightmares and time we've spent checking and re-checking NCB info, it was a relief to read your matter-of-fact mention of poor service at the NCB. It was like an easy breath - I wasn't dreaming when I experienced repeated poor service! And you're right. NCB can fix it, get their house in order, and restore trust. I think in a few years we will look back on this and laugh in relief that it will happen. You wrote an editorial with heart, vision and a good measure of taking-to-task. Great job. Thank you!
Tracy Walton, LMT, MS
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