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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.
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
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.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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."
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.
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."
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.
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
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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