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A Q & A About Updated Codes
Yes, indeed there was an update to ICD-10 on Oct.1, 2016. This is a regular update to the diagnosis coding system and this type of update will occur every Oct. 1, just as it did when the ICD-9 system was in place.
All Fiber Is Not Created Equal
Sometimes the best place to start is at the end. So, the conclusion of this article is that all fiber is good ... but some fiber is better. Let's break it down. There are two main types of fiber: soluble fiber and insoluble fiber.
Can a Multivitamin Reduce Breast Cancer Recurrence?
There is a great deal of controversy regarding the value of multivitamin supplements in cancer prevention. However, with respect to preventing breast cancer recurrence, an important study was published in the Journal of Breast Cancer Research and Treatment in 2011 by Kwan ML, et al.
End of an Era Looms at NYCC
New York Chiropractic College recently announced that Dr. Frank Nicchi will retire in August 2017 after 36 years with the college, the past 17 as president.
Little Sticker, Big Impact
It's the end of an election year. Hilary Clinton and Donald Trump were the subject of conversation for everyone, everywhere for the entire 2016 calendar year. I don't think any of us can deny that this election affected us all very deeply on a personal level.
6 Steps to Make 2017 Your Best Year Yet
People often ask me what defines success. Success, for me, is simple: doing exactly what you want to do in life. Whether it's the kind of practice you run, your life at home, your hobbies or something else, it's achieving anything you put your mind to.
A Letter to the Profession from the New President at AAAOM
Volunteering for a national, nonprofit organization brings with it such highs, lows, and accomplishments, as well as a steep learning curve.
Chiro School Reunion: Whatever Happened to...?
I opened the door to the closet slowly, carefully, since I knew it contained a large number of precariously stacked file boxes. It also held numerous outdated gizmos with electrical cords of various lengths that could trip or strangle a person.
Another Chance to Make a Difference
Just a few months ago, "the worst natural disaster to strike the United States since Hurricane Sandy" hit Louisiana. During this storm, one area experienced 31 inches of rain in 15 hours as almost 7 trillion gallons of water rained down in just one week across the state.
What We Can Learn From Spine Surgery
Patients with lumbar stenosis presumably present for conservative care to improve their quality of life and avoid surgery. However, providing clear guidance to these patients can be difficult for a number of reasons.
DVT: Know the Signs and You Could Save a Life
I lost a friend several months ago. He died from a pulmonary embolism (PE) secondary to a deep-vein thrombosis (DVT) that originated in his lower leg. Bobby was in his mid-60s, soft-spoken and had a big heart.
Herbs for Digestion: The Power of Bitter
Many cultures (and indeed herbal clinicians) around the world have long respected the role of bitter herbs and foods for promoting digestion. For example, aperitifs – drinks consumed before a meal to stimulate appetite and digestion – were originally derived from bitter herbs.
Dedicated to Defending Chiropractic
Whether you're a veteran DC or a first-trimester student, the name George McAndrews should be part and parcel of your professional vernacular, as familiar as the word chiropractic.
News in Brief
New President / CEO Takes Office at Yo San University. Electroacupuncture for Constipation?
Assessing Core Stability and ROM: 5 Basic Checks
One of the first steps in addressing core stability is assessing static posture, ranges of motion, and motion of the pelvic bones, sacrum, femurs, lumbar spine and thoracic spine.
A First for the Profession: CCE Accredits First Chiropractic Residencies
The Council on Chiropractic Education (CCE) has awarded accreditation to all five chiropractic residency programs currently administered at Veterans Administration facilities, "the first residency programs in the nation ever to be awarded this distinction, a significant advancement in the evolution of chiropractic education," according to a VA press release announcing the milestone.
2016: A Year in the Life of Acupuncture
Happy Holidays, may you, your family and friends have peace, joy and blessings throughout this special time of year. As 2016 comes to a close, we can look back and celebrate the many events and accomplishments for the profession of acupuncture.
Overuse Injuries in Young Athletes (Pt. 2)
Most overuse injuries are benign, but there are some high-risk injuries that, if unrecognized or inappropriately treated, can result in significant loss in time from the sport or even require leaving the sport.
Meshing TCM With Environmental Pediatrics: Where's the Overlap?
Pediatrics has a long history within Chinese medicine dating back to the late Han dynasty (i.e., the late 200s CE), with the two primary areas of emphasis being herbal medicine and xiao er tui na (pediatric massage).
A Simple Protocol for Holiday Stress
It's winter, a time when we should be deep in reflection, eating warming foods and sleeping long hours. Following nature's rhythms, we restore our bodies and minds in preparation for the renewal of spring.
Southwest Acupuncture College Brings It to Division 1 Athletes
When Michael Phelps' photograph with the distinctive round marks left by cupping went viral, the Division 1 student athletes treated through the Dal Ward Athletic Center at the University of Colorado (CU) could relate.
Branding: Set Your Practice Apart
Dr. Brad started his practice seven years ago on a shoestring budget. He created his generic logo in five minutes using a website because he didn't have the time to figure out how to make something special.
Molecular Motors: Tiny Machines Behind the Rhythm of Life
In the clinic, we aim to restore healthy patterns of movement for qi that has gotten trapped or misdirected, or may have even collapsed. We may be focused on freeing stagnation, releasing heat or redirecting counterflow qi, but it often comes down to helping re-establish a flow of sorts.
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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