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Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
Online Marketing Basics: Google Ranking, Part 1
We all know there is so much opportunity with online marketing. And, let's face it, if you don't have a presence online with a website and social media, you are probably not where you want to be.
The Roots of TCM in Depression Treatment
In traditional Chinese medicine, there is historical precedent for the treatment of so-called "Shen" (Heart-Mind) disorder, or disorder/dysregulation of the spirit, which is also considered as distinct but not separate from the cognitive function of the brain.
The Art of Creating a Healing Space
I always advise my graduates to examine their group practice or treatment rooms with fresh eyes after they leave my CE workshops. I tell them, "Ask yourselves - is your space qi filled, welcoming and healing? Or is it cold and clinical?"
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Melatonin: A Promising Natural Agent in the Prevention of ALS
A number of years ago, experimental studies suggested melatonin could block key steps in the development of Alzheimer's disease, primarily by acting as a brain antioxidant and inhibiting the build-up of beta-amyloid plaque in the brain.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Medicine as Metaphor
The practice of medicine is both an art and a science. We study and learn the system so that when the time comes to apply it, there is a greater possibility of successfully helping others.
Exploring and Learning from the Gift of Life
I'm grateful to have had the opportunity to teach cadaver dissection classes and workshops with Stephen Cina at the New England School of Acupuncture over the past seven years, first through the Sports Medicine Acupuncture Program and later as a NESA elective course.
Colon Health and TCM
I still remember many years ago, the loud "Yuck" from my wife at the time when we were together watching the Chinese movie "Last Emperor."
Abdominal Acupuncture for Eye Healing: The Sacred Turtle and Ba Gua Map
Our ideas about western medicine have shifted in recent decades, while the public is asking more from health care providers.
Can Acupuncture Treat Knee Pain?
Recently, an article in the Journal of the American Medical Association concluded that, "neither laser nor needle acupuncture conferred benefit over sham for pain or function" among older chronic knee pain patients.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
Adding Microneedling to Your Clinic for Results and Profit
Microneedling has taken the beauty world by storm over the last 10 years. Under the names dermaroller, microneedling or skin needling you will see these treatments listed in the services of nearly every fashionable beauty salon and day spa in the country.
The Source-Luo Point Combination, Part 3
Dr. Nguyen Nghi (NVN) was born in Vietnam and is one of the most important scholars, writers, teachers and practitioners of modern time. Many of his theories and applications are the source of modern teachers from Europe and the United States.
Merger Creates New Model of Care
Two San Francisco powerhouses of holistic healing, the American College of Traditional Chinese Medicine (ACTCM) and California Institute of Integral Studies (CIIS), are merging. Together they are building a visionary approach to applied integral health.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
The Integrative Medicine Puzzle: Putting the Pieces Together
The conversation is changing in the broader healthcare community with patients actually moving the discussion toward more integrative topics. Patients today want to know their options.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
July, 2005, Vol. 05, Issue 07
"Using" Medical Massage
By Cliff Korn, BS, LMT, NCTMB
Regular readers of Massage Today know that I give my opinions freely. I've been doing so as long as Massage Today has existed. (I think this is my 52nd editorial.) Sometimes I write about things that are, in my mind, detrimental to the profession; other times I write about things I have found uplifting and beneficial.I much prefer the latter, but frequently get bombarded with things that seem so incredibly stupid to me that the uplifting and beneficial topics get pushed further and further back in the pile of topics to write about. Such is the case this month.
I have in the past written about "Medical Massage." Search massagetoday.com and you'll find not only my editorials (most recent being www.massagetoday.com/archives/2004/10/09.html), but a slew of other articles on the benefits or perils of "Medical Massage."
The players looking to be involved or control "Medical Massage" are growing exponentially. Two organizations in particular appear to be posturing to make themselves the only "official" players in the game. Both the United States Medical Massage Association (USMMA, formerly the American Medical Massage Therapy Association, or AMMTA) and the American Medical Massage Association (AMMA) are each calling themselves the biggest, best and largest organization representing medical massage therapists in the whole wide world.
Actually, they both indicate on their Web sites that they are so altruistic as to represent the interests of all massage therapists, not just ones practicing in the medical side of the business.
The USMMA site says:
A cynic's hat may sit comfortably on my head but I think that the rhetoric from both of these organizations sounds more like marketing than anything else. I believe the sales term is "puffery," which means greatly exaggerating the benefits of a product with the intent of capturing a prospective buyer's interest. Puffery is frequently entertaining but consists of promotional claims that no one out of diapers takes literally.
My intent here is not to ridicule the two organizations, because both have tangible benefits to those choosing to align themselves with one or the other. Both can provide guidance and solid principles for succeeding in a complex niche of our profession. Don't think for a minute, though, that these or any other individuals or organizations out there that can make a buck off the term "Medical Massage" is without an agenda!
As example, the USMMA recently filed a class-action lawsuit against State Farm Insurance Company in Pennsylvania for "down-coding" CPT code 97140 (Manual Therapy) to 97124 (Massage Therapy).* The case was apparently settled out of court and David Luther, speaking in his newsletter stated:
Note: Do you believe it? The USMMA had the audacity to suggest to a judge that only members of its association or people who have taken its 'week-long intensives' should be allowed reimbursement for manual therapies. I think the situation is best summed up by someone whom I see as one of the great critical thinkers of our profession. I will reprint his letter to the editor of here in its entirety.
Here, here, Whitney! The profession owes you a round of applause for following up on this issue and making those phone calls and sending those e-mails.
Both the USMMA and the AMMA, with their own definitions of "Medical Massage," are now critical of the American Massage Therapy Association (AMTA), which recently issued a press release stating:
I hope AMTA truthfully includes the "profession" in its discussion, including the AMMA and USMMA, since those organizations have more history and background information than most. If the discussion is kept in-house or with limited interaction with the diverse components of our field, I fear the AMTA will cause more harm than good, as it will actually encourage more attempts to grab market share through inappropriate legal action and decisions. The longer this argument continues, the more likely that there will be irreparable harm.
Maybe I have a tendency to look only at obvious or simple solutions, but according to my trusty Webster's New World College Dictionary, both terms in question are already defined. Cobbling together the most likely definitions, "Medical Massage" is defined as "Rubbing or kneading a part of the body, usually with the hands, with the objective of treating, curing, and preventing pathologies, relieving pain, and improving and preserving health." How hard was that?
The August issue of Massage Today will have a more in-depth article concerning the issues I've mentioned in this editorial. Since there are precedents here that can affect a large part of our profession, I ask you to "stay tuned."
Thanks for listening!
*Two days after this article went to press, Massage Today received new information verifying that this lawsuit had not been filed by David Luther, et al., but by an individual massage therapist, Tracey Roberts. David Luther and the USMMA became involved independently, and neither he nor his organization are named subjects in the lawsuit.
Massage Today encourages letters to the editor to discuss matters related to the publication's content. Letters may be published in a future issue or online. Please send all correspondence by e-mail to , or by regular mail to:
Former editor of Massage Today, Cliff is owner of Windham Health Center Neuromuscular Therapy LLC. He is nationally certified in therapeutic massage & bodywork and is licensed as a massage therapist by the states of New Hampshire and Florida. Cliff is a member of the International Association of Healthcare Practitioners; a professional member and past president of the New Hampshire chapter of the American Massage Therapy Association; a certified member of the Associated Bodywork & Massage Professionals, Inc.; and a past chairman of the board of directors of the National Certification Board for Therapeutic Massage & Bodywork.
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