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A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
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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