resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
August, 2005, Vol. 05, Issue 08
Should Massage Therapists Use the Term "Medical" Massage?
By Boris Prilutsky, MA
I have been practicing medical massage for more than three decades and have had the pleasure of practicing in the U.S. for the last 10 years. In my early days in the U.S., many of my colleagues, including those within our professional massage associations, did not like that I was calling the method I practiced and taught "medical massage." They were unhappy with the term because they did not want to draw disapproval or anger from the medical community.To this day, even though many massage therapists use the term medical massage and many schools refer to their programs as medical massage, the term continues to evoke negative and confused reactions. In my opinion, the negative reactions to "medical" massage are driven by the personal interests of various health care practitioners. The reasons for prohibiting therapists in some states to use the term are, in my opinion, not in the interest of public safety but are instead the result of pressures from professional and personal interest associations.
Last year, massive recognition by the media helped promote medical massage. Newsweek published a feature article surveying the efficacy of back surgery versus alternative therapies and found that massage was effective at managing persistent pain. The Los Angeles Times published a five-page article specifically on medical massage in which three well-known physicians in Southern California were interviewed and praised medical massage as a way of treatment. Last year, the general public spent approximately $3.5 billion out-of-pocket on massage therapy, and surveys have indicated that recipients of massage are seeing positive results.
At the same time, the disagreement within the massage community and the lack of recognition and support of medical massage by our professional associations worries me. As I stated above, private and special interest organizations would love to control us and see us making money for them. However, a much more unpleasant situation is the condition of our own professional community; that is, we are not united around the fact that we all provide therapy. Calling ourselves massage therapists means we provide therapy by means of massage. If you provide massage therapy with health benefits, you are, in my opinion, performing medical massage.
In 1955, Drs. Sherbak, Glezer and Dalicho, who are, in my opinion, the "fathers" of medical massage, published their first textbook: Segment Reflex/Medical Massage. Since then, many more research studies have been conducted. I am sure that some of you have practiced massage therapy and helped thousands of people without knowing its scientific roots, and honestly, it makes no difference to me. But when you discuss massage with doctors, other health practitioners or even with your clients, reference massage therapy studies. In medical societies all over the world, doctors reference research when discussing medicine in their professions. It is the only way research is taken seriously; therefore, please use the same habits when referencing massage.
Who Should Use the Title "Medical" Massage Therapist?
Recent discussions in professional publications have debated the number of hours of training one must have to call him/herself a "medical massage therapist." In my opinion, those of us who have made our careers by providing full-body stress management massage are medical massage therapists. Modern society as a whole is susceptible to stress. Stress-related illnesses include heart attacks, strokes, high blood pressure, diabetes, anxiety, clinical depression, and more (and it should be noted that the American economy is losing $300 billion annually due to stress-related illnesses). Full-body stress management massage is scientifically and clinically proven as a powerful method for managing stress.
There is little doubt that those suffering from back pain have a disrupted quality of life. However, people are not dying from back or joint pain. People are dying from stress-related heart attacks, strokes and diabetes; therefore, how can we consider therapists who perform full-body stress management massage anything less than medical massage practitioners?
For the past 40 years in Europe, the educational training in full-body stress management massage has stayed between 120-200 hours. I strongly believe that 120 hours for full-body medical massage training is enough. Therapists who would like to be involved in the treatment of specific disorders should have additional specialized training. And therapists not trained in how to treat particular disorders should not attempt to treat them.
Consider this: The credential "DDS" stands for "Doctor of Dental Surgery." This type of doctor is qualified to legally perform surgery in the cavity of the mouth; however, if this dentist evaluates a patient and discovers a tumor or difficult tooth extraction, he/she will refer the patient to an oral surgeon. An oral surgeon is also a DDS, but has had special training in oral surgery. Suppose a dentist who can legally perform extractions causes harm to a patient and is sued for malpractice. The plaintiff will inevitably demand proof that the dentist has had additional training/continuing education to treat the plaintiff's specific complication. Professional difficulties are sure to arise for the dentist who lacks the proper training needed to perform a procedure. This analogy pertains to massage therapists, as well. Just because a dentist is not an oral surgeon, does not mean that he/she is not a qualified dentist. And so it is in our profession. Not being a specialist in a particular discipline or, conversely, having hundreds or thousands of hours of training, does not make one therapist better than another. The professional associations should accept massage therapists who have 120-200 hours in basic full-body stress management massage and not demand a 500-hour minimum with no definition of the curriculum.
There are several reasons why full-body stress-management massage therapists that refer to themselves as "medical massage therapists" should be accepted in the massage community: 1) It is not right to ignore colleagues who are adding to the good name of massage therapy because they have fewer than 500 hours of training; 2) As members of a professional association, these massage therapists will be familiar with ethical codes; 3) These therapists will feel like they belong to the community as a whole; 4) Most likely, many of these therapists will decide to continue their education in orthopedic massage, sports massage, etc; 5) As a bigger, more unified profession, we will have more political power and will, in turn, gain recognition as a profession more quickly, similar to that in Europe.
The National Institutes of Health has spent millions of dollars sponsoring massage therapy research. The Touch Research Institutes continually publishes wonderful studies on the positive effects of massage (www.miami.edu/touch-research). Fifty years of mass utilization of medical massage in Europe clinically proves that this method is safe and effective. It is common knowledge that the price of malpractice insurance is directly related to the degree of risk to harm in the method of health care provided. Evidence supporting the safety of massage therapy for the general public is the very low cost of malpractice insurance for massage therapists. Given the facts, I think that we have valid reasons and a strong foundation to call the method that we are practicing "medical" massage therapy.
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