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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.
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.
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."
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.
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.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
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.
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.
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.
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.
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.
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.
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.
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
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."
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.
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.
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.
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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