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Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
Are Your Work Orders in Order?
There are times when a patient's occupational duties will delay or prevent them from recovering. These circumstances create the need for the doctor to recommend modified duty or remove the patient from work.
Women's Health: Herbal Formulas to Help Patients With Dysmenorrhea
Chiropractors have long treated women for menstrual pain (dysmenorrhea). Since roughly 60 percent of all chiropractic patients are women and 30-50 percent of women have a history of menstrual cramps, the vast majority of doctors of chiropractic will inevitably see patients with dysmenorrhea.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
News in Brief
Major Organizations Announce Joint Conference; Fighting for Section 2706; New Vice President of Chiro. Program at Parker; Two Families, One Chiropractic Dynasty.
The Art of Day-to-Day Assessment and Treatment: Clinical Pearls
Let's focus on the day-to-day process of assessing and treating the patient. I am proposing a particular attitude; a way of looking at the patient. This often evolves over a few treatments and then changes as you figure out what is significant.
Defending With Vitamin D: Helps Prevent Progression to Diabetes
A 2014 clinical trial published in the American Journal of Clinical Nutrition provides additional evidence that optimal vitamin D nutritional status may be important in preventing the progression of prediabetes to diabetes in prediabetic adults.
Billing for Same-Visit Extraspinal and Spinal Manipulation
Q: I have always been under the premise that when billing 98943, extraspinal chiropractic manipulation, on the same visit as spinal manipulation, 98940-98942, that the extraspinal manipulation requires modifier 51.
Is the EHR Ship Setting Sail Without Us?
The numbers are in: As of July 2014, 10,253 doctors of chiropractic have received $123,059,868 in EHR stimulus funds – and yet that represents less than 15 percent of our profession.
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
We Get Letters & E-Mail
Not All Evidence Is Equal; An Abundance of Misinformation; A Well-Researched Decision; Far Too Dangerous.
State by State: Comparing Chiropractic Scope of Practice
"The issue of 'scope of practice' has been a bugaboo ever since our early quests for legal recognition for chiropractic," according to Dr. Claire Johnson, editor in chief of JMPT and National's other two chiropractic journals.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
Image Is Everything: The Power of Branding
Successful businesses use color and design to attract people to their service. They understand how important image is and hire experts to create an attractive package. Starbucks works hard to create an atmosphere that is warm and inviting.
Overcoming Barriers to Exercise Compliance
One of the most common questions other practitioners ask me is, "How do I get patients to do their exercises?" I am not frustrated by my patient compliance, as many doctors are; in fact, I am actually happy with my patients' involvement and commitment.
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
Love a Nurse – and They'll Love You Back
According to various sources, there are about 3 million registered nurses in the U.S., and according to the American Nurses Association, they are under serious pressure in today's health care reality.
The Wisdom of the Second Office Location (SOL)
There are some things I never want to do again, like riding a motorcycle 100 mph. I call these things my "negative bucket list." Other things I have on that list include water skiing, riding a roller coaster and eating habanero peppers.
A Dream Come True for Chiropractic: Funding Prevention and Public Health
Back in 2005, Sen. Tom Harkin (D-Iowa) said: "Let's face it, in America today we don't have a health care system, we have a sick care system.
August, 2005, Vol. 05, Issue 08
An Open Letter to the Massage Profession From the American Medical Massage Association
By Gregory T. Lawton, DN, DC
The American Medical Massage Association (AMMA) has long been aware of the controversy and complexities surrounding the designation "medical massage." The AMMA was formed by physicians, allied medical personnel and massage therapists with interests in massage therapy who sought to professionally differentiate themselves from general massage practices that lacked ethical or scientific precepts.The AMMA does not seek to define medical massage for the massage community but rather seeks to establish definitions and guidelines for our membership, which is a multidisciplinary group of massage and allied health providers.
Since 1998, the AMMA has provided its membership with definitions based on professional ethical practices, state regulations, and scientific studies. The development of medical massage as viewed by the AMMA and its members, is an ongoing process and not an event. Definitions and guidelines of what constitutes medical massage legally and scientifically continue to unfold as the practice of medical massage matures, is recognized by state regulatory bodies, and is illuminated by scientific investigation into the biology of massage therapy, biomechanics, and other related sciences of manual medicine.
The AMMA has been preparing and releasing documents related to medical massage for the last six years and this, in part, has accounted for the growth of the association within a narrow and select population of massage therapists in the U.S. who meet AMMA's membership requirements, which are the strictest among the massage associations. The AMMA is not in a race with other associations for members, and indeed our minimum membership requirement for lay massage therapists eliminates the majority of massage therapists in the U.S. from membership.
The AMMA is a multidisciplinary voluntary membership association with members representing medicine, chiropractic, naturopathy, naprapathy and massage therapy who utilize massage therapy in their health care practices relative to the diagnosis and treatment of human disease. Lay massage and allied medical members of the AMMA are expected and required to observe and obey state laws protecting the practice of medicine and other state regulatory statutes. Lay massage therapists advertising and practicing medical massage are required to work under the direct in-office supervision of a licensed physician, or as defined by state law.
The AMMA points to the historical tradition of medical massage as practiced and utilized by physicians and allied medical personnel and as used in the corrective and restorative treatment of patients in formal medical and clinical settings. Many unqualified individuals within the general massage community have offered their personal and mostly uneducated opinions of what medical massage is. Nowhere has the AMMA witnessed a valid definition; indeed, most of what has been offered has only furthered misunderstandings and misconceptions within the massage profession. The AMMA views medical massage as a division of the science of manual medicine, which is also represented by manual therapy, physical therapy, osteopathy, chiropractic, naprapathy and other forms of treatment based on manual practices.
The AMMA strongly embraces the precepts and foundations of medicine that are related to scientific research, academic integrity and professional ethics. The AMMA has published numerous papers related to current scientific research as it may be applied to manual medicine and medical massage therapy and continues to provide this information to its members through its published scientific journal, training manuals and other educational materials and programs. The AMMA has stated that valid education in medical massage is predicated upon accepted science and scientifically validated techniques. And, in regards to professional ethics, the AMMA has established that the practice of non-physiological or fringe massage practices is unethical in a medical or clinical setting where patients are being treated for pain and suffering.
The question has been repeatedly asked, "Why call yourself a medical massage therapist?" The answer for the members of the AMMA is based on educational qualifications, medical and clinical training, state regulations and licensure, national board examination and certification, professional membership, and ongoing training and evaluation; however, for the AMMA member, the answer is more accurately related to the division between massage therapists who have met minimal educational standards obtained at substandard massage schools, who are trained in and use unscientific, non-physiological and fringe massage practices, and the standards that have been met by members of the AMMA. From this point of view, medical massage, and its re-establishment, was an idea whose time had come again.
As the various "stakeholders" in the massage profession attempt to define medical massage, we ask them to keep in mind the several thousand current members of the AMMA and their voices. It is the opinion of the AMMA that medical massage will not so much be defined by democratic process as by current and future legal definitions and by scientific and academic process. The AMMA believes that medical massage must be defined in much the same way as physical or occupational therapy has been, by research and clinical studies of its techniques and protocols. We believe that the most important thing that the AMMA can do is call for professional understanding and unity.
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