resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
September, 2005, Vol. 05, Issue 09
Bad Dog and Good Dog Let Out
By Ralph Stephens, BS, LMT, NCTMB
I have championed the term "medical massage" for several years. I think it's the best term to separate specific, therapeutic, outcome-based massage from relaxation massage (and certainly from adult entertainment).Medical massage clearly is neither relaxation nor entertainment. This easily is understood by the public and the medical profession. Unlike some, I don't think medical massage must be done in allopathic-controlled situations. I don't think it should require a diagnosis by a physician, and it doesn't need to be done under the supervision of one. Of course, it could be done in that setting, and it's fine if it is, but it should not have to be. We are first-door providers. Medical massage doesn't have to be paid for by an insurance company, but it could be. What makes a massage medical is not who pays for it or who authorizes it, but that the therapist, using advanced massage skills and techniques, is attempting to reduce the musculoskeletal complaint(s) of the patient.
The popularity of the term medical massage has grown very rapidly and it's only to be expected that over-eager people will try to gain control of it. Sadly, the first attempt has been made. David Luther and his association, the United States Medical Massage Association (USMMA), have sued State Farm Insurance. I have no problem with suing insurance companies, and his main goal - to prevent downcoding of claims submitted by massage therapists - is an honorable one. However, in the process, he has tried to get a judge to define, "Who is a medical massage therapist?" He told the judge it would be a member of his organization. Now granted, our profession does have trouble defining itself, but the last thing we need is to have some politically appointed lawyer/judge defining us based on an entrepreneur's bottom line. The USMMA doesn't have enough members to fill the demand Luther is trying to capture and control. His actions will more likely deny care to those who need it, instead of providing it. This is heavy karma to take on, in my opinion. Would you want to have to join some association just to be able to call the work you do "medical massage," or to be able to bill for it under that term, or under the codes for manual therapy and massage therapy?
I suspect the USMMA will face a huge backlash, not a huge surge in membership because of this action. I use history as my basis for that statement. How much good did it do the AMTA to write itself into laws, effectively giving it monopolies in some cities or states? It brought about lawsuits, bad public relations and resentment. The gain was short lived; the loss ongoing. Fortunately, the AMTA has learned this lesson the hard way and dropped the strategy. The USMMA will have to learn it, too. Associations are like governments - they both must be watched constantly. Their very nature is to acquire power and control by stealing it from the individual.
My biggest concern is that this will create a huge backlash against the term "medical massage" and we will lose the best term we have to reach both the public and our allopathic colleagues. I hope we don't let the action of an individual, an association or a judge cause us to throw the baby out with the bathwater. This event reminds me of an old fable about a beggar finding a magic lamp and letting the genie out. The genie granted one wish and the beggar wished for all the money in the world. He got it, only to find that the rest of the world, now absent money, had developed new exchange systems for value. All of the beggar's newfound money was worthless. Trying to gain a monopoly on medical massage will result in the same effect. A new term will be coined and the profession will move on. I only hope this can be resolved without losing the term, or the potential it provides our profession to help humanity.
I always believe in giving credit where credit is due. ABMP has stepped up to the plate to significantly fund and support the formation of a federation of state regulatory boards for massage therapy. This is huge and ABMP deserves respect, admiration and kudos for this visionary project.
Professional regulation is done at the state level, which is good. However, this requires that each state have its own law and its own board. There are no formal channels for these boards to communicate with each other. Due to the lack of leadership and consistency from the association that has passed the hodge-podge of laws for massage therapy we now have, it's becoming more and more difficult for a therapist to move from one state to another or for continuing education providers to present nationally. There is no mechanism in place to work on reciprocity, a uniform code of ethics, disciplinary procedures, education standards and a host of other issues. On two previous occasions, the formation of such an organization has been attempted. However, it was an effort by volunteers, most of whom were already overcommitted, and there was no funding or administrative support available; thus, both attempts failed. Since then, more states have become regulated, with laws written by well-meaning people who have little, if any, regulatory expertise and little guidance. So, the situation has become even worse.
Almost every other regulated profession has a federation of regulatory boards working on issues of mutual concern. Nurses, chiropractors, social workers, etc., all have organizations that provide interstate communication for their boards. I know how necessary it is that our profession develop such an organization, as I was on the Iowa Board of Massage Therapy Examiners for eight years. It's in the best interest of the profession and the public that this federation, or whatever it comes to be called, be established - and that it be successful.
A very competent group of people are working on this project and they deserve to be supported and encouraged. Thanks ABMP, and all the volunteers participating in this landmark effort. May your efforts be rewarded with acceptance and success. Lead on!
Summertime done come and gone; my, oh my. Hope yours was a good one. See you this fall!
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.