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Leg-Length Inequality and Pelvic Fixation: A New Approach to the Negative Derifield (Part 2)
As we noted in our previous article, with a positive Derifield (+D), the doctor observes the reactive (shorter) leg in the prone position that becomes longer or "crosses over" in the flexed position.
The Tide is Rising in the Acupuncture Profession
Former President Ronald Regan said, "When the tide rises all boats float." The tide is rising for the acupuncture profession. Many forces outside the profession are helping the tides to rise.
Green Tea Improves Cognitive Function in Elderly Subjects
Publishing their results in the journal Nutrients in May 2014, researchers showed that drinking the equivalent of 2-4 cups of brewed green tea (or bottled tea) daily improved cognitive function or reduced the progression of cognitive dysfunction in elderly subjects.
Animal Acupuncture: A Case Study in the Treatment of Traumatic Injury in the Equine
The rise of animal acupuncture in the U.S. began in the early 1970's as a result of the work by members of the National Acupuncture Association in Westwood, Calif.
5 Tips for Using Pinterest to Market Your Practice
Pinterest is a very popular, but often under-utilized, social media platform where people can bookmark, or "pin," fun and interesting things from all across the internet.
Spieth Thanks His Chiropractor After Historic Masters Win
Jordan Spieth didn't just capture the hearts of golf enthusiasts worldwide with his record-setting, wire-to-wire victory at the 79th Masters Tournament.
Reducing the Autogenic Inhibition Reflex: Making Weak Muscles Strong
The autogenic inhibition (AI) reflex is a sudden relaxation of a muscle in response to excess tension.
The Challenges of Integrating Eastern and Western Medicine
My Masters thesis was titled, "The Challenges of Integrating Eastern and Western Medicine," which highlighted several reasons why it is hard for these two worlds to mix.
Integrating Art with Clinical Practice for Patients with PTSD: The Artemis Project
Are you restricted by those one-on-one clinic dynamics? Why not join colleagues and clients in experimental group settings? Three of us volunteered to do just that in Austin on behalf of women veteranss from all branches of the service.
PCOM Granted Regional Accreditation
Pacific College of Oriental Medicine (PCOM) recently announce it has received regional accreditation from the Western Association of Schools and Colleges (WASC). This achievement reflects five years of hard work on the part of faculty, staff, and students.
We Get Letters & Email
A House Divided? (May 1 issue) provoked significant response from readers. Here are several of the surprisingly similar comments we received.
Rethinking Musculoskeletal Pain – A Public Health Perspective
The American Public Health Association (APHA) is the world's oldest and largest association of its kind, founded more than 140 years ago and boasting over 25,000 members.
Giving Vets the Care They Deserve
The Department of Veterans Affairs (VA) administers the largest integrated health care system in the United States.
The Acupuncturist's Problem
I want share with you some observations and insights into what seems to be the most common problem my colleagues in the acupuncture profession struggles with. If you also struggle with this problem, I hope you get a valuable "aha" moment from reading this.
How Much Do You Know About the Benefits of Birds Nest?
Edible bird's nest is the nest made by the Swiftlet bird of Southeast Asia that is usually prepared as a soup and prized in Chinese culture as a healthful delicacy.
Professional Credentialing and Board Certification: An Ethical Faux Pas
Because of the Affordable Care Act, health care systems are coordinating care through accountable care organizations (ACOs) in order to reduce the cost of care and improve quality of care.
Marijuana, Apathy and Chinese Medicine, Part 1
This article was written in response to the unheeded acceptance of marijuana as a harmless substance that potentially does good when used for the medical relief of pain.
ACA or ICA: Which Best Represents You?
Last June, I was honored to represent Texas ICA members as their representative assemblyman at the ICA Annual Meeting in Kansas City.
Our Biggest Challenges to Compete in Wellness Care
In the first article in this four-article series [May 1 DC], I made the case that chiropractors should either embrace offering lifestyle wellness in their practices or face the possibility of losing their place in the wellness care marketplace.
A Poor Choice for Pain Relief
Acetaminophen is the most popular pain reliever in the U.S., accounting for an estimated 27 billion annual doses as of 2009. With 100,000-plus hospital visits a year by users, it's also the most likely to be taken inappropriately.
5 Simple Steps to Create an Effective Marketing Calendar
In the educational experience of most healthcare practitioners, business and marketing are overlooked topics.
Medicine is Clumsy, Don't You Be
All medical systems have clumsiness in them. If the technique isn't, the practitioner is. Everyone in every form of medicine is striving to improve. That is why we call it practice.
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.
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