resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
TCM & the Caregiving Population: Treatment Considerations & Our Vital Role
Informal caregiving is increasingly a reality for many Americans who find themselves providing unpaid care for a loved one or a family member with a long-term, terminal, or chronic illness.
Chiropractic in Texas Is Under Attack
The profession of chiropractic faces an unprecedented challenge in Texas, an attack that is more aggressive, sustained and dangerous than anything previously seen. The medical lobby has launched a coordinated, multi-front assault.
Waist Circumference: A Conversation Starter
New estimates suggest more than two-thirds of Americans are either overweight or obese. The medical significance of this statistic is astounding.
A Brief History of Acupuncture and Oriental Medicine Doctoral Programs
A doctorate in acupuncture and Oriental medicine has been a goal of the profession since its beginnings in the late 1970s. At that time, however, the maturity of the educational institutions and the regulatory environment made it a goal with only a distant completion date.
Latest Cassidy Study on Stroke Risk Published
The latest study to investigate whether a unique association between chiropractic manipulation and risk of cervical artery dissection / stroke exists has yielded similar encouraging findings, with the authors noting "no excess risk of carotid artery stroke after chiropractic care" and no significant risk difference between patients receiving care from a DC or a primary care medical provider.
Advancing the "Whole Organ" Spine Model
Historically, the human spine has been organized by body region utilizing specific anatomical landmarks and transition zones.
Paperwork Done Wrong, Done Right
I was visiting a doctor's office recently and a member of his staff brought a stack of forms to his private office and laid them on the doctor's desk. She informed him he needed to complete the forms for patients and a few third parties.
Reader Beware: Consider the Source
The aftermath of last year's presidential elections brought a running conversation on the role played by "fake news" that was largely presented via social media.
News in Brief
The American Association of Acupuncture and Oriental Medicine (AAAOM) board members recently met with the Korean Customs Service, which is similar to the FDA, to discuss herbal safety and importation issues.
4 Things Every DC Should Know About Levels of Care & Prevention
As health practitioners, we help people with their health problems and assist them with health promotion and disease prevention.
Gather & Grow
I recently attended a faculty seminar held by one of the acupuncture schools. There was a facilitator who led us through some very interesting experiences. The attendees were a diverse group with varying opinions.
AOM Residency at NUNM
Imagine you're a recent acupuncture graduate, worried about making enough income as you forge your new career and seek more in-depth training in a particular treatment style.
Getting Unstuck: Healing From Trauma With TCM, Qigong & Movement
We all come into this world vulnerable, with seeds to grow into our strength. Some of us — through a combination of good fortune (i.e., family and culture we are born into, constitutional inheritance, or ability to learn) grow with minimal interruption from traumatic injuries and experiences.
Treating the Lower Pelvis (Pt. 2): Midline Structures and Fascia
My previous article [October 2016 issue] outlined evaluation and treatment of pelvic issues involving the sacrotuberous ligament and the pubic symphysis. Now let's discuss two case studies that illustrate how to address additional problematic areas of the pelvis.
VF Works / DMX Works Epilogue: Almost Two Decades Later, the Lawsuits Continue
An article in the March 8, 1999 edition of Dynamic Chiropractic examined whether then-VF Works / Nu-Best Franchising was selling its franchises illegally to doctors of chiropractic.
Helping Patients With Parkinson's Disease
Parkinson's disease (PD), a long-term degenerative disorder of the central nervous system that mainly affects motor function, has a slow onset over time.
The Acupuncture Channel System (Part 2)
The primary channels (main channels) are introduced in chapter 10 of the Ling Shu, these channels are referenced in many chapters throughout the Su Wen and the Ling Shu. The primary channels have become the main channel system used in TCM.
Spiritual Initiation: Opening Your Higher Healing Abilities
People drawn to the field of acupuncture and Oriental Medicine tend to be those who march to the beat of a different drummer.
The Large Intestine Official
The large intestine (AKA colon) is the great eliminator, or as J.R. Worsley called it, "The Drainer of the Dregs." Dregs are defined as the remnants of liquid with its sediment left in a container, or the basest, least valuable portion of anything.
Correcting Rib Dysfunction: Improve Patients' Pain, Posture and Breathing
As chiropractors, we tend to focus on the spine, and rightly so. Many problems our patients face can be corrected by manipulating the correct spinal level.
Near-Infrared Therapy for Diabetic Neuropathy
The pain experienced by people with diabetes is a symptom of diabetic neuropathy. The impact on quality of life is significant. Pain makes walking difficult, sleep troublesome, and eventually contributes to a decrease in social interaction.
House Calls With Dad
My father was a chiropractor and he did house calls. On Wednesday nights, while my mother attended the weekly women's meeting at the Odd Fellows and Rebekahs hall in our small town, dad loaded up the portable adjusting table, fired up the Pontiac and drove off to treat a few patients in their homes. I went with him.
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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