resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
September, 2005, Vol. 05, Issue 09
Amyotrophic Lateral Sclerosis: Part 2 of 2
By Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President
Editor's note: Part 1 of this article appeared in the July 2005 issue. To read part 1 online, visit www.massagetoday.com/archives/2005/07/15.html.
I love my job! I put out the call for you to share your experiences with all Massage Today readers about working with clients who have ALS.The response was overwhelming. I received letters that touched me to the core. What does this tell us? That massage therapists are active and involved with this population, and they are generous and invested in getting the word out about the value of their work.
I have compiled a collection of some of the responses you sent. If you wrote to me and I didn't use your piece, it's just because space is limited - please don't feel slighted. I will post all the responses I received (from people who gave permission to use them) on my Web site (www.ruthwerner.com). Click on "Massage Today Replies" to read them.
Before we look at a few of the responses from massage therapists in the field, here is a brief overview of amyotrophic lateral sclerosis, also known as Lou Gehrig's disease.
Amyotrophic lateral sclerosis (ALS) is a chronic, progressive central nervous system disease involving the atrophy and eventual destruction of upper and lower motor neurons. This leads to muscular atrophy and ultimately to paralysis. It is considered an idiopathic disease, but as research reveals new information about neurotransmitter dysfunction and synaptic damage, we might eventually find ways to interrupt this process. For the time being, however, ALS has a poor prognosis: Most patients die within two to 10 years of diagnosis, usually from respiratory failure.
ALS often starts in the extremities and progresses toward the core. As the motor nerves degenerate, symptoms include fasciculations (uncontrolled shaking) and spasm. Although the disease does not attack sensory neurons, ALS can be painful as the structure of the body collapses. This disease does not affect cognitive function at all.
Currently, about 20,000 people in the U.S. live with ALS, and based on the amount of feedback I received, it seems a lot of them are receiving massage! The techniques described varied greatly. Some therapists have found that deep, specific work helped to improve and maintain function. Others have found their clients especially loved being stretched and mobilized. As clients neared death, of course, the bodywork they received became gentler. One recurring theme: Some ALS clients can't speak clearly, or at all. This makes it especially important to be sensitive to nonverbal communications about what feels good and what doesn't.
With that said, read on and benefit from what your colleagues have learned:
Once again, I am filled with awe and gratitude at the generosity of people in our profession. Aren't you proud to be a massage therapist?
For next time: Fall is upon us. It might be time for an update on the flu, especially on the latest developments about avian flu. This is not to be a fear-mongering alarmist, but simply to help us arm ourselves with the best possible protection: information. If you have other thoughts about what you'd like to see here, let me know: What's on your table?
Click here for previous articles by Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President.
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