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Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
October, 2005, Vol. 05, Issue 10
Mother Nature's Disastrous Touch
By Cliff Korn, BS, LMT, NCTMB
I just turned off the news. The constant updates on the devastation caused by Hurricane Katrina represent about 90% of the airtime. The news keeps reporting on the impact of Katrina. I don't think it comes close to representing the true "impact." A week ago, when the worst was happening, I remember being unable to tear my eyes away from the TV screen, even though watching was making me nauseous.As estimates of impact roll in on the numbers of homeless, the numbers of unemployed, the numbers of failed businesses, the economic impact of Gulf oil production, etc., etc., it is beginning to occur to me that these macroeconomic extrapolations are, in truth, dwarfed in comparison to individual tragedies.
I'm sure no one has any true estimates, but it's safe to say that a certain number of those no longer employed are massage therapists. I look within our professional community and know that large percentages are part-time massage therapists and single moms who strive to feed their families and fulfill their dreams. We have a great profession that lends itself well to Mothers' hours, but what good are Mothers' hours if the treatment room is gone or the clients have evacuated?
I honestly have no clue as to whether or not the average self-employed massage therapist is eligible for unemployment. I feel pretty sure that those working "under the radar" in licensed states are ineligible. Even in large clinics, many massage therapists are functioning as independent contractors instead of employees. Massage therapists who have lost their business location due to storm damage are particularly at risk if relocating to adjacent states. There are no states that I am aware of with licensing reciprocity, so a therapist trying to temporarily work in a neighboring state would likely be in violation of the law, with consequences ranging from loss of insurance coverage to actual arrest. I don't think this is an overstatement. This morning's news had an article about a hurricane victim who had fled with his family to Atlanta. With no more money or food, the man resorted to asking for help from others and was promptly arrested for panhandling by a patrolman on bicycle. If panhandling results in arrest, certainly working without a license could result in similar actions.
So what is the temporarily out-of-work massage therapist to do? What are massage students to do now that their school is no longer in business? If their graduation is postponed, how much longer must they wait to begin practice? The implications to massage therapy are many.
Being a "guy," I have a tendency to look for solutions to problems, and the dilemma of the out-of-work massage therapist is one problem I have been pondering. I don't have a background that lets me contemplate changes to levees or egress transportation logistics, but massage therapy regulation is not unknown to me. It seems prudent to me for massage regulatory boards, at least in states bordering Katrina-affected states, to enact or petition their legislatures to enact an emergency waiver of massage licensing regulations for itinerant therapists temporarily working in the state. I'm sure there are valid reasons to not do this, but I haven't thought of any yet that aren't outweighed by the benefits of enabling those in need to generate income. I know that if it were me in need, I'd prefer to be able to earn my way out of the hole rather than accept charity. I ask all massage boards to look into this now for immediate emergency implementation, and to then spend some planning time developing some options for future licensure waiver situations.
It's nice to be proud of my peers, and I am delighted at the expressed desire of so many to help the victims of Katrina. The major massage associations are assisting their members' desires to help by coordinating fundraising efforts and disseminating information. I just heard of one association state chapter that has established a "Therapist Relief Fund" where collected monies will be used to help at least 3 or 4 therapists with start-up costs for getting their businesses going again or relocating. What a wonderful idea!
Perhaps a less wonderful idea, although caring and tempting, is the plan to pack up and travel to a disaster area to "help." Specialized experience or training is required to be of real assistance. Showing up in locations without food, water or shelter and expressing a desire to be of assistance might be just getting in the way. Just like a therapeutic session in your office, the needs of the client must supersede the needs of the therapist to "help." And although the desire to help those in stricken areas may be overpowering, let's not forget all those who may need help locally! As I write this, 39 states have welcomed evacuees. Your "regular" clients might be connected to storm victims and be under added stress. Many local families have military members who now have additional or extended duty involving further family separations. They all need you right there in your office!
Another way to be of real assistance is to donate to legitimate organizations providing disaster relief. I have seen several companies offering to match donations made by individuals, and this is an excellent way of maximizing your ability to help!
Unlike Mother Nature's Disastrous Touch, the human Power of Touch can connect us all. Whether in roles of family members, friends, co-workers or citizens, we all are human beings who need to have security to feel safe. As massage therapists, we have a unique ability to make people feel secure at least in their own bodies. Times might be stressful and difficult for many, but we still are lucky to be who we are. Let's make the most of it!
Thanks for listening!
Massage Today encourages letters to the editor to discuss matters related to the publication's content. Letters may be published in a future issue or online. Please send all correspondence by e-mail to , or by regular mail to:
Former editor of Massage Today, Cliff is owner of Windham Health Center Neuromuscular Therapy LLC. He is nationally certified in therapeutic massage & bodywork and is licensed as a massage therapist by the states of New Hampshire and Florida. Cliff is a member of the International Association of Healthcare Practitioners; a professional member and past president of the New Hampshire chapter of the American Massage Therapy Association; a certified member of the Associated Bodywork & Massage Professionals, Inc.; and a past chairman of the board of directors of the National Certification Board for Therapeutic Massage & Bodywork.
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