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Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
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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