resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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."
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.
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.
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.
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.
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.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
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.
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.
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.
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.
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.
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."
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.
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.
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.
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.
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.
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.
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.
December, 2005, Vol. 05, Issue 12
Chair Massage Redux
By Cliff Korn, BS, LMT, NCTMB
I recently received a letter concerning an article I wrote about an international chair massage conference in Toronto (www.massagetoday.com/archives/2005/09/01.html).The author was Russ Borner, a well known senior instructor of David Palmer's TouchPro Institute.
Russ expressed confusion over several parts of my article that were perhaps overstated, so I undertook a bit more research. His concerns were that I reported the Toronto event as the 1st International Chair Massage conference. His email to me said, "[I] was part of David Palmer's TouchPro Institute's 'First International Chair Massage Conference' held in San Francisco on June 22-25, 1998, where over a hundred chair massage practitioners gathered for what seems to be the same purpose advertised by Eric. As I remember, there were practitioners from all over the U.S., Canada, UK, the Netherlands, among others." He further said, "In addition, this comment [in your article] was particularly confusing "Eric Brown of BodyworkBiz described for the first time the physiological mechanisms involved in the unique fainting phenomenon that sometimes occurs with chair massage, and gave participants guidelines in preventing this from happening."
David Palmer's TouchPro Seminar, since the summer of 1986, has been highlighting and covering the fainting phenomenon in course materials and instructor presentation in a very complete and understandable manner. Some 11,000 massage practitioners have been trained in this matter, including Eric Brown."
My additional research indicates that I was incorrect in my statement about the Toronto venue being the 1st, but so were the event sponsors and Russ. The event Russ mentioned was not open to the trade, but was designed for graduates of the TouchPro program only. The actual "1st International Chair Massage Conference" was a conference held in France in 2002, sponsored by Tony Neuman of Touchline, based in Switzerland.
To me, the issue of which was "1st" is much less important than the issue of the fainting episodes in chair massage. Here we find some real differences of opinion on an issue that can be crucial to any of us who owns a massage chair! When I questioned Eric he said, "as a sponsor of TouchPro workshops and a participant, I can honestly say that the issue of fainting has never been fully addressed by TouchPro or others. The techniques taught by Russ and the TouchPro instructors are very traditional Japanese acupressure techniques. There has been some attempt to correlate the fainting episodes to acupressure points in the arm. Since 1998, we have tracked dozens of fainting reports looking for co-relating factors. I can honestly say that there is no correlation between the part of the body being massaged and the fainting episodes. The only plausible explanation for the rapid fainting episodes is the elicitation of the carotid sinus reflex. I developed the hypothesis in 1999, and it has held true over the years. I outlined the physiological mechanisms in detail at the conference, and to the best of my knowledge, that is the first time anyone has publicly given a scientifically sound rationale for the physiology behind the phenomenon. If anyone has other tenable theories, I would certainly be interested in hearing them."
David Palmer wrote an article entitled "Fainting and Chair Massage" first published in the June/July 2000 issue of Massage and Bodywork magazine (for ABMP members only: www.abmp.com/members/login.html?article_id=310). David's response to Eric's information was that Chronic Sinus Hypersensitivity (CSH) is what Eric names as the cause of the fainting. In an email he said, [Eric] "believes that this rare condition is the cause of all syncope and pre-syncope episodes in the chair. That seems highly unlikely. As noted in my article, there are a vast range of possible causes of syncope and pre-syncope events and it seems a great leap to presume that one condition that primarily appears in older men is the cause of all of them.
"As you also will note in reviewing my article, I never highlighted work on any particular part of the body as the primary cause of these occurrences." Since Eric has the article, I am uncertain as to why he would make this claim. To the contrary, the two most common correlations that we have discovered are low blood sugar (caused by skipping a meal) and a history of fainting (which would include CSH conditions), both of which we screen for before each massage. In addition, I pointed out that the most common reason in the medical literature given for Syncope episodes is a triggering of the vasovagal nerve reflex. I have no idea why Eric would suggest that CSH is the only credible hypothesis. The full protocol outlined in the article has reduced the number of syncope events in the massage chair to zero, and sharply reduced the number of pre-syncope events. We also train practitioners to be aware of the possibility of carotid impingement with the ends of the face cradle when we discuss positioning of the client in the massage chair."
Eric responded back that David was confused between Carotid Sinus Hypersensitivity and the Carotid Sinus Reflex, and that the two are not correlated.
Eric in short order provided me with several pages of as yet unpublished information concerning this fainting phenomenon, much too much to include in this editorial. From the chair of this massage therapist, both the hypotheses of David Palmer and Eric Brown make sense. But there certainly is a division of thought here - and this is an issue that can be absolutely crucial to any of us who use a massage chair in our practice. I am looking forward to Eric publishing his information so that the two divergent theories can be compared side-by-side, so that we all are practicing more safely.
So, where does all this leave you and me? I guess I have been most fortunate that I have never had anyone faint during or after chair massage. I would guess that someone who did might not be inclined to return to my practice for additional types of massage! There are few massage therapists who don't agree that chair massage is not only a tremendous intervention in it's own right, but also a marvelous, non-intimidating tool for introducing new people to all forms of massage and bodywork. We need answers!
I hope this editorial is not taken as a point/counterpoint discussion, in a negative sense, between two individuals. Both David Palmer and Eric Brown are true pioneers in the development of the chair massage industry and they certainly deserve a huge thank you from all of us! May we all learn and grow from this, and may the discussion continue.
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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