resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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).
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.
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.
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.
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.
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.
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.
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.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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).
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.
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.
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.
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%.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
December, 2005, Vol. 05, Issue 12
Physician Survey Gives Massage High Marks
By Michael Devitt
A new survey has found that more than half of the physicians questioned consider massage to be a highly effective form of complementary and alternative medicine currently available. The survey also revealed deep divisions on the perceived impact of CAM on the quality of health care in the United States.Despite these beliefs, a majority of doctors have recommended some form of alternative medicine to their patients in the past, and an equal number feel the National Institutes of Health should continue to fund research on alternative medicine.
The 31-question survey was conducted by HCD Research, a New Jersey-based marketing and research firm, and The Louis Finkelstein Institute for Religion and Social Studies, over a two-day period in September 2005. A total of 873 physicians participated in the survey.
In addition to questions on the overall effect of alternative medicine on American health care, respondents were asked to rate the effectiveness of 12 forms of CAM (acupuncture, traditional Chinese medicine, aromatherapy, biofield therapies, chiropractic, dietary supplements, electromagnetic field therapies, homeopathy, hypnosis, massage therapy, mind-body interventions and naturopathy) from two perspectives: both as a standalone therapy, and when used as a complement to conventional medical treatment. Each form was rated on a seven-point scale, with seven considered "highly effective."
Physicians were almost equally divided in their beliefs on alternative medicine. While 39 percent believe alternative medicine has a positive effect on the quality of health care in the U.S., 40 percent believe it has a negative effect; the remainder thought alternative medicine had no affect on the quality of health care.
A slight majority of physicians believe alternative medicine to be beneficial to their patients. Fifty-one percent stated that alternative medicine was "usually helpful" or "helpful to patients in some circumstances." However, 28 percent believe that alternative medicine could be harmful to some degree, and another 15 percent attribute the helpful effects of alternative medicine to the placebo effect.
Despite these strong sentiments, most physicians appear comfortable recommending alternative medicine to their patients. In fact, 65 percent of the respondents report recommending alternative medicine as a complement to their medical treatment at some time, and when asked "Are there any conditions under which you would advise a patient to use complementary medicine?", 63 percent responded, "Yes."
A majority of physicians also support federal funding for complementary and alternative medicine research. When asked if the establishment of the National Center for Complementary and Alternative Medicine was a positive or negative development, 53 percent believe it was positive; only 15 percent replied that it was a negative development. Similarly, most physicians (65 percent) feel that the National Institutes of Health should fund CAM research; only 20 percent feel the NIH should not.
In terms of individual therapies, 57 percent of physicians report that massage therapy can be effective, with 10 percent who thought it was "highly effective." Fifty-nine percent of those surveyed stated that acupuncture can be effective to some extent. Nineteen percent of the respondents thought traditional Chinese medicine was effective. Aromatherapy ranked last, as only 10 percent of the physicians indicated they thought it was effective.In an accompanying press release, executives from The Finkelstein Institute and HCD elaborated on the survey results, and indicated that CAM should not be lumped into one broad category. Rather, each of the therapies that comprise what is considered complementary and alternative medicine - whether they be "useful complements" such as massage, or other modalities that "remain on the fringe" - should be evaluated individually. Ultimately, however, it appears that scientific research and the desire of patients will help determine the future of CAM.
"The one trait that all complementary and alternative therapies share is the fact that they are not conventionally used," observed Glenn Kessler, a co-founder and managing partner at HCD Research. "However, they are not all the same, and as we see in this study, physicians clearly recognize that each therapy must be judged on its own merits."
"The message here is that techniques, like acupuncture, which have made it into the mainstream, are recognized by physicians as useful complements to scientific medicine," added Dr. Alan Mittleman, director of The Finkelstein Institute. "Other therapies remain on the fringe and are viewed with suspicion. Nonetheless, physicians seem willing to let their patients - and future research - decide what has credibility and what doesn't."
The complete results of the HCD/Finkelstein Institute physician survey are available online. To view the survey results, visit http://publish.hcdhealth.com/P1007.
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