resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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 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.
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.
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.
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%.
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.
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.
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.
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).
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.
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.
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.
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).
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
January, 2006, Vol. 06, Issue 01
It's About Health
By Ralph Stephens, BS, LMT, NCTMB
What a year 2005 has been - and 2006 should be really interesting. There are several themes I hope to discuss as the year unfolds. I hope my columns stimulate you to think and, ultimately, to act, not just react.By shining the spotlight of this column on topics I consider to be important challenges facing our profession and sharing my views on them, I hope to start discussions that bring about positive change. I do not expect everyone to agree with me. Not only would that be boring, but it would not bring about the debates our profession needs to grow and improve. For too long, the open discussion of various viewpoints has been discouraged and stifled by our professional organizations, whose elite carry on their discussions behind closed doors. Massage Today is the only forum in our profession where different ideas can be presented and discussed openly. Hopefully these discussions continue beyond the pages of Massage Today and into your lives, practices and associations maybe even into laws and rules.
This year, I shall discuss licensing, research, the new Federation of State Massage Boards, and of course my favorite topics: education, insurance and medical massage. Along the way, I shall provide you with some therapy tips and general health information, including health freedom issues. Keep an open mind and a sharp memory, and take action on whatever you feel passionate about. Get involved. You will get out of this profession what you put into it.
Sweet Gone Sour
In the interest of promoting health, which I feel should be one of the primary goals of the massage profession, I thought I would share some interesting information that has crossed my path lately. Hopefully, it will help you and might help you help your patients.
For those of you trying to be healthy by going sugar-free, be aware that aspartame has now been found to cause cancer in rats, at levels currently approved for humans. Aspartame is the artificial sweetener used to make diet pop and most commercial sugar-free foods taste sweet. It seems the incidence of malignant tumors, lymphomas and leukemia go up significantly at only 20 milligrams per kilogram of body weight. The United States government says the acceptable rate for humans is 50 mg/kg. Europe only allows 40 mg/kg. You can find the whole story at www.medicalnewstoday.com/medicalnews.php?newsid=34040#. The connection seems to be that aspartame turns into formaldehyde, particularly in soda pop, if allowed to get warm. This has been linked to MS-like symptoms in some patients. Now, it appears the cancer connection has been made. So, if you think your government cares about your health and is trying to protect it, think again. The FDA, which I call the "Fools for Drugs Administration," is made up of soon-to-be or former executives of pharmaceutical and agribusiness companies. The only health they are concerned about is the health of the balance sheets of their soon-to-be or former employers. Don't trust them, and don't for one minute think they care a hoot about your health or anyone else's. A former head of the FDA testified before the U.S. Congress that he would not stand by and allow the rapidly growing natural health and supplement movement to negatively impact the sale of pharmaceuticals.
To further demonstrate the lack of care and compassion by your government and mine, I offer the proposed new rules by the EPA which, if enacted, will allow chemical and pesticide testing on children. Yes, that's right, children, but as they point out, testing only will be allowed on certain groups of children. Let's see; those groups are mentally handicapped, orphaned newborns, rejected or abused children, and children not in the United States. See what compassion our bureaucrats have? (For more, see www.organicconsumers.org/epa6.cfm.)
Anyone for Health Freedom?
On a more positive note, there is a bill in the U.S. House of Representatives that needs the support of all who cherish their health freedom. Hopefully you do. It's the "Health Freedom Protection Act" (H.R. 4282), introduced Nov. 9, 2005. The act specifically will: 1. Stop the FDA from censoring truthful claims about dietary supplements; 2. Stop the FDA from prohibiting the distribution of scientific articles and publications regarding the role of nutrients in protecting against disease; and 3. Address the FTC's violations of the First Amendment by preventing the FTC from trying to control what is communicated about nutrient-disease associations. If you believe in this effort, please write your representatives in Washington, D.C., and request that they become a co-sponsor and vote for the bill
What does this have to do with massage? In my opinion, massage is about health. Massage is an alternative to the sickness care system. Part of the massage therapy exchange should include the sharing of information on health. As alternative providers, we should be resources to our patients on alternative health information and practices. Quality food is one of the major components of a healthy lifestyle. You cannot have health for long without quality nutrition. Access to alternative health and nutritional information is essential. Remember, massage is an alternative therapy for many conditions. We, as alternative providers, must support freedom of choice in health care and freedom of access to alternative health information. We must do it now, and constantly, or the pharmaceutical/sickness industry will stomp out the alternative health movement. We already are well on the way to being co-opted and controlled by insurance companies and gatekeeper physicians. (For an enlightening look at where your health insurance dollars go, see www.bolenreport.net/feature_articles/feature_article017.htm.)
A significant segment of the massage/bodywork profession needs to get over the idea that this profession is nothing more than a trade that smears oil over skin, which anyone can do with little or no training. The "come on, it's just a massage" segment of our profession either needs to take some self-esteem pills or be relegated to a bottom tier of a segmented profession that is clearly defined and strictly restrained. We have the opportunity to become the premier, first-door health care providers in the alternative health movement. Do we have that big of a vision, or not? This really is about the health of the planet and all of humanity, not just a massage or the profession itself. If we do not stake our claim to this potential for our profession soon, a huge opportunity will be lost. We can never accomplish it by modeling the current failed power structure of the sickness care industry, or molding into it.
So much to think about, so little space. Hope your New Year is off to a great start. Best wishes to each of you for a successful, happy year. More in March. Bring your kite.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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