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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).
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.
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.
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%.
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.
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.
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 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.
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.
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.
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.
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 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.
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.
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.
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.
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.
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).
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
May, 2006, Vol. 06, Issue 05
"Medical Massage" Survey and Results
By Vivian Madison-Mahoney, LMT
In February 2006, a group called the National Training Institute, led by Damien Berg and Shannon Ring, invited a group of prominent people in the massage industry to join its online Yahoo Chat Group to participate in a "Medical Massage Summit" discussion.The purpose of this two-hour session was to try and obtain opinions, feelings, attitudes and suggestions about training, education, licensing, credentialing and philosophy statements on "medical massage."
Since that discussion, many of the correspondences I have received seem to revolve around medical massage terminology, including the need or lack thereof for a definition and other requirements related to this issue. So, I decided to include a mini-survey in my "Massage Insurance Updates, Tips & News" e-mail campaign and report on the results in Massage Today. Although this is not along the lines of my usual column topic, insurance issues, I'm sure you will find the survey results quite interesting, particularly considering the ongoing debate within the massage profession concerning medical massage.
My e-list has been compiled from those who purchased manuals, home study courses, attended my seminars, or contacted me for questions and problem-solving issues regarding insurance billing over the years. From the survey on medical massage, I have received 159 responses. I reviewed each at least two or three times and compiled the following summary. I also began a survey last year of faxed responses. Only comments from one of those faxes are included in these results.
Respondents were so interested in this subject that most did not answer only with a simple yes or no, but conveyed added emotions, opinions and suggestions. Below are the response totals for each question. Because many respondents did not answer with a definite yes or no, when possible, I have placed their response in the appropriate yes or no category, based on their comments.
Example: Question 1 may have had many "yes" answers, but many of the respondents' explanations actually meant "no." These people mostly responded that they didn't think any massage modality or procedure needed to be defined as "medical massage," because "all massage is medical, beneficial, creates healing, etc., whether covered by insurance and whether prescribed for a particular diagnosis by a physician."
Questions and Answers
Should any massage therapy be officially defined as "medical massage?"
Yes: 21; No: 129; Comments without a definite Y or N: 9.
If yes (to Question 1), please give your best or favorite definition and reason for wanting it defined.
For those who did answer yes to Question 1, their responses to Question 2 did not indicate the need for particular designation or requirements of "medical massage." They felt medical massage was already defined in one way or another. What follows is a summary of some of the comments regarding medical massage and how it should be "defined."
Summary of Responses to Question 2
Do you think a massage therapist should have to be officially certified or titled "medical massage therapist" for physicians to refer their patients or to be reimbursed by insurance?
Yes: 10; No: 128; Comments or No answer: 21.
The No responses to Question 3 were adamant and included, "No," "Not Ever," "No!!," "Hell no," "Absolutely not," "Absolutely no" and "Not now."
If yes to Question 3, how/by whom should this certification be provided (state boards, state associations, NCBTMB, other)?
If other, please name/explain.
Summary of Responses to Question 4
May I use your answers in my survey results?
One hundred percent said "Yes," although many asked that I not use their names. No names were used unless specifically requested or suggested, and even then, only some initials were used in my final summary on file.
No e-mail addresses were used.
All responses are saved for further proof if necessary.
I do appreciate all of those who took the time and effort to read and respond to my e-mail survey. For any of you who did not receive my e-mail survey and would like to contribute, you may e-mail me at: and submit answers to the five questions listed above.
Click here for more information about Vivian Madison-Mahoney, LMT.
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