resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
A House Divided?
The American Chiropractic Association's House of Delegates voted on 30 resolutions at its annual business meeting in Washington D.C., but two in particular took immediate center stage due to their controversial nature.
Turning a Blind Eye to History – and Reality
The American Medical Association is taking the Supreme Court's Feb. 25, 2015 decision exactly as it always does – by turning a blind eye to history, legal precedent and reality.
Sleep, Less Sleep or No Sleep?
I had a dream I wasn't getting enough sleep. It was a very realistic dream, even though I was probably slightly awake and not really deep dreaming. Most likely I had been dozing, caught in that twilight of sleep and wakefulness.
Optimism = Compassion = Trust
A randomized clinical trial recently published online in JAMA Oncology examined how patients viewed their doctor based upon how the practitioner presented bad news to the patient.
Applying the Thin Skull Principle
The "thin skull" principle, also known as the "you take your victim as you find them" principle, is a legal principle that can be summed up by the following statement.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Functional Hip Impingement (Part 1)
Every time I sit down to write an article, I realize how much more there is to know about musculoskeletal pain. I also learn something new every time. (I want to give special thanks to Lucy Whyte Ferguson for assisting with this article.)
Talking to Patients About Lumbar Facet Denervation (Medial Branch Neurotomy)
Lumbar facet denervation, more appropriately termed medial branch neurotomy (MBN), is a procedure that may be considered when patients suffer from recalcitrant non-radicular axial back and/or leg pain.
A View From the ER
The University of Western States has inked an innovative agreement with local nonprofit health system Legacy Health whereby UWS sports-medicine fellows can experience observational clinical rotations in emergency-room settings within the Legacy system.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
Term Limits: What's in a Word?
It was the French historian and philosopher Voltaire who once declared the Holy Roman Empire was neither holy nor Roman nor an empire.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Low Back Pain in Professional Golf: A Common Muscular Relationship
Every sport creates its own unique demands on the body. Some sports require such a myriad of body positions that assessing pathology is often difficult and unpredictable.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
May, 2006, Vol. 06, Issue 05
Put Your Hands on Your Monitor Part 1
By Ralph Stephens, BS, LMT, NCTMB
It's time to set things straight. Schools are a part of the massage industry, but they are not part of the massage profession. The profession is comprised of the hard-working therapists treating the public.Those therapists band together and form associations and organizations to represent themselves. It's the responsibility of practicing therapists, through their organizations, to determine and define the standards of the profession - in particular, the entry-level standards and requirements for the profession.
The primary entry-level requirement is education. Once the profession determines what the educational requirement for entry is, it becomes the opportunity, the job - the duty, no less - of massage schools to provide training programs that meet those requirements, whatever the requirements might be. This is the place of massage schools today; no more, no less. Massage schools are part of the industry of massage. They are no different than table manufacturers or other suppliers, just a bit more regulated. If schools don't want to provide the education defined as necessary by the profession, then they should find some other profession to provide for - maybe truck driving. There is no "right" to be able to run a massage school. Furthermore, massage schools have no right to challenge the decisions of the profession as to how it wants its practitioners trained.
It is a blatant and unethical conflict of interest for schools to get involved with the determination of educational standards. Their primary motive is profit. Our profession is providing schools a golden opportunity to make significant profits as it is. Schools should be grateful for this opportunity and do their job. The profession should rigorously monitor schools. Those schools not meeting the profession's standards should be publicly exposed and their privilege to profit from this profession should be revoked, permanently.
The nature of massage education is rapidly changing. Massage schools used to be started and then run by successful, ethical, practicing, accomplished therapists. Some still are. I bow to them as they struggle to keep the flame burning. This article is not about them. However, the rapidly growing trend is that corporate entities, mostly for-profit career colleges, are buying up or opening massage schools. Often, they are existing career colleges just adding a massage program to their other offerings, like truck driving, accounting, modeling, cosmetology, etc. While they have the right to do business like anyone else, it does not appear they have the interests of our profession or of quality education for our practitioners at heart. Their heart is elsewhere.
The Career College Association, which has more than 250 schools that offer massage programs, has become a huge lobbying force in Washington, D.C., where we have the best politicians money can buy. Through its network, it pumped over 1.8 million into the pockets of members of Congress, especially those on the education committees. The federal government had a standard that all schools receiving federal aid for students had to provide at least 50 percent of their programs in face-to-face classroom settings (classroom hours). This is way too much hassle for career colleges, so against the objections of traditional universities and the inspector general of the Department of Education, they got their bought-off politicians to attach an amendment to the budget bill which dropped the 50 percent rule. Now, any school can legally provide 100 percent of any program without any in-classroom hours. Just like the FDA, the Department of Education has become nothing more than an industry advocate group. Sally L. Stroup, the assistant secretary of education, is the top regulator overseeing higher education and is a former lobbyist for the University of Phoenix, the nation's largest for-profit college, with some 300,000 students. Yes, Phoenix has its own lobbyist.
So, here it comes: The Career College Association and the large corporate chains of massage schools are starting a very well-organized campaign to eliminate the "classroom hours" in massage programs. Since they no longer must provide any classroom hours, why should massage programs? Our profession's classroom hour standard is now in the way of their profit. First, they want to eliminate the "health science and business" classes. Why should we believe they will stop there? They don't care or do not realize that no other health care profession relies so completely on skilled touch as its methodology of delivery. Palpatory literacy cannot be taught effectively at the entry level by telling students to "put your hands on your monitor, touch the red area, that's soleus."
They have developed two strategies to eliminate our classroom hour standard. First, they will claim that a bunch of their schools already are providing massage training by distance learning methods. So, instead of enforcing the profession's standards, the profession should just drop the standards and let schools do whatever they want, in particular, what they already are doing. They are being quite arrogant about this, whining that the profession has no right to tell the educational community how to train therapists, particularly to require classroom hours instead of whatever is most convenient for school operators. They are even bragging about how many of their schools are getting away with not providing classroom hours. Sure, they are getting away with it. State boards and the NCBTMB do not have the personnel to provide adequate enforcement, and the schools know this. The only way schools will get caught is if honest therapists and students file complaints. So, hey out there, start filing complaints! It's easy. Are all hours being provided "in class?" If not, file a complaint. Students, do not let them bully you or threaten you with not graduating if you file a complaint. Document their threats and call a lawyer and a policeman. You might be able to retire before you go to work.
Their second strategy is to use the Americans With Disabilities Act, claiming that requiring classroom hours discriminates against the handicapped, single parents, the poor, drunks, drug abusers, and whomever else they can think of. This will mean court battles with state boards, the AMTA and NCBTMB. Through our corrupted legal system, one case in some state will become precedent and the classroom hours standard might be thrown out everywhere. This campaign will be coming to your state soon if you have a "classroom hours" standard in your licensing law. Watch for it. We will see soon how "legally defensible" the NCBTMB standards actually are.
The massage profession has indeed emerged. Can we protect the profession from its own industry? Will the profession be able to maintain control of its entry-level standards? Are the corporate educators to become our rulers? Do you care? If not, sit back and watch the show. If you do care, you better get involved, and soon. There will be more next time on why losing classroom hours is such a bad idea, and also a compromise idea that might actually elevate the profession. Stay tuned.
Harry Waranch, BA, LMT, CNMT, from Palm Coast, Fla., shares this "hot tip" he calls "The Fire Starter." Stand at the side of the patient's hips, in the tai chi "horse stance" position. Place the ulnar edge of both your hands on the patient's sacrum, just inferior to the PSIS. Move the hands back and forth across the tissue rapidly to generate warmth in the tissues. Use light to moderate pressure, adjusted to the patient's sensitivity. This can be done directly on the skin, or through draping or light clothing.
Harry uses this with both deep-tissue and energy techniques for either relaxation or therapeutic treatments. He says it combines well with a myofascial rebound maneuver. Harry suggests you try this with your treatments for lower back, sciatica, psoas and hip complaints, or as a prone-position completion technique.
If you have a favorite technique you would like to share, send it to: . Thanks for reading my column. I'll be back in July.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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