resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
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."
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.
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.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
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.
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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."
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.
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.
June, 2006, Vol. 06, Issue 06
A Discussion About Continuing Education
By Cliff Korn, BS, LMT, NCTMB
Are you a life-long learner? I know I am. At times, I think I could be happy as a perpetual student. I love the process of evaluating what I know, comparing it to the knowledge and beliefs of whoever is teaching a class, and then choosing those items that fit into my specific needs and circumstances that I can take back to my practice.
When I first graduated from massage school, I found there was a whole new world of education available to help me make great strides in my capabilities.There were many and frequent "ah-hah" moments for me. As my thirst to learn more grew and my time was spent in ever more workshops, the "ah-hah" moments started to diminish significantly. I learned rather quickly "there wasn't much new under the sun" and many of the things I was learning were similar actions and thought processes repackaged with different marketing terms. When I first recognized this, I was appalled, lamenting my loss of "ah-hah." I quickly outgrew my simplified and unrealistic expectations of continuing education though. I no longer find it necessary to get a wealth of new ideas from each workshop I attend. I also now realize that "similar" doesn't equate to "the same" and I find that nuances of style and intent actually are more than the same old thing with a new name. I don't need big "ah-hah" moments these days. One new idea, technique, or way of evaluating a situation that I can use in my practice is all I need to make me feel I'm getting real value for my education dollar.
I recently was reading responses on a massage chat group that expressed varying opinions on the desirability of mandating continuing education and requiring finite amounts annually. For me, the discussion was moot, as I am a member of several professional associations, all of which require specified hours of continuing education. I am nationally certified, and required to obtain continuing education hours if I choose to maintain that certification. My state also requires hours of continuing education to continue to practice. This has been the case for me since I began practicing in 1993, so I just accept it as "what is."
Most of the time, I think requiring a certain amount of continuing education on an annual basis is a good idea. The fact that CE is required lets me deduct the cost of the education on my tax return. Now, the IRS does have stipulations for this deduction in addition to it being required by law or an employer. The continuing education must "enhance or maintain skills." Being a CE Junkie, I end up in workshops of varying quality. Some I have attended were so bad that it would be doubtful if they meet this criterion.
One issue with continuing education has confused many in the last several years. At least as long as I have been practicing, continuing education has been provided in "CEUs" (Continuing Education Units). I believe 50 minutes of instruction equals one CEU. Recently, we see less use of the term "CEU" and observe it replaced by CEC (Continuing Education Credit) or CH (Contact Hour). At least one professional association and the National Certification Board for Therapeutic Massage and Bodywork (NCBTMB) use this terminology. It stems from definitions of the International Association for Continuing Education Training (IACET). The Continuing Education Unit (CEU) was created by IACET as a measurement of continuing education. One (1) IACET CEU is equal to ten (10) contact hours of participation in an organized, continuing education experience under responsible sponsorship, capable direction and qualified instruction. When I checked the list of authorized providers on the IACET Web site though, I could find none that appeared to offer continuing education in massage-related subjects.
I was impressed to find there is an organization whose sole focus is to positively influence the quality of continuing education. So does this mean that IACET-approved providers, or NCBTMB-approved providers are always going to be providing CE that is useful and of high quality? Not necessarily. Both organizations appear to be more concerned with the educational process of the provider than the content of the workshops presented. IACET's Web site says, "IACET approves the process, not the content - our standards apply across all disciplines. Through an emphasis on the educational process, the standards ensure clear program development and valuable learning outcomes."
The IACET's process approval is one I wish massage therapy CE providers would either obtain or emulate. Wouldn't it be wonderful if all of our CE providers were measured on criteria in Organization, Responsibility and Control, a System for Awarding Credit, Learning Environment and Support Systems, Needs Identification, Learning Outcomes, Planning and Instructional Personnel, Content and Instructional Methods, Assessment of Learning Outcomes, and Post-Program Evaluation? (Those are the 10 criteria IACET uses in approving providers.) The criteria would represent a systematic approach to cause learning to occur. It might not guarantee high quality, but it would go a long way to make it much more likely!
Since this time last year, I have enjoyed a varied menu of continuing education. I have experienced Ethics, Seated Therapeutic Massage for Carpal Tunnel, Hawaiian Lomi Lomi, Documentation in the age of HIPPA, Advanced Clinical Skills: The Pelvic Bowl, Myofascial and Deep Tissue Techniques, Breast Massage, and Massage Therapy and the Shoulder Complex. I have no intention of using everything presented in these workshops in my practice, but I am ever so glad to have taken them. My clients and I are better off because I chose to invest the time and money. Just as a new table, advertising or signage is an investment in your business, so too, is education. Check out www.irs.gov/pub/irs-pdf/p970.pdf to assist you in determining how much of your education investment you can deduct from your taxes. As a matter of fact, I need to check with a tax advisor myself because later this year I'm participating in a continuing education program on a cruise ship at sea! I want to make sure I get a business deduction from the portion of the trip that represents work-related education. Maybe I'll see you there, and we can both get a nice write-off and help our practices at the same time!
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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