resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
June, 2006, Vol. 06, Issue 06
Research: The Key That Opens the Door
By John Slavin, PhD, LMT
The amount of research opportunities and data available to massage therapists is growing steadily each year, ever since Dr. Tiffany Field's original groundbreaking research on pre-term infants was published more than two decades ago.However, although all new ventures have a glitch or two to work out, evidence suggests massage research needs more development; due in part to the fact that a great majority of therapists tend to be unwilling to form alliances with allopathic practitioners or even other massage therapists. Many therapists seem to be content only when they distance themselves from others, seeing them as a threat and building walls in an effort to protect their environment from competition, rather than trying to aid the progress of touch therapy.
It's sad, that in an environment where we value touch and closeness it seems therapists can, at times, be anything but amiable! Recently, I had a student ask me rather rudely why I was so involved in touch research. When I explained that research leads to conclusive findings, and conclusive findings lead to respectability, the student shrugged her shoulders and went on to tell me how she does not need respect from anyone but herself. This is true and very noble, but the fact remains, medical evaluators such as insurance companies will not reimburse massage therapists based on self-respect; they require concrete medical data and this is where research sometimes falls short.
Although, in this era of much research regarding touch therapy, it seems not nearly enough is being done. And that is not due to any lack of interest from the medical community. When presenting potential research studies to some of the major research hospitals and medical schools in my area, I was welcomed by the allopathic community with open arms. Granted, I had some help getting my foot in the door, but then I found myself meeting with prominent members of the medical community. Many times, the chief of staff of a given department would even set up a lunch. Discussions developed, in allopathic terms, why a certain massage technique was valuable and where they could see it placed in the medical model. When I mentioned the idea of research being done, the doctors challenged each other as to who would have the opportunity to work with the therapists. Within one day, I had calls from the head of oncology, the head of hematology, and the physical therapy department all wanting to do research. The physicians even discussed the potential of research being funded through the hospitals' own research department! Now, to what do I owe this amazing outcome? It's all about simple professional courtesy! If therapists would only work at speaking the allopathic language and gain their respect, then nine times out of ten they will not only be willing, but eager to work with them. Is it any doubt that Tiffany Fields, PhD, Janet Kahn, PhD, or Janet Travell, MD, were so successful in their research attempts? They did not go against the grain. They understood the need for good clinical research, studied their field and were well versed in the language of allopathic medicine.
Massage therapists seem to be the most highly underrated health care providers and this is a real shame. Sadly, they seem to be fighting an uphill battle when it comes to respectability in the medical field, but this has been changing in recent years. This is primarily because their scope of practice is so broad and their knowledge of anatomy and kinesiology so vast, that when medical practitioners see this they often are dazzled at how knowledgeable therapists are and how useful they can be!
Unfortunately, it's not the therapist, but how they come across that makes or breaks them in the medical field. With all the recent bickering about defining medical massage and extra certification and training, it appears what it really boils down to is communication. The better therapists can speak with other health care providers, the better they can promote themselves. Many times, massage therapists complain of not getting compensated properly for their work in medical offices, but more often than not those same therapists are the ones griping that there is too much interest in touch research and therapists should focus their efforts somewhere more useful. To me, it's all tied up with research! Modern society is full of "doubting Thomases" and unless therapists can show them the proof, they most likely will never believe how powerful touch therapy can really be.
With research, one can definitely prove the physiological effects of a certain technique and reproduce the results. And this is what the insurance companies want to see.
In closing, I will tell of one more student comment. Recently, while instructing a student how to be successful when networking with doctors and fellow massage therapists, another student commented, "Why tell him your secrets? If everyone knows how you do what you do, then you won't be unique, and everyone will be successful!" I answered quite simply, "Good! Then I would have succeeded at my task!"
John Slavin, PhD, LMT, received his massage education from Florida Academy of Massage in Ft. Myers and his PhD in biology from Canterbury University. He was recently appointed Vice President of research and development for the American University of Healing Arts in Little Rock, Ark. He is extensively involved in medical research pertaining to massage therapy and is very proactive in bridging the gap between LMTs and the allopathic community. He can be reached at "> .
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