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Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
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.
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!
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."
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
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.
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
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.
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.
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
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.
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
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.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
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.
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.
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.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
June, 2006, Vol. 06, Issue 06
We Get Letters and E-mail
By Editorial Staff
Massage Today encourages letters to the editor to discuss matters relating to the publication's content. Letters may be edited for space and clarity, and published in a future issue or online.Please send all correspondence by e-mail to or regular mail to:
Success with the IRS
Your article on the IRS regarding independent contractors or employee has shed some new light on the same problem I am having at the office where I practice massage. There are seven massage rooms and each one of us is practicing as an individual contractor. Several of the guidelines that you point out are what we follow, but there are still unanswered questions as to whether we can continue as individual contractors. The owner recently purchased the clinic from a previous owner (who operated it the same way she is doing). I guess we're all trying to figure out how to do this right.
Example: I've been there for 5 yrs. I have MY own room which contains all of MY furnishings (table, sheets, oils, CD, stereo, hot stones, etc.) All decorations are MINE. I do MY own laundry. I do all MY own insurance billings and payments are issued in MY name. I collect all payments for cash clients (except for credit card payments which are through the owner and she reimburses me). I pay $8 per 1/2 hr.; $17.50 per 1 hr.; and $25.50 per 1 1/2 hr.; which I pay each week according to how many hours I worked.
I pay the hourly rent for the insurance clients when I receive payment from the insurance company.
Her receptionist schedules the appointments (according to MY time available) and I have some of my own that I schedule. This is how the whole clinic is run and everyone working there is doing all of the above that I mentioned. The clinic is an Inc. and I recently made myself an Inc., too.
In your article, you also mentioned The Licensee System which utilizes an outside company as a middleman between therapists and their clients. Is there any information on this? I would appreciate any further information you could help us with.
Responses to "Put Your Hands on Your Monitor, Part One"
Editor's Note: The following is from Ralph Stephens regarding his column in the May 2006 issue of Massage Today, "Put Your Hands on Your Monitor, Part One," www.massagetoday.com/archives/2006/05/10.html
Thank you for writing and expressing your concerns regarding my column in Massage Today. I appreciate you sharing your concerns. I am so sorry we have such a misunderstanding. I am writing to help you understand what you mistakenly believe to be my "very biased and distorted opinions."
Please pay very close attention. I am NOT attacking the disabled or the ADA. You are making some extremely invalid assumptions about me and about my intentions and generalizing them onto Massage Today. Further, I am not demeaning this nation's educators. If you read the article carefully, you will clearly see I commended and exempted the good ones. You will also see that it was politicians and bureaucrats I dismissed as corrupt.
It was never in my mind to equate the disabled with alcoholism or drug abuse. I am sad and hurt that you have made that assumption. When I wrote that sentence, I truly thought the commas separated each group. The groups listed came from documents circulating from CCA schools about planned strategies to eliminate the classroom-hours requirement in massage education. I found their strategy to be quite offensive as well as an abusive, exploitive, self-serving, and inappropriate use of the ADA.
Obviously, from your reaction, my wording was not clear. After considering the sentence in light of your letter, I can see how it could be taken wrong and how it could be offensive. It should have been two separate sentences to avoid any potential confusion on such a sensitive and important issue.
I am sincerely sorry if I have offended you or any other handicapped or disabled individual. Please accept this apology. It is heart felt and sincere.
I assure you I am not the reason the ADA and the IDEA had to be written, nor is Massage Today. I do believe in the rule of law. I believe the classroom-hours standard is currently the law in effect in most licensed states.
Massage schools must already meet the ADA and if this was just about the disabled, I would join you and champion the idea of an exemption for the disabled from the classroom-hours requirement for many lecture courses. I suspect the ADA already provides that exemption by its very nature. What is being asked for is the elimination of all classroom-hour requirements for all students. This is not for the good of the students or the profession. It is the coldly calculated exploitation of the handicapped, using the ADA selfishly for the economic good of schools. This is what you should be appalled over, not one poorly constructed sentence in my column.
I am well aware of the ADA and I think it covers special needs massage students right now and probably overrides the classroom standard, but only for those special needs students. I am hearing impaired and am familiar with impaired technologies. I went to massage school with a sightless therapist (pre-ADA). I have supported over a dozen handicapped therapists in my continuing education seminars. I worked the International Disabled Skiing Championships. I am not insensitive to the handicapped. That is why I am appalled at the shameless abuse of the ADA by career colleges to eliminate classroom hours for non-special needs students. There are many other legitimate ways for career colleges to change educational standards without misusing the ADA. Such misuse of a wonderful program like the ADA potentially creates resentment toward the handicapped and backlash against the ADA and programs like it, thus marginalizing them in the public opinion.
Again, I assure you that I support your efforts to guarantee special needs students access to whatever learning technologies are needed to support their educational needs. In no way am I challenging this access. I support this access and will proudly help you defend it, especially if you ever find it in jeopardy in the massage profession.
By the way, it is fine that you disagree with me. It is through debate and discussion of differing opinions that we all learn and grow.
So, call off your e-mail and letter campaign, as what you are doing is just as offensive and detrimental to Massage Today and me as what you perceived I did to disabled people, actually worse.
I would very much like to talk to you about this misunderstanding. I look forward to speaking with you so we can clear up these misunderstandings and hopefully work together to help the disabled who desire to access the wonderful opportunities of the massage profession.
Ralph R. Stephens
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