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Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
July, 2006, Vol. 06, Issue 07
When Massage Isnít Legitimate
Professional Massage Therapists Struggle to Separate Themselves from Illegal Prostitution Rings
By Dixie Wall, Contributing Editor
Enormous amounts of illegal activities are conducted and advertised under the guise of massage therapy in publications for all types of races, genders and even sexual preferences.This is a multi-million dollar business and massage seems to be one of the most common ways to cover up the operations of these prostitution rings. Should professional massage therapists be striving to create an obvious distinction for themselves? The opinions vary on what exactly should be done to separate legitimate massage therapists as professionals.
In Santa Ana, Calif., there is an ongoing federal investigation targeting the Jung Organization, accused of human trafficking and harboring illegal immigrants. This operation allegedly transported Korean nationals into the country with the intent to engage them in prostitution. The charges include money laundering through the massage parlor industry.
The investigation led to four more arrests after a 40-count indictment was unsealed later in federal court. The accused head of a string of Los Angeles-area brothels is among the four charged in an ongoing multi-agency investigation. In response, the Feds seized more than $4 million in assets, including four motor cross tracks.
Jong Ock Mao, 47, (aka "June,") head of the brothel operation, was arrested April 11th in Madisonville, Texas. Federal agents also arrested Edward Lutt, 43, of Paramount, Calif., and Randall Johnson, 51, of Los Angeles. Additionally, Charles Fields of Long Beach, Calif., is being sought. Lutt is suspected of managing the operations while Johnson and Fields were the so-called owners of the brothels, despite the fact that Mao was the "de-facto owner," according to the indictment. The brothels were located in a variety of different businesses, including spas, tanning salons, massage parlors, chiropractic offices and acupuncture clinics.
This recent series of arrests involves conduct that has existed since the beginning of recorded time. The complexities include human rights, the harboring and transporting of illegal immigrants and, sometimes, the very abusive treatment of women. Most were brought to America only with the impression for them to "massage" (prostitute) until their entry fee was paid off. What's presently being done about this horrifying situation?
San Francisco's solution was a law which began in July 2004 that relaxed the permit process and clearly distinguished therapeutic massage therapists from adult entertainers. This shifts the authority of regulation from the police department to the department of public health and creates a two-tiered system that recognizes "therapeutic massage practitioners" on the one hand and "adult entertainment massage workers" on the other. The first system is required to have 100 hours to practice, while the advanced practitioner is required to have 200 educational hours.
On the San Francisco Massage Ordinance Web site, the San Francisco Coalition of Therapeutic Massage and Body work Practitioners, a group of professional massage therapists, said, "Most [San Francisco] elected officials have no desire to wipe out the massage parlors, so the net result is that therapeutic practitioners have to coexist with adult entertainment practitioners. We have come to the best compromise that we believe possible at this time...We feel that the DPH is more responsive to the needs of therapeutic practitioners than the police department has been and support the creation of an Advanced Massage Practitioner permit...to better define the distinction between adult entertainment and therapeutic massage practitioners."
Moreover, therapeutic massage practitioners deserve to be seen as professionals. This leaves the responsibility to dispute the connection of massage with prostitution to the therapists. In Orange County, Calif., the problems recently have subsided due to the extraordinarily high requirements for getting city permits to do massage therapy. Police departments are busy examining, fingerprinting and giving written tests to prove validity. This does not solve the entire problem of association with the sex industry; however, it does require a lot of expensive and time-consuming work for therapists to prove their validity to the police department.
Some say efforts to legalize prostitution make the most sense and will officially separate the industries. Brian Goodwin, BA, NCTMB and a massage therapist for more than 10 years, suggested "an interview process with clients before business to avoid embarrassing solicitation from happening." Goodwin also said, "If my primary business problem is prostitutes/clients confusing massage and prostitution, I need to ask why this problem exists and look for answers...Maybe we could stop using the word massage." But does allowing the adult entertainment industry to be legally regulated say that therapists agree the behavior is morally correct?
This lack of distinction between bodywork and prostitution causes more suffering to the public as well as massage therapists. Every day, more people are experiencing the health benefits that come with receiving regular massage. However, many are still skeptical due to the common perception that massage somehow is linked to prostitution. By making the significant difference clear in the public eye, these hesitations and embarrassing situations might be prevented from happening. The public would more likely be open to trying massage if they knew they were in a legit situation, where they could feel comfortable and safe in the hands of an educated and professional therapist.
Nevertheless, Beverly May, co-chair of government relations for the AMTA, explains "the intent of massage regulation at the state level is not to prevent prostitution under the guise of massage, but to pull massage therapists out of local regulation intended for prostitution that currently regulate massage. One of the reasons some massage therapists state that they oppose state regulation is that they don't feel it will stop prostitution in the guise of massage, just like it still occurs under other state-licensed professions. But the weakness of that argument is that even though prostitution may occur under acupuncture and chiropractic, acupuncturists and chiropractors are not regulated as vice. Those who violate the law are charged and may lose their licenses. In massage, we are all treated as a vice issue under most local regulations."
However, for the rest of California, it looks like SB412, the current bill in California for state licensing, will pass through the appropriations committee next year. According to May, "the hearing will now not be until mid-summer...one thing for sure it will be interesting to see how local ordinances, from the tough Orange County ones, to the odd San Francisco one, will apply when SB412 passes." It seems any issue within the industry will be easier to work on as a whole when everyone shares the same state-recognized license. Along with state regulation, a board of massage professionals will be created to look out for common professional interests.
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