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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.
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.
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?'
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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).
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.
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.
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.
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.
August, 2006, Vol. 06, Issue 08
Gunfight at the O.K. Corral
By Cliff Korn, BS, LMT, NCTMB
Healthy competition benefits everyone. Our entire system works on competition, capitalism and the free enterprise system. One of the only situations I can think of in our history when competition wasn't healthy was the Old West gunfight! Is the shootout coming in the massage industry? Our profession has several "big guns" that appear to swagger through the countryside.Usually, they are able to "play nice," but if some of the communications I've received recently are any indication, a few of them seem ready to call each other out and swap hot lead!
The "big guns" I am speaking about here are the National Certification Board for Therapeutic Massage and Bodywork (NCBTMB), the American Massage Therapy Association (AMTA) and the fledgling "big gun wannabe," the Federation of State Massage Therapy Boards (FSMTB). Another "big gun," Associated Bodywork and Massage Professionals (ABMP) seems to have elbows on the swinging doors of the saloon peering out at the OK Corral observing the activity.
Most Massage Today readers first heard about the FSMTB in our July (www.massagetoday.com/archives/2005/07/01.html) and November 2005 (www.massagetoday.com/archives/2005/11/05.html) issues. In the November issue, I wrote,
"At its recent meeting, FSMTB also determined that one of the areas of greatest concern expressed by both state massage therapy boards and massage therapy schools is the examination program administered by the National Certification Board for Therapeutic Massage & Bodywork (NCBTMB). From the FSMTB perspective, the continued reliance on this exam program is being questioned for a number of reasons, including: 1. Long-standing problems with delivery of basic services, such as exam registration and approval of continuing education providers; 2. The fact that state boards have had no direct input into the design and administration of this examination program, nor any role in the policy making process of NCBTMB; and 3. Inconsistencies between the eligibility requirements set by NCB for this exam and the specific curriculum standards upheld in each state where massage therapy is regulated. FSMTB stated these are not only logistical problems; they also might present issues of legal exposure for the state boards. As a potential solution, the FSMTB has been researching the establishment of its own national licensing examination."
The NCBTMB, of course, has long been known for its certification program and associated entrance-level certification examination, which many states also have chosen to utilize as a licensing examination. In a letter to "Members of the Massage Therapy and Bodywork Community" and to massage therapy state regulatory boards, the NCBTMB expressed dismay that the FSMTB actually went ahead with plans for a licensing exam. (The two organizations had discussed ways to collaborate, but those discussions obviously weren't of sufficient substance to dissuade the FSMTB from its initial idea.) NCBTMB's letter states, "The NCBTMB's experience to date has been a series of mixed messages from FSMTB, which first challenged the validity of NCBTMB's examinations and then sought to transfer ownership of the these examinations to their control." The negativity continues in a recent communiqué from the FSMTB that raises the following questions and concerns:
The AMTA has chosen to insert itself into the FSMTB/NCBTMB squabble by, on several occasions, supporting the NCBTMB position through its own statements. In a letter to its members, AMTA recently wrote, "AMTA supports one set of massage therapy exams for the profession, those created and administered by the NCBTMB."
As the NCBTMB prepares itself to "gun down" the upstart FSMTB, with AMTA handing over extra ammunition, I wonder why. To me, other than the obvious issues of garnering or retaining cash flow, this is a tempest in a teapot. All of the involved organizations make one-sided statements without explanation, assuming readers will just accept the statements as truth. I have yet to hear an explanation from any AMTA source that would explain why one set of exams is better for the profession than two, 12 or 112. The AMTA also has given no reason for choosing why the exams created and administered by NCBTMB are any better than those from any other test developer. One wonders why it would disenfranchise another organization's attempt to develop something "new and improved," and who might actually be able to do the job better! The NCBTMB gives no rationale for how a purposely developed licensing exam would "further divide the profession," any more than it is divided by multiple professional associations or multiple educational accreditation organizations. The board provides no examples of how reciprocity would be adversely affected by multiple entry-level exams any more than it is by multiple massage school diplomas. As I see it, this is just turf protection and spin.
In my world, competition is a good thing. I'm a better massage therapist because there are others in my community also striving to be the best they can be. I think the AMTA and ABMP are better professional associations than they would otherwise be if they were not both there to offer alternative choices. I think the NCBTMB will become a more responsible certification provider if there is another organization offering an alternative entry-level examination. The fact is that standards are the key to effective assimilation of multiple choices in almost any situation. It is accepted accreditation standards that allow a degree from thousands of colleges/universities to be accepted as a prerequisite for graduate education. As long as similar standards are applied to the FSMTB's new exam as to the NCETMB, then there should be no noticeable difference to the entry level therapist - other than it might be easier to schedule an exam after graduation.
But other than giving my opinion on this issue, I'm laying low and keeping my head down in case bullets start to fly!
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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