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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."
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.
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.
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.
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.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
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.
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.
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.
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.
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.
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."
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.
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.
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.
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.
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.
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
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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