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News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
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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