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Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
Pain Underfoot: Metatarsalgia
Foot pain can interfere significantly with normal activities and severely limit participation in sports. Metatarsalgia is foot pain involving the metatarsal bones in the forefoot – the complaint of pain on the bottom of the ball of the foot.
Waking Up the Gluteus Maximus
In previous articles in this series, we expounded on the importance of the gluteus maximus (GM) in athletic performance and protecting the knee from injury. We also know there is a link between iliotibial band syndrome and GM weakness.
News in Brief
National Chiropractic Health Month: Be Proactive; Collegiate Roundup: Academic Appointments at Parker, Logan.
Why Young People Need Chiropractic Now More Than Ever
According to a recent study published in BMC Musculoskeletal Disorders, "It is now widely acknowledged that neck pain (NP), mid back pain (MBP), and low back pain (LBP) (spinal pain) start early in life and that the lifetime prevalence increases rapidly during adolescence to reach adult levels at the age of 18."
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
Don't Turn a 2 Into a 10
The Wong-Baker FACES Pain Rating Scale1 is so useful because it can be used by almost anyone. Patients can use the numbers associated with the faces depicted on the scale or select the face that demonstrates their current level of pain from 0-10.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
CCE Finally Takes a "Baby Step" Toward Reform
During a 16-month period from October 2010 to February 2012, I devoted four separate columns to the heavy-handed attempt by the Council on Chiropractic Education to radically change the chiropractic profession through the accreditation process.
Chiropractic Research in Review
Chiropractic Treatment of Lateral Epicondylitis; Cost / Benefit Analysis: Different Doses of SMT for Low Back Pain; Imaging for Occult Rib and Costal Cartilage Fractures; Treating Neck Pain: Thoracic Thrust Manipulation vs. Non-Thrust Mobilization.
9 Common Causes of Thyroid Imbalance and How You Can Help
How you sleep, how easily you wake up, and how much energy and stamina you have during the day are directly related to levels of the thyroid hormones.
A Vibrating Capsule for Constipation? Relevance to Your Chiropractic Practice
The relationship between gastrointestinal (GI) complaints and back pain is not typically written about or discussed.
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
MPA Media Wins 7 Publishing Awards
MPA Media, publisher of Dynamic Chiropractic and DC Practice Insights, among other titles, has been recognized for editorial and design excellence with an unprecedented seven publishing awards by the American Society of Business Publication Editors (ASBPE), the nation's largest organization for business-to-business publications.
September, 2006, Vol. 06, Issue 09
Massachusetts Passes Massage Legislation
Legislature overrides governor’s veto; state becomes the 37th to license massage therapists.
By Kathryn Feather, Senior Associate Editor
The legislative process can be an arduous one at best, often taking years to get an agenda advanced beyond committee.On June 27, 2006, the massage community in Massachusetts breathed a sigh of relief and took a victory lap as it became the 37th state to enact massage therapy regulation.
The Massachusetts House and Senate both voted to override Gov. Mitt Romney's veto of S.B.2258 to pass the bill, which creates a new state board to regulate Massachusetts' estimated 5,000 massage therapists. The new legislation requires massage therapists to meet certain educational or "hands on" experience requirements in order to be licensed to practice in the state. As the current law stands, the process of regulation is left up to the local boards of health. As of press time, S.B.2258 is set to become law in 90 days, effective in late September 2006.
In section 98 (a), the bill states, "There shall be within the division of professional licensure, a board of registration of massage therapy. The board shall consist of seven members who shall be appointed by the governor for terms of [three] years. The members appointed shall be residents of the commonwealth, three of whom shall be licensed massage therapists who have been actively engaged in the practice of massage therapy in the commonwealth for at least five years immediately before their appointments; one of whom shall be a health agent, board member or other health professional employed by or elected to a municipal board of health within the commonwealth; one of whom shall be an individual who is actively engaged in the operation of a licensed massage school; and two of whom shall be consumers who are familiar with the massage therapy field."
The duties of the board include adopting "rules and regulations governing the licensure of massage therapists, the practice of massage therapy and the operation of massage schools to promote public health, welfare and safety of citizens of the commonwealth, to establish standards for continuing education reflecting acceptable national standards and to investigate complaints, conduct inspections, review billing and treatment records and set and administer penalties as defined ... for fraudulent, deceptive or professionally incompetent and unsafe practices and for violations of rules and regulations promulgated by the board."
The bill also authorizes the board to make public a list of licensed massage therapists, as well as to publish a code of ethics. The bill spells out several definitions regarding the profession and defines massage as "the systematic treatment of the soft tissues of the body by the use of pressure, friction, stroking, percussion, kneading, vibration by manual or mechanical means, range of motion for purposes of demonstrating muscle excursion or muscle flexibility and nonspecific stretching. Massage therapy may include the use of oil, ice, hot and cold packs, tub, shower, steam, dry heat or cabinet baths, in which the primary intent is to enhance or restore the health and well-being of the client." The bill also defines what massage is not: "Massage therapy shall not include diagnosis, the prescribing of drugs or medicines, spinal or other joint manipulations, nor any services or procedures for which a license to practice medicine, chiropractic, occupational therapy, physical therapy or podiatry is required by law."
A licensed massage school is defined as "a facility which is licensed by the board after meeting minimum standards for training and curriculum." A massage therapist or practitioner is defined as "a person licensed by the board who instructs or administers massage or massage therapy for compensation."
S.B.2258 does make provisions for current practitioners. Therapists currently working in the state, have until approximately April 30, 2008, to qualify for a license under the grandfathering provision established within the bill. Current practitioners will be required to complete an application, pay all necessary licensing fees, provide proof of liability insurance and satisfy one of the following additional requirements:
However, licenses will not be issued until a board is appointed and rules are drafted. New massage therapy practitioners must satisfy the following requirements in order to qualify for licensure:
Other practitioners will be exempt from the regulations spelled out in S.B.2258, as long as they do not hold themselves out to be massage therapists. Exemptions include anyone who uses touch, words or directed movement to deepen awareness of patterns of movement in the body, or the affectation of the human energy system or acupoints or qi meridians of the human body, while engaged within the scope of practice of a profession with established standards and ethics; such services will not be designated or implied to be massage or massage therapy. The practices covered in the above exemption include, but are not limited to, the Feldenkrais method, reflexology, the Trager approach, ayurvedic therapies, Rolf structural integration, polarity or polarity therapy, polarity therapy bodywork, Asian bodywork therapy that does not constitute massage as defined, acupressure, jin shin do, qi gong, tui na, shiatsu, body-mind centering and reiki. Exempt practitioners who fall under the above guidelines may use the terms "bodywork," bodyworker" and "bodywork therapist."
Massachusetts massage therapists interested in applying for an appointment to the Board of Registration of Massage Therapy within the Division of Professional Licensure can send a resume and cover letter specifying the board of interest to:
To view the text of S.B.2258, visit the Web page for the 184th General Court of the Commonwealth of Massachusetts at www.mass.gov/legis/legis.htm.
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