resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
September, 2006, Vol. 06, Issue 09
By Ralph Stephens, BS, LMT, NCBTMB
We live in interesting times. It seems the good is better than ever, but the bad is worse than ever. Chaos Theory says this is an ongoing evolutionary process, so expect it to continue to even greater extremes.Maybe some global polarity therapy could help.
The "corporatization" of America continues to accelerate and thus the corporatization of the massage profession continues along with it. I have nothing against corporations by the way. The tax laws are written to favor corporations. If your business is not structured as one of the several corporate entity forms, you probably are missing out on a lot of advantages. There is one limitation, a huge one, for individual massage therapist's setting up a corporation, so incorporate only with good professional advice. But, I digress.
Some of the corporate mergers and buy-outs will be good for the profession overall. However, when it comes to the delivery of massage therapy to the public, for the most part, this corporatization means guaranteed mediocrity. For example, I spoke recently with a therapist who works for one of the up-and-coming massage franchises. She must do the massage routine exactly as choreographed, asking the same questions, the same way, at precise times during the massage. The "Cosmic Mother Company" sends in "mystery shoppers" who check her out for compliance. If the customers request a particular therapist for return appointments, that therapist is grilled as to what she/he is doing different or special and "mystery shopper" visits increase. I am sure such franchises are impatiently waiting for the day when they can install mechanical massage robots. The McDonald's- and Wal-Mart-conscious faction of the public probably is just as anxiously awaiting that day and will stand in line to receive it.
A colleague reported he went to a very large, exclusive day spa on the "Gold Coast" of Florida where he paid $145 for an hour massage. The therapists were not allowed to touch, let alone massage, the abdomen or the hips. Yes, forbidden to touch the abdomen or hips - some of the hardest working and most important musculature of the body, and not even if the customer requests massage in those areas. Pitiful.
This is what the public is experiencing as "massage." This certainly is not health care, nor is it compassionate touch therapy. For many years, I have argued that we should use the term "patient." I never even considered the term "customer," but that is the appropriate term for the recipients of massage in venues like these.
On a much more positive note, Dr. Tiffany Field and the Touch Research Institute have just released a study, funded by Biotone, showing that a 30-minute massage twice a week can significantly reduce lower back pain, increase range of motion, decrease pain-induced sleep disturbance and improve overall mood. Cool! This is huge. Now, where can the public get this massage?
Quilting Bee Continues
I see the great state of Massachusetts just got a massage law passed, and over the veto of the governor no less. I think that is a first. Congratulations! The bad news is that the patchwork quilt of dissimilar state laws grows. This new law has some very interesting language in it. Massage therapists cannot stretch a specific muscle, but can do a "non-specific stretch" and many standard terms now used in our profession appear to be forbidden in advertising, like "medical massage," "orthopedic massage," "neuromuscular therapy," etc. My favorite clause forbids a massage therapist from doing exercise. No, it doesn't say anything about on a patient, it says, "No person licensed to practice massage or massage therapy shall perform any of the following: exercise. It's very clear. So, there will be lots of out-of-shape massage therapists in Massachusetts, I guess.
Speaking of licensing laws, my next few columns will focus on professional regulation. You need to know this stuff. I will keep it interesting and entertaining. Professional regulation is a classic example of the political double-speak we are faced with everyday. Like The Medical Privacy Act, HIPPA, which sounds like a great idea until you realize the only privacy it provides is to the government, insurance companies and medical researchers to go through your personal health care records without you ever knowing about it or being able to prevent it. You now have no privacy; in fact, you barely can get access to your own records or the records of your family. Who passed the act? The government. Who gets the privacy? The government and its health care cartel do. All true cartels are linked to government. Your government and mine got the public to fall for the privacy act because the public believes their privacy is at risk and the government is there to protect and help them. The first part is true, but the second part is no longer the case. The government is now there to protect itself and help itself to more and more control over you, as well as to an ever-increasing share of the fruits of your labor.
Professional regulation (licensure of some sort) is another form of double-speak, only more subtle. We are told licensure is to protect the public, right? That's the mantra from the departments of health and/or professional regulation, "protect the public." Think about what you have observed about licensure. Do you ever remember the public going to the legislature demanding the licensure of a profession? I am not aware of it ever happening, certainly not in the last 25 years. It's always the profession that goes to the legislature begging to be granted a monopoly in the form of a license to practice. The dirty little secret is that professional regulation was originally created specifically to protect the profession being regulated from the public.
Think about that, and I will explain more of the licensing scam in November.
Don't Try This
Pesticides (insecticides), which are derivatives of WWII nerve gas weapons, kill by attacking the nervous system of insects (or humans). A new Harvard study, the largest ever done, has linked pesticide exposure to a 70 percent increased risk of Parkinson's disease. Learn more at www.organicconsumers.org/2006/article_902.cfm.
Click here for more information about Ralph Stephens, BS, LMT, NCBTMB.
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