resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
February, 2007, Vol. 07, Issue 02
Making a Statement About Massage
AMTA advocates consensus conference; ultimate goal is a federal statement declaring that massage provides effective relief of low back pain.
By Meghan Vivo, Associate Editor
The American Massage Therapy Association (AMTA) recently approved financial support for the Integrative Healthcare Policy Consortium (IHPC) to propose that the National Institutes of Health (NIH) hold a consensus conference on massage for low back pain.The IHPC is a coalition of health care professional organizations advocating public policy to ensure access to safe, high-quality medical care for all Americans. The latest survey from the AMTA provides evidence of the increasing popularity of massage for therapeutic purposes and suggests the tides may be changing in favor of insurance coverage for massage.
Massage has been credited with alleviating a wide variety of aches and pains, from migraines and carpal tunnel to anxiety and low back pain. More than 100 million Americans suffer from low back pain, and nearly $25 billion a year is spent in search of relief. In the Centers for Disease Control's 30th annual report on the health status of the nation, Health, United States, 2006, low back pain was the most commonly reported type of pain, the most common cause of job-related disability, and a leading contributor to missed work and reduced productivity.
Medication may still be the most common way to treat low back pain, but increasing evidence suggests it is neither the most effective nor the safest treatment method. The need for more effective solutions to low back pain has led many health care organizations to increase research for alternative treatments such as massage therapy. Although many Gen X and Gen Yers believe massage is not only a luxury, but also a medical necessity, Medicare and Medicaid have not yet supported insurance coverage for massage as a remedy for low back pain. In fact, most existing research ignores massage therapy as a treatment for low back pain altogether, instead focusing on drug therapies and surgery.
With the NIH consensus conference expected to occur in 18 to 24 months, the AMTA hopes to elicit a federal statement declaring that massage is effective for low back pain. Historically, the conference panel's findings have triggered Medicare and Medicaid reimbursement policies which, in turn, have expanded insurance coverage policies. If the conference goal is reached, the AMTA anticipates that massage for low back pain will be widely accepted by the health care community.
The NIH's previous consensus development conference on treatments for low back pain occurred more than 10 years ago. Although the expert panel at the conference concluded that research supported the use of chiropractic care for low back pain, it ultimately decided that too little evidence existed to assess the actual benefits of massage. Similarly, the National Institute of Neurological Disorders and Stroke reports that the best treatments for low back pain include bed rest, exercise and various medications, such as over-the-counter analgesics, anticonvulsants, opioids and some antidepressants - with no mention of massage therapy.
More recently, however, a number of studies have indicated that massage is highly beneficial for people with chronic low back pain. For example, a 2003 study in the Annals of Internal Medicine showed that massage therapy produced better results and reduced the need for painkillers by 36 percent when compared to other therapies, including acupuncture and spinal modification. And with 39 million American adults getting a massage annually, and 30 percent of those adults using massage therapy for medical purposes, recent AMTA consumer surveys continue to show that massage therapy is a growing trend.
As evidence that massage therapy is increasingly on the minds of the public, the AMTA reports that 9 million more people discussed massage therapy with their health care provider in 2006 than in 2001. Moreover, almost twice as many doctors recommended massage therapy to their patients in 2006 than in 2001. When patients inquire about massage therapy, physicians are more likely to recommend it (59 percent), while nearly half of all chiropractors (48 percent) and physical therapists (47 percent) also recommended massage. And nearly 80 percent of 25- to 35-year-olds would like to have their insurance plan cover massage.
Despite lingering pessimism from some in the conventional medical community, an impressive 25 million more Americans each year are getting a massage today than they did 10 years ago, according to the 2006 AMTA study. People 55 years old and up have tripled their use of massage over the past 10 years. Gen Yers have become less reliant on medication to treat low back pain, with 94 percent of 18- to 24-year-olds preferring massage therapy for pain relief.
Today, massage therapy is one of the most common ways people relieve back pain. Research is increasingly showing that millions of Americans regularly use complementary and alternative health care approaches. Because most of this complementary care is paid for by the patients themselves, without any assistance from Medicare or other forms of insurance, it is not accessible to all Americans. Only those who can afford the out-of-pocket costs have access to broader choices in their health care. Massage patients, massage therapists and affiliated health care organizations remain hopeful that the NIH consensus conference will convince the health care community and insurance providers of the benefits of massage therapy - a treatment that already provides much needed relief to millions of Americans.
Editor's Note: In September of 2006, the Associated Bodywork and Massage Professionals also pledged $15,000 in an effort to help gain medical recognition of massage therapy as a treatment for low back pain. The ABMP contribution accounts for about one quarter of the funds needed to advance a review under the auspices of the NIH, Office of Medical Applications of Research. Visit www.abmp.com for more information.
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