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Elevated Shoulder? Check the QL
As you know, posture reveals a great deal about the body. Posture is a unique mental and physical landscape revealing compensations and adaptations to life. It's a classic mind-and-body story.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
The MRI: When and Why to Order One
As I lecture around the country to both chiropractors and medical specialists, it's clear one of the main disconnects between the two professions is that of an accurate diagnosis.
The Future of Functional Neurology
Functional is the hot buzzword in health care these days; witness the rising popularity of functional medicine, functional testing and yes, functional neurology.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Do You Teach Patients How to Breathe Properly?
Spinal manipulation often produces quick results in terms of pain alleviation and improved range of motion. Unfortunately, once the patient is no longer in pain, they may discontinue therapy, only to be plagued by the same complaint at a future date.
Preventing ACL Injuries in Female Athletes
For female athletes, the key to optimal athletic health lies in preventing ACL injuries. In medical terms, the anterior cruciate ligament (ACL) is the primary restraint to the anterior displacement of the tibia on the femur at all angles of the knee flexor.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
News in Brief
A Winner in and Out of the Office; Ready for the "Have-A-Heart" Campaign? New Integrative Medicine Journal.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Osteoporosis Isn't Always the Case
What is your diagnosis? The patient is a 58-year-old female with back pain. I am sure all of you see the compression fracture at L2; however, there are some findings that suggest this is not a compression fracture due to osteoporosis.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
We Get Letters & Email
In the Dec. 1, 2015 issue, we have Donald Petersen reporting on "the adapting chiropractic practice," which includes multidisciplinary practice as an option; a ChiroPoll indicating 59 percent of DCs are seeing at least 21 patients per day and 27 percent are seeing more than 40.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Sell Out: Using Research for the Wrong Reasons
The above chorus is from the ska band Reel Big Fish's 1997 hit song, "Sell Out," from their album, "Turn the Radio Off." In the song, the singer sarcastically relates the plight of a musician who is tired of "flipping burgers" and is willing to get "lots of money" by playing "what they want you to hear" in order to get a recording contract.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
Spine Surgery: A Tale of Greed and Corruption
All too often, where there's substantial money to be made, greed and corruption inevitably follow.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
Top 10 Fitness Trends for 2016
The American College of Sports Medicine (ACSM) published its annual fitness trend forecast in the November / December 2015 issue of ACSM's Health & Fitness Journal.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
The Amazing Clinical Versatility of Milk Thistle (Part 1)
Most of us know that the standardized extract from the seeds of milk thistle (Silybum marianum) is probably the best-proven herb for protecting the liver from chemical and inflammatory damage.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
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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