resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
March, 2007, Vol. 07, Issue 03
By Ralph Stephens, BS, LMT, NCTMB
This month, the ongoing discussion of professional regulation (licensure) continues. The purpose of this series is to raise your awareness of the licensing process, hoping that increased awareness will bring about the demand for well-written, more effective licensing laws.Better laws would provide more opportunity to bring alternative health care to the public, control over (and eventual elimination of) unethical therapists and schools, and the ability to expand our scope of practice, allowing us to better serve suffering humanity.
Aside from the monopoly that licensing grants, it also gives special protection to practitioners from normal prosecution for harming the public. The disciplinary process protects licensed practitioners. Apart from extreme cases, a doctor will not be arrested for an oversight. Instead, a complaint has to be filed with the medical board. (Death is not usually considered an extreme case, as practitioners have a license to kill. And I am not talking about abortion, but the 250,000+ fatal mistakes practitioners make every year - mistakes few seem to care about.)
This same disciplinary system applies to massage therapists, DCs, PTs, etc., in licensed states. The complaint process is confidential and is investigated by the board, which is in need of more investigators. For example, one state had two investigators who handled all the complaints for 17 boards. The medical board had its own investigators, but still not very many. This means investigations take months, sometimes years, to complete.
In the typical regulatory board disciplinary system, the accused provider is judged by their peers, not by impartial citizens (a jury). They usually are able to continue practicing until the decision is reached. Over this time, any negative publicity for the profession blows over and witnesses no longer pursue the case for various reasons: simply losing interest, moving, or in some cases, death. Finally, when the decision is reached, it's announced with little fanfare and usually results in an admonishment, a cease-and-desist order, or something fairly benign, like a token fine. Occasionally, a suspension or a revocation of the license might be ordered. Seldom is a practitioner banned from the profession, and imprisonment is virtually unheard of, except in cases of political persecution by medical boards. Then the appeals start.
In other words, licensure protects providers from the public better than it protects the public from the provider. It was designed this way and used to be much worse than it is today. Since licensing has expanded to the "other" health care practitioners (which wasn't supposed to happen when the AMA created licensure for MDs only), disciplinary processes have improved and are less of a sham. However, now medical boards in particular are using their powers to persecute practitioners who step off the reservation and provide patients with "unconventional practices," including such dreadful and dangerous things as nutrition, herbs, homeopathy, yoga, successful cancer cures; you know the stuff - quackery. If the standards of practice documents are ever completed for our profession, our boards will start doing the same things to us - something to look forward to. (If you have ever filed a complaint with a regulatory board, you know this statement is true. Some states are better than others.)
The point in explaining this is that in our profession, this disciplinary system does not work very well. Most of our boards are charged with approving and disciplining massage schools. Yet, the laws we have passed, which are modeled after regulations for other professions, have left our boards completely unequipped.
Further, when we "wimp out" and pass title protection laws, the boards have no way to stop dangerous providers and sexual predators from practicing. Title protection in massage regulation means anyone can do massage, but only people with a license actually can call it massage or other titles that are protected, like "bodywork," for example. Practice protection means no one can do massage without a license or a specific exemption in the law. These exemptions have gotten out of hand and, in some states, have turned practice protection laws into title protection.
Here's what happens. Some licensed massage therapist is sexually abusing clients. A complaint is filed. The therapist is found guilty. Instead of hanging the offender by their toes in a dungeon indefinitely, which is the least they deserve, all the board can do is take away the license. All the therapist has to do is change the name of their work to something not covered by the title protection, or call it something that has an exemption. The offender is back in business, and the board can do nothing more.
So, we are writing laws that protect the worst among us and punish the ethical therapists with fees and the hassle of compliance. In no way has this protected the public. We have to do better in the future. In May, I will discuss the scope of practice and how poorly written laws are taking away our ability to help the public, and how properly written laws can further expand our opportunities.
Working with patients suffering from whiplash caused by a rear-end collision? If their hands were on the steering wheel, there is a good chance they have suffered an injury to the rotator cuff. Be sure to examine every muscle of the shoulder for tender points and trigger points. Further, their jaw most likely will have snapped open and shut. Examine the temporalis and masseter muscles. One side usually will be worse. Normalize these and you might well prevent TMJ syndrome from developing in a few years. There always is more damage than initial complaints indicate. Provide a more complete service for whiplash victims and you will soon develop a very busy practice.
The Big Two
The two most common, yet modifiable, risk factors for heart attacks and strokes are poor diet and sedentary lifestyle. This makes sense. In fact, one definition of death is "lack of movement." Actually, the underlying cause of most disease is the body being too acidic. Get your pH up to ideal levels and you'll be amazed at how much better you feel.
See you next time, when April showers bring May flowers. Have a great spring!
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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