resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
CMT & Stroke Risk: Myth vs. Fact
By now, most of you have probably heard that the American Heart Association recently published a statement regarding the association between cervical dissection (CD) and cervical manipulative therapy (CMT).
Lime Jello on Morphine
Taste is in the eyes... actually the mouth... of the beholder. My food preferences have changed, lightening from the food of my youth. My parents loved heavy eastern European cuisine and I loved it as a child. Now I enjoy leaner, healthier whole foods.
Pulse Diagnosis: What We Know
I am still finding pearls of wisdom from the books and papers that I inherited from my pulse diagnosis mentor Jim Ramholz.
To The Finish Line With the Help of TCM
When acupuncturist Eddy De Smedt pursued a career in Traditional Chinese Medicine, he knew he wanted to make a difference.
The Case for Immunization
As long as I have been a chiropractor, I have seen many in this profession oppose vaccinations. Indeed, it has often been taken as a "given" that to be a principled chiropractor requires a curmudgeon's willingness to hold aloft that banner of opposition.
Healing With TCM at San Quentin State Prison
For the prisoners at San Quentin State Prison, life-sentences are the reality of every day life. It is not often that prisoners get the opportunity to use alternative medicine to deal with common ailments they encounter behind bars such as, depression, anxiety and pain.
Communication 101: Please Explain Yourself!
Twice this past week, I overheard conversations about chiropractic. As you can imagine, it is a topic my ears naturally pick up. In both cases, a patient was talking to a friend about their experience with a chiropractor.
Dr. George Goodman and His Legacy to Logan University
Those who knew him called him a revered leader, a visionary and one of chiropractic's biggest advocates. George A. Goodman, DC, Logan University's sixth and longest-serving president, passed away on Sept. 9. He was 70 years old.
Simple Ways To Find True Happiness
Patients in our clinics are always seeking happiness. As their health advocate, we need to ensure we inform them that in order to find happiness, they have to make sure to identify what makes them happy in the first place.
Chiropractic Research in Review
Predicting Pain With Disability in Office Workers; Traction Approaches for Discogenic Cervical Radiculopathy; Intra-Articular Gas Bubbles Following Manipulation; Nonresponsive Chronic Ankle Sprains: Think Tendon Rupture.
The Tao of Gender
If you think gender is as simple as having a new client check off the "male" or "female" box on your intake form, we hope this article will expand your understanding and thus the reach of your health care.
Commingling Money: 12 Questions for the ACA About the CHAMP / NCLAF Merger
The American Chiropractic Association recently announced it was merging the National Chiropractic Legal Action Fund and the Chiropractic Health Advocacy and Mobilization Project into a single entity that will support both legal and legislative actions.
Managing Patient Expectations About Acupuncture
Last year, I attended the Pacific Symposium in San Diego for the first time in six or seven years. It was the 25th anniversary of this event, and on one evening there was a panel discussion with the title; "What is Qi?."
Sports Science: What's in That Drink?
Athletes frequently ask me what the best liquid is to drink during exercise – water or a sports drink? Water provides the necessary hydration, but unfortunately, it lacks the key nutrients to aid in performance and recovery.
Managing Today's Fertility Patient
I recently received an email from one of my fertility patients: "Got my lab results back. FSH is 11, AMH is 0.7. My doctor said these numbers aren't good. I guess I'm infertile. Just as a thought. Just set up an appointment to speak with an adoption agency."
AOMA Strengthens Leadership Team
AOMA Graduate School of Integrative Medicine, a leading college of acupuncture & herbal medicine, announced the appointment of Donna LaPoint Hurta, MBA as the new VP of Finance & Operations this Fall.
Uncle Sam Needs You (Part 2)
Where chiropractic care has been used in the military health services, it has been deemed very successful.
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 2)
As mentioned in part 1, using a flexion-distraction table is a great way to unlock this particular fixation. You have found the stuck segment. You have determined whether it is unilateral, midline or bilateral.
Jingei Diagnosis: An Effective and Powerful Diagnostic
I graduated from the Kotatama Institute under the direction of Drs. Masahilo and Katsuharu Nakazono in 1984. As a student, I was exposed to the practice of most of the various theories and modalites of Oriental Medicine.
Essential Orthopedic Testing: Tests That Involve Standing on One Leg
Since these tests have a common mechanism of performance (standing on one leg), there are differential diagnostic concerns during testing. The tests cannot be completely isolated from each other for performance.
The Wonders of Light Therapy: An Interview with Wes Burwell
I first met Wes Burwell in 2011 when he was teaching a class on light. Since then, every time I hear him speak, his understanding of the benefits, function and capacity of light has evolved.
Correcting Pelvic Rotation Around the Long Axis: Adjustment Protocol
The pelvis can be considered a ring that can misalign on the sacrum rotating around the long axis. The following is a description of an adjustment that helps to correct sacroiliac rotation around the long axis.
May, 2007, Vol. 07, Issue 05
Scope It Out
By Ralph Stephens, BS, LMT, NCTMB
Ignorance is only bliss until reality smacks you in the face. As promised last time, the discussion of regulation (licensure) continues. This month's subject is scope of practice, an area in which we really are punishing ourselves and decreasing our ability to help the public, due to the poorly written laws we are passing.
Another purpose of licensure is to define the scope of practice of a particular profession.To use more accurate terms, scope of practice defines the extent of the monopoly granted by the state. Of course, the MDs who were first to the trough have a virtually unlimited scope of practice. That was their goal in creating licensure: a complete monopoly, along with the elimination or complete control of all competing forms of health care. It still is their goal, and universal access to health care may give it to them if we are not diligent. Every other profession has their scope limited by their licensing law.
Most professions desire as much extension of a scope of practice as they can get and always are working to expand it. Sadly, ours is not this way nationally. Our national leadership has given up huge aspects of our scope for no apparent reason, other than to just pass something. For example, any muscle-bound meathead at a health club can do specific stretches on anyone who walks in the door, but we pass laws for ourselves that prohibit us from doing specific stretches or joint mobilization. This has got to stop and should be reversed.
Our profession has failed miserably when it comes to defending our scope. I have watched it shrink to a shadow of what we should be able to do. In most licensed states, we no longer can do what massage therapists of the 1950s and 1960s did very well - without licensure. Our national leadership's willingness to restrict our scope of practice actually is endangering the public and limiting the care the public can receive. If alternative disciplines give up scope of practice, where can the public receive it? The public frantically is searching for alternatives to the current health care system, which is the single biggest killer of Americans. That's right. According to their own figures, allopaths kill more than 250,000 people each year; yet allopaths call alternative practitioners "quacks." By passing laws that end our ability to perform what historically has been the scope of massage therapy, we are forcing the public back into the hands of the allopaths - to face cuts, burns, poisons and even death. "Sorry, we used to be able to treat the soft-tissue conditions of scoliosis, but our new law won't allow us to manipulate the spine. So, I guess you will have to go get rods installed." How does it feel, Indiana?
By not having a logical, aggressive plan to pass uniform legislation for massage in every state to protect and expand our scope, our national leadership is depriving the public of the soft-tissue care it seeks, needs and deserves. In the process, our leadership slowly is killing the therapeutic side of our profession. It's the first-door-provider, therapeutic massage practice that the public needs and that allows massage therapists to make a comfortable income. Every massage licensing law should give us first-door access to the public, along with the right to assess, examine, manipulate and otherwise treat connective tissue with whatever means, techniques and equipment we are trained in. Training should be able to come from school or post-school sources. Stretching, movement and alignment techniques are necessary for proper and complete soft-tissue care, and should be included in our scope. While we might have to do it subtly, language-wise, this is the outcome we should achieve. Anything less is merely a self-imposed tax on our practice with no resulting benefit, except maybe to our egos - "I'm licensed."
If the massage profession is going to impose licensing, it should benefit from it, not suffer from it. Remember, the purpose of licensure is to benefit the profession and to protect it from the public and other professions. Don't say that when you are trying to pass a bill, but it is the reality of the situation and needs to be kept in mind. Every professional benefits from good legislation and suffers from poorly written laws.
At one time, I was a huge proponent of licensure. However, in the past few years I have been on the opposing side of several laws, because the laws were so poorly written that, had they passed, they would have been more of a burden than a benefit. Be alert as to what is being proposed in your state. Don't let a law restrict what you can do more than if you didn't have the law. Wakeup out there! A bad law is worse than no law.
Speaking of bad laws, Indiana is in the process of passing one. It will be another patch in the quilt of completely incompatible laws we have imposed on ourselves. It will be nothing but a burden on practicing therapists, but the schools are going to love it. Allowing schools to do whatever they want is all that is important, right? Indiana therapists, if there still is time when you read this, I encourage you to fight the legislation. If it's already passed, read this and weep.
So, what is the point of all this licensing discussion, other than just the educational aspect of it? Well, colleagues, it's about paradigms and what our profession once was, could be, but instead is becoming. Not enough ink to write on that until next time.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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