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News in Brief
Life to Open Branch Campus in Italy; Northwestern Research Arm Benefits From Big Donation.
Solving the Pain Puzzle
Legendary former New York Yankees baseball player Yogi Berra once said, "You can observe a lot just by watching." He would have been a great chiropractor. We are trained to become experts with our hands: palpation, adjusting, soft-tissue release, etc.
Introduce Your Patients to Collagen Induction Therapy
Cutaneous (skin) aging generally occurs from either intrinsic or extrinsic processes. Intrinsic aging results from natural skin tissue damage and degeneration.
Step by Step: Long-Term Treatment of Soft-Tissue Injuries Combines Skill and Care
Treating soft-tissue injuries with long-lasting results starts the moment an individual enters the office. When it comes to pain, the only thing that matters to the patient is relief.
Treating Acute and Chronic Neck Pain With Ischemic Compression and Exercise
There are many reasons not to manipulate the neck with cavitation: the patient is too old, their neck is too tight, etc. But the most common reason is that plenty of patients are afraid of "the crack," mostly because of the bad publicity about that procedure.
It Pays to be a Foodie
If there is an inner foodie in you, just waiting to burst out—this article is for you! Do you want to know how I know? I'm that girl. My middle name might as well be "Foodie." I love food! And if my patients are any indication, many of them do as well.
Are You Ready for the 2016 Patient?
In October, Apple released its iOS 8 operating system for the iPhone and iPad. The new system includes Health, a new app that will interface with an ever-growing number of other apps.
Following the Thinking of the Classics
I have heard about the "best time of day" to carry out certain examinations or therapies. For example, I remember making a note years ago that early morning is the best time to take someone's pulses.
Meat in the Middle
Have you ever wondered what's the truth about meat? Is it really as bad as many people think?
Make Low-Level Laser Therapy Part of Your Evidence-Based Practice
Low-level laser therapy (LLLT), also referred to as photobiomodulation, has been increasingly utilized in the clinical setting over the past decade.
Foundation for Chiropractic Progress Announces First Group Member
The Michigan Association of Chiropractors has joined the Foundation for Chiropractic Progress as its first group member.
Home Safety: Help Families Avoid Common Injury Hazards at Home
These days, many parents childproof their homes before a baby is even mobile. You will see an array of electrical outlet covers, bumpers on the corners of the coffee table and safety latches on the cupboards.
Five Element Acupuncture Can Enhance Your Practice
For eight years I have been teaching and supervising TCM students at an acupuncture college in Colorado, in Five Element acupuncture.
Treating Chronic Depression with Acupressure
In Traditional Chinese Medicine there already exists a comprehensive theory linking the body and mind.
The Power of Mu Xiang to Treat Irritable Bowel Disease
Bloating and gas pain is something that everyone has had to deal with at one point or another; however, that's usually reserved for holiday dinners and other large gatherings.
The Acupuncture Now Foundation: What Our Profession Needs
Although acupuncture is growing in popularity it continues to be underutilized due to misunderstandings about its true potential. Only a fraction of those who could be helped by acupuncture know enough to seek it out.
Why Drugs and Supplements Can't Cure Disease
Chronic diseases are the outcome of disease-promoting, goal-oriented behaviors. So, the notion that diseases can be cured with drugs or supplements should be abandoned. Hypertension is the best example of this.
Avoiding "Just a Pop Doc" Syndrome
Yes, it's harsh. Patients don't like to admit it. They have an unspoken plan when they first visit you: to come one time, get rid of their pain and then get rid of you. They know it's unrealistic, but they'd like to pay nothing for this service.
The Death of the Travel Card
As long as I have been in practice, the travel card has stood as the primary style of documentation for chiropractic. It is quick, simple and direct. Unfortunately, the rules have changed.
Treating Menopausal Women in Your Practice
I love what I do for a living. It's a great way to trade health for bread. And no topic of health, with the right bedside manner, is taboo.
Chinese Medicine: The Natural Way to Children's Wellness
As a child, I did not like going to the doctor. For the most part, when I had to go I wasn't feeling good to begin with, and I was heading into a sterile environment to be awkwardly probed by a man in a white coat for a very short, impersonal period of time.
Capturing the Essence of Tai Chi
Over the last 12 years, I have been working on one of the few documentaries about Tai Chi. It's called The Professor: Tai Chi's Journey West and it's about Cheng Man-Ching who moved to New York in the 1960s.
DC App – The Next Generation
According to a survey by technology firm CDW, health care professionals gain approximately 1.2 hours per day in productivity simply by using a tablet computer in practice.
Are You Ignoring the 10,000-Hour Rule?
Having trained interns and mentored new practitioners, it has been my observation that their No. 1 clinical concern is adjusting skills. Their second clinical concern is their ability to read X-rays. Physical diagnostic skills are a distant third.
Implications of Section 2706: The Non-Discrimination Provision Survey
In late April 2014, NCCAOM diplomates received an email survey with the subject line: "End discrimination against acupuncturists" polling CAM practitioners for a Request for Information from the Department of Health and Human Services, released in mid-March.
Acupuncture Detox as Part of Drug Rehabilitation
In the U.S., more than 2,000 alcohol and drug rehabilitation programs have added ear acupuncture to their practice. The development of the protocol was determined by Lincoln Hospital as it delivered 100 acupuncture treatments daily.
Peer Points: Promoting TCM Knowledge
When Elaine Wolf Komarow, LAc, received her first acupuncture treatment in 1989, she said it changed her life. "I felt more aware, calmer, and happier. I was so fascinated by the changes that I began to learn everything I could about the underlying philosophy of Chinese medicine," said Komarow.
We Get Letters & Email
Is It Time for a Popeye Moment? The Flaw in Recommending Chiropractic as a Career.
Inspire Your Patients to Make Healthy Choices
Have you tried to get your patients to change their eating habits or their diet and couldn't get them to succeed? Were they confused and unsure of what the right thing was to eat? You are not alone!
Micro-Needle Dermal Roller Use in the Treatment Room
Recently micro-needle dermal rollers have been getting a lot of media attention. As a practitioner who specializes in acupuncture facial rejuvenation, I know that skin needling with a dermal roller (also known as collagen induction therapy), promotes the natural reproduction of collagen and elastin, making the skin feel smoother and tighter.
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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