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Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
July, 2007, Vol. 07, Issue 07
Where Itís Been, Where Itís Going
By Ralph Stephens, BS, LMT, NCTMB
Happy Birthday America! Hope your summer is going well and you have (had) a great 4th of July. It's my favorite non-religious holiday. This is my 50th column for Massage Today. Seems like a milestone of some sort.Thank you all for your continued support.
To carry on from the May column, a trip back in time is appropriate to look at what the profession of massage was and what it has become. A long time ago, the profession of massage didn't have all the fancy names and compartments it does now. It was just massage. Therapists knew the strokes, anatomy and spoke a common language. They knew how to examine tissue, find abnormal tissue and treat it. Therapists were trained to do both relaxation and specific, therapeutic work and flowed smoothly between the two. In the mid-1980s all the names (any name but plain old "massage") and compartmentalizing began.
"Sports massage" was one of the first "hot terms." I can remember the pioneers of sports massage laughing at all the buzz because it was nothing different than what they had been doing for years. Now there are dozens of little compartments of massage, each really the same, but with its little twist. After all, they all use the same strokes, which can be identified with those dreaded, old French words. It's mostly marketing and ego. "Oh, I don't do massage, I do - insert whatever it's called today." "Touch therapy" is not a group of different systems. It is one continuum, from deep in the body to off the body, from dense to less dense.
Other professions do not have this schizophrenia. There are many different approaches to chiropractic, from no-force to high-force, but they all come together under the term chiropractic. The same is true for PTs and acupuncturists. Some claimed the word "massage" had a bad image and they needed to disassociate from it. I never bought that line. Everyone knows there is ethical massage and there is adult entertainment hiding behind the name massage. Adult entertainment can be cleaned up quickly with good professional regulation statutes. It can be made worse by poor ones, as is the case in some states today. Massage became associated with adult entertainment due to unscrupulous schools preying on under-privileged women in the early 1900s. It's our professional karma and our duty to clean up the term "massage." Until we do, it will haunt us. Sadly, we are closer to a repeat of history than to a resolution, but that's another story.
The massage profession made a fateful mistake in the mid-1980s when it decided to become the umbrella for every new-age concept imaginable and to allow them to demand their autonomy within the massage profession. Too many groups were allowed on the boat without being required to row. Soon, the tyranny of the minorities paralyzed the majority from effectively defining a profession through standards and effective legislation. Prior to that time, the massage profession knew what it was and knew what it did. Since that time, it has been impossible to define what the profession is and what it does.
Groups that claim to not be massage and thus should not be regulated by massage legislation demand to be accepted as continuing education for massage therapists. Our sacred national certification exam, which is used as a licensing exam in most regulated states, tests one's knowledge of meditation and other fascinating but irrelevant, fringe modalities. (I have been a mediator for years. It has nothing specifically to do with the practice of massage.) The exam has forced Asian theory and techniques down our throats and now the Asian groups want exemptions from any regulation. They seem to claim they are not massage or bodywork and should not be governed by massage regulation. Yet, they have demanded everyone study Asian techniques to get a massage license. Oh, and of course, Asian techniques should be approved as continuing education for something they say they are not. Every little group wants to claim the creditability and acceptance that professional massage therapists have earned but without meeting any standard or having any accountability. It's insane and a joke, but not a funny one. We are in a sad state for a profession.
To pass a licensing law, the compromises made within our own profession make the regulation worthless and nothing more than a tax on those who participate for their ego's sake of saying, "I'm state-licensed/registered/certified." Just to pass some law, any law, we have given up important parts of our scope of practice - along with most of the benefits that professional regulation was created to provide, as I have discussed at length in my recent columns.
On top of it all, enter the career colleges and chain schools that want to turn us into "allied health care providers" taught 50 percent via distance learning. It's a seductive title, until you realize that it puts us with PT assistants, nurses' aides and other medical techs under the complete control of the allopaths. Nothing wrong with those professions, but they are a step down in freedom and pay from being first-door providers. These schools believe our profession should change its entry-level standards for the convenience and profit of the schools, instead of the schools accepting the responsibility of training students to the standards of the profession. This completely selfish attitude shows how little they actually care about our profession in particular or the quality of care provided to the public, in general.
So, that is where the profession of massage is today from my view. I hope this little bit of history was beneficial. If it seems like it paints a dark picture, despair not, as it is neither dark nor light. It is just the reality of the situation. I am an optimist and recognize that much good is being done despite our floundering. There always is hope.
Hang in there and I will share some hope with you next time as we look at what can be. I love writing the July column, because I get to close with the classic line, "See you in September."
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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