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Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
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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