resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Looking Back: Abstracts From Chiropractic History
D.D. Palmer's Technique for the Posterior Apical Prominence; An Early Attempt to Achieve Consensus on Subluxation; Chiropractic Subject Headings: Past, Present and Future; Mabel Palmer: A History of Chiropractic That Almost Wasn't.
Resolving Medial Arch Suspicions: The Navicular Drop Test
Healthy feet have three distinct arches: medial longitudinal, lateral longitudinal and anterior transverse.
Best Practices for Website Success
If one asked 10 years ago whether a website was relevant I was the first to suggest no. Yet as the world moves increasingly towards electronic information there is a dire need to have a website for your practice. Your website is actually your electronic calling card.
Post-Concussion Patient Care: Relevance of the Chiropractic Adjustment
There is a widespread understanding within the profession of the general guidelines for care of the concussion patient. These include guidelines for physical and cognitive rest, return to normal activities and so forth.
Hazards in the Environment Making Your Patients Sick
Working both separately and together, Western and Chinese medicine have many successes in the treatment of the myriad diseases that afflict human beings in modern times.
The Gluteal-Knee Connection
The underlying causes of knee pain and dysfunction are rarely isolated to the knee. The knee is a relatively stable joint with limited intrinsic ability to adapt to aberrant motion.
Healing With Simple, Healthy Food
When it comes to your health, there is no better way to take control and create positive outcomes than by focusing on diet and lifestyle. As chiropractors, you know the power that regular self-care has for your patients.
Inside Liver Failure, Cirrhosis and Cancer
The Liver belongs to Wood in Five Element Theory and is in charge of Dispersing and Expanding which means all the processing and detoxifying of harmful substances such as medications and chemicals require the efforts of the Liver.
Super Bowl Chiropractor
With opening night of the 2014 National Football League season only a month away, what better time to talk to Dr. Jim Kurtz, team chiropractor for the defending Super Bowl champion Seattle Seahawks?
Healing With Hope
Ella is a Gulf War veteran and a survivor of military sexual trauma. Like hundreds of veterans, Ella was on 11 different medications for depression, anxiety, insomnia, irritable bowel syndrome and chronic pain.
Deciphering The New CMS 1500 Claim Form
Q: I am confused on using the new 1500 form, particularly Block 14 and Block 15. What is required and how do I properly fill these out? And do I actually have to use this new form or may I continue using the old version?
Talking to Skeptical MDs: "Just the Facts, Ma'am"
The first lesson in public speaking is to know your audience. This is particularly applicable when talking to skeptical medical doctors about chiropractic. You have to understand where they are coming from and speak the language they understand.
Looking For Answers In Many Places
I am sure we have all heard the old adage: "When the only tool in your toolbox is a hammer, everything starts to look like a nail."
The Kidney Official
The Kidney is known as the Official Who Controls the Waterways. In Western medical terms, a major function of the Kidneys is to filter the blood. Every day, a person's kidneys process about 200 liters of blood to sift out about two liters of waste and excess water.
Not Another Typical Drug Company Lawsuit
It's becoming more common to see drug manufacturers negotiate "false claims" settlements for millions and billions of dollars.1-2 Most of these settlements have to do with violations in the marketing of the drugs they produce and sell.
Primary Lateral Sclerosis: A Condition With a Chiropractic Connection
Primary lateral sclerosis (PLS) is a slowly progressive, adult degenerative disease of the upper motor neurons characterized by progressive spasticity or stiffness. It is a clinical diagnosis that has been avoided because it is (largely) a diagnosis of exclusion.
Medical Qigong for the Heart: Part II
Chinese Medicine is rich in commentary regarding the emotions and how they affect our qi.
Advice for Young Doctors
When I began practice, I was just shy of my 25th birthday. I was young and I looked it. I had been told this would be a problem when starting a practice – and it was. Older patients often paused when they entered for care.
Getting Athletes Back in the Game: Low-Level Laser Therapy for Sports Injuries
Sports injury rehabilitation is all about getting back in the game quickly and with optimal health. A relatively new tool for the treatment of sports injuries is finding global success, and it is doing so in a fast, efficient way.
Spotlight on Acupuncture Research at IRCIMH
Acupuncture and Traditional Chinese Medicine were well-represented at the International Research Congress on Integrative Medicine and Health (IRCIMH)- 2014 which took place in Miami from May 13–16.
The Acupuncture Success Express
Time is passing very quickly these days. We are atoms half the way through the year of the horse. You could call it "horse racing season" for this profession. Perhaps it is time for reinvention during this time.
F4CP: New Campaign to Promote Chiropractic as a Career
The F4CP has announced a "targeted cooperative campaign" that will engage doctors of chiropractic and chiropractic students, as well as chiropractic colleges, chiropractic media, state associations and vendors, to encourage DCs to recommend a chiropractic career to patients, family and friends.
Offline Marketing Techniques: Opportunities to Help Grow Your Business
In a world becoming increasingly dominated by connected devices, when we think of marketing, we often think of online and social media marketing. Considerable attention is given to Facebook and Twitter, as well as CPC [cost-per-click] advertising.
July, 2007, Vol. 07, Issue 07
Why Should I Learn Assessment?
By Whitney Lowe, LMT
Musculoskeletal disorders (MSDs) are one of the most pervasive health care issues in the United States. These conditions include a wide array of soft-tissue problems such as strains, tendinosis, sprains, myofascial trigger points, nerve entrapment, and the ever-present host of biomechanical problems resulting from chronic muscle tightness.MSDs are the second most common reason for seeing a family practice physician, with infectious conditions like the common cold being first.1 It's interesting that even with the high incidence of MSDs in our medical system, their importance as a health care concern seems undervalued.
Many different medical disciplines are involved in the treatment of MSDs. Orthopedists are the specialists whose primary focus is on disorders of the musculoskeletal system. However, most orthopedists' practices are limited to more serious conditions, such as those that might require surgical intervention. Consequently, the large majority of physician visits for MSDs are handled by family practice physicians.
MSDs account for millions of office visits with physicians each year. Yet most people would be astonished to realize that medical school training for most physicians does not prepare them to address these disorders at all. In fact, almost half of the medical schools in the U.S. do not require any clinical or basic musculoskeletal course prior to graduation.2
The lack of training in musculoskeletal medicine has been reflected in physician knowledge in several other studies as well. Dr. Elizabeth Matzkin and her colleagues administered a basic cognitive examination on musculoskeletal medicine to 334 medical students, residents and staff physicians.3 Seventy-nine percent of the participants failed the exam. The most common reason given for the lack of confidence in performance by the participants was that their training in musculoskeletal medicine was inadequate.
Adding to the problem of training deficiencies in musculoskeletal medicine, traditional Western medical care has not had a great track record when it comes to effectiveness in treating the plethora of MSDs. The ineffectiveness of many treatments could result from the deficiencies in training and preparation. However, it's more likely due to the fact that these conditions are largely functional, soft-tissue disorders that do not respond well to drugs or surgery, the two primary treatment tools of most physicians.
Ineffective results in traditional medical treatment for MSDs have driven millions of Americans to seek better care through complementary and alternative medicine (CAM) approaches, such as massage therapy. In their comprehensive 1998 study on alternative medicine use in the U.S., Eisenberg noted that there were an estimated 114 million visits to massage therapists each year.4 This number is likely to be higher in the coming years with the increasing popularity of massage. A study on the practice patterns of massage therapists in 2005 found that about 60 percent of visits to massage therapists each year were for musculoskeletal symptoms.5 That means a conservative estimate would suggest more than 68 million office visits to massage therapists each year to address MSDs! This number is likely to increase significantly with the aging of the baby boomer population.
Like our physician counterparts, we have gaps and deficiencies in our basic training related to MSDs. While there are a host of continuing education opportunities available for massage therapists that teach advanced skills and techniques, the large majority of these courses focus on treatment techniques. Consequently, we have all kinds of opportunities to learn how to manipulate the soft tissues in various ways to improve our outcomes. Yet, there are few training opportunities that help us develop the cognitive evaluation and reasoning skills that help us figure out the nature of our client's complaint. Wouldn't it make sense to expend appropriate effort properly identifying the nature of these MSDs?
Assessment is the systematic process of gathering information in order to make informed decisions about treatment. We must be able to tell if the client's condition is something that should be referred to another health professional or if it's something we can address. If we decide the client's condition is something that can be treated with massage, our use of all those treatment techniques we have learned will be far more effective if we understand why we are doing what we are doing. That is what assessment is all about. With more than 68 million office visits to massage therapists each year to address MSDs, shouldn't we also be looking at what we can do to best serve our clients? Massage therapy has tremendous potential to fill this critical gap of care for MSDs in the U.S. health care system, but as responsible health care providers, we really must know what we are doing. Learning and practicing effective client assessment is a key step in this process.
Click here for more information about Whitney Lowe, LMT.
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