resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
January, 2008, Vol. 08, Issue 01
Recent History of California State Massage Regulation
By Beverly May
In late 1991, the California chapter of American Massage Therapy Association (AMTA-CA) organized the California Coalition on Somatic Practices. This informal group, representing massage and somatic associations, individuals and school owners, developed a 40-page informational packet and survey on questions of professional identity and regulation. In 1995, almost 20,000 surveys were sent throughout the state. At that time, just over a majority of massage therapists supported state regulation. Non-massage somatic practitioners, who are not subject to local vice laws, mostly did not want to be regulated.
Six years later, AMTA-CA surveyed our members specifically regarding massage regulation. All the massage and somatic organizations that might be affected were offered copies of the survey. Only the Association of Bodywork and Massage Professionals (ABMP) did a concurrent survey.
With fairly strong support from our members for a state law to pre-empt local vice regulations, AMTA-CA began to explore feasibility. ABMP, with a large California membership, was told that we would not proceed if they were in opposition, and we encouraged their participation. Our intent was that non-massage, somatic specialties be exempt, as is fairly standard in the newer state licensing laws now in existence.
We began with a fairly broad principle - if there is going to be regulation, one state regulation is preferable to multiple and vastly differing vice ordinances. It has been our experience after at least three decades of working on repeal or reform of local ordinances, that very little progress is possible at that level. Both AMTA-CA and ABMP were in agreement regarding provisions such as full grandfathering and pre-emption of these local ordinances.
Only AMTA-CA committed to hiring a lobbyist. We prepared to introduce a bill in the 2003-2004 legislative session. Although it was extremely optimistic, we expected to mobilize supporters and work with opponents and other stakeholders.
Then, San Diego assemblywoman Christine Kehoe agreed to author the bill. Under the pressure of meeting the bill-filing deadline, communication broke down and caused some initial chaos.
We expected a "spot bill," worded as "an intent to study the need for regulation," allowing us time to work on the actual wording. Instead, the assemblywoman's staff cut and pasted sections from AMTA and ABMP Model State Codes that we had sent, along with sections of bills pending in other states. The result was a bill that no one liked pieced together in order to keep the bill active.
Many states, including California, require submission of a Sunrise survey documenting the need for state regulation. Typically, it's based on potential harm to the public by the unregulated profession. There is little proof that massage practitioners actually do much physical harm.
The Sunrise survey introduced in 2003 took the position that massage is not causing any significant physical injury, but that the public would be better served by state regulation rather than the patchwork of local regulations. We believe the public is harmed emotionally and financially by the current situation - as individuals, as well as in the costs borne by communities in their mostly futile efforts to prevent the use of massage as a front by the sex industry. The costs of state regulation would be borne by the pooled fees of all licensees. The 30,000 or so California massage therapists also are harmed by being subject to varied and expensive local requirements, paying for criminal investigations and permit fees in multiple cities.
At the same time, a committee representing AMTA-CA, ABMP and massage schools formed to discuss revisions to the bill, producing a version that we felt could begin the process of negotiation with other stakeholders including local officials, employers, other schools and other professions.
In November 2003, AMTA-CA agreed to pull the bill from consideration as there was still too much work to do to prepare for upcoming Sunrise hearings. Fast-forward to the 2005-2006 session when finding an author was not easy. Gov. Schwarzenegger had just come to power with plans to do away with over half the boards regulating professions, and a serious budget crisis was taking attention from legislators. Our best option was a promise from then Senator Figueroa, Chair of the Senate Business and Professions Committee (as well as the joint committee, which would hear our Sunrise application) to come up with something if we passed the hearing. Her option was to author a bill with no sponsoring organization, but with AMTA and ABMP both providing the type of support that sponsors generally do. However, rather than a license law, Figueroa insisted on the odd California model of a private agency created by the legislature to issue certifications and regulate certificants - unlike the previous licensing bill, this would be a title act, allowing those not certifying to work under other titles.
With lobbyists for both AMTA-CA and ABMP working together, S.B.421 died in the very final hours of the session due to opposition mostly by the California Chiropractic Association (CCA), and to a lesser degree, the Physical Therapy Association, over scope of practice issues.
During the most recent session, Senator Oropeza authored S.B.731, using the language from S.B.421, with AMTA-CA as the sponsoring organization. ABMP was in support and both groups worked very hard to address the concerns that defeated the prior bill. The CCA formally supported it after the massage associations agreed to remove the definition (scope of practice) of massage. Typically, title acts don't need definitions, unlike practice (license) acts, which regulate both the practice as defined and the titles used. S.B.731 also died in the final hours. Despite having the votes to pass, it got caught up in strange politics which caused numerous bills to be bundled and held back.
For the second year of this session, it looks like we can take a "gutted bill" - one that still is active, and insert our language. We have a powerful author and likely will co-sponsor with ABMP. If all goes well, it would be a bill that has passed the first house and is in the second committee of the second house (where S.B.731 stalled). It will have a new number this next year.
California is a very large and diverse state. With more than 200 schools teaching massage at all levels of training and vastly differing requirements throughout the state, the profession itself has unique regional needs and perspectives. The state is not very supportive of new state regulations. We feel this optional title act is a reasonable solution. Those who prefer to work under their local massage ordinances, or in areas having none, can continue to do so. The bill has tiers of 250 and 500 hours, with the lower tier phasing out after five years. Those certified by the board will be exempt from the need for local massage permits and cities must recognize them in zoning and fees as they do other professions. By doing so, massage therapists in California finally can avoid regulations prepared for vice control.
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