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Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Preaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
Patient Retention Techniques
When talking about techniques to grow your business, we tend to focus on the "large" aspect of the patient base, that is, on strategies to attract new patients. However, it is important to remember that "loyal" is equally, if not more, important.
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
Online Marketing Basics: Website Creation
The various online marketing options make it a challenge, especially when all you want to do is help your patients feel better. With such a broad topic, I'm going to share some basics you should know about website creation.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
The Ethics of Herbal Prescribing
While teaching ethics classes, I often encounter licensed acupuncturists who are surprised that our use of herbs and supplements has a specific section in the material. It is often an aspect within ethics that clinicians don't think of in practice.
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
April, 2008, Vol. 08, Issue 04
We Get Letters & E-mail
By Editorial Staff
Massage Today encourages letters to the editor to discuss matters relating to the publication's content. Letters may be edited for space and clarity, and published in a future issue or online. Please send all correspondence by e-mail to .
Just wanted to say how very much I enjoy reading the articles [by Rita Woods]. The debut article in January was one that I related to on a personal level. Then came the next two articles and the timing couldn't have been more perfect, as I am new to teaching. It has helped. I look forward to more articles.
Jackie L. Lander, LMT
Why We Don't Need Government Regulation of Massage
I support the letter by Kay Gustin, LMT in the Feb. 2008 issue saying that we do not need state government regulating the business of massage. I am a massage therapist with a business in Wasilla, Alaska, a state which does not have any state licensing regulations for massage. We recognize that massage is a healing art that has been practiced for thousands of years and has been handed down from elders to grandparents to parents and to their children.
Most of our cities in Alaska are Native American (First Peoples), so massage is a part of their heritage and traditional medical practice. For a central government thousands of miles away to require us all to take 500 hours of formal training in a school thousands of miles away from our homes and villages would insult our elders. Is their careful teaching worth nothing? Furthermore, this is a ridiculous proposition for us economically. Licensing regulations serve private schools and other special-interest profit motives rather than the interest of our people. Many states, and even the municipalities of Anchorage and Fairbanks, require a GED to study massage and to secure the required license to practice massage therapy. Fortunately, most of the state of Alaska does not require this. What does having a high school diploma or GED have to do with massage except throw up a made-up hurdle to prevent competition in the market?
Kay Gustin is keenly perceptive when she points out that chiropractors have been state regulated and licensed for more than 50 years, but that this has not brought respect down upon them from most medical professionals. Indeed, respect must be gained on the merits of one's work.
Although, the municipalities of Anchorage and Fairbanks are unique in Alaska for having licensure requirements, they allow apprenticeship instead of schooling. However, these municipalities are under intense pressure from special interests to reverse this wise alternative. I think apprenticeships in a hands-on profession such as massage therapy are the only way to gain the skill and knowledge actually required to do the job.
But, it is quite important for massage therapists trained in apprenticeships to learn to work together with western medical professionals in a mutually beneficial partnership. This partnership will help bring respect to our profession, which government licensure regulation can never do. No hourly or yearly requirements on apprenticeships should be imposed, since a signature of an elder qualified to teach massage stating that a student is ready to practice is sufficient. Lobbyists for special interests stand in the way of such sensible alternatives in the interest of money in states where massage therapy is regulated.
Some therapists who support state licensure of massage believe that by fabricating hurdles making it difficult for people to get licensed, they will make more money. This anti-competitive behavior prevents many skillful and talented massage therapists, trained by their elders, from competing in a fair marketplace and it literally takes food from their tables. This evil practice should be acknowledged and stopped. One way to counter this constant lobby from these special interests is for us to write our state representatives to not support state licensure of massage therapy in states where this has not yet been imposed, and to reverse state licensure in licensed states, because this is a waste of our tax money.
Special interests will argue, "We need licensure regulation and national certification minimum requirements to protect the public from harm." Have you ever heard of a case of an unlicensed massage therapist who has injured the public by massage? That malpractice insurance is available to massage therapists for less than $100 per year proves the very low risk of injury from massage. Clearly, the public does not need any protection by government from massage therapists! Some argue that regulation will stop unethical behavior or blue-massage. The National Certification Board for Therapeutic Massage and Bodywork publishes a list of page after page of licensed massage therapists whose certification has been revoked or suspended for unethical behavior in their practice of massage.
As Kay Gustin points out, state regulation has not stopped prostitution in massage. Therapeutic touch is often confused with sexual touch by most people in the United States, because most people in our society suffer from severe touch deprivation (see article by Daniel N. Russell, "Touch-Starvation: Severe Cost; Simple Cure," Alaska Wellness, Nov/Dec 2003, p 32-33). This confusion can be overcome and eliminated in part by education as Kay Gustin suggests, but this is not enough. We, as a society, also need to satisfy our human need for touch in positive and nurturing ways. Enlightenment is required at this time of violence in our culture.
Our government relies on a free market to solve problems in any market, and to ferret out bad practitioners in every business practice. Good massage therapists will, naturally, seek education and put those who do not provide positive results out of business. We should allow our free market to work to provide us with the best therapy, rather than support "Bolshevik" state licensure bureaucracies.
Daniel Russell, MS, LMT, NCTMB
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