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NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
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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