resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Code Connection: Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
May, 2008, Vol. 08, Issue 05
By Rita Woods, LMT
As massage therapists, we are constantly on the lookout for the latest and greatest products to benefit our clients' various skin types. One client has sensitive skin and so only a certain lotion or oil will do. Another prefers lotions that don't give off any scent, while another wants to smell like a garden after a treatment. While there are some great products on the market, there are others that might contain chemicals some clients are trying to avoid at all costs.
So, what ingredients should we look for when preparing to purchase the various lotions, oils and topical creams we use in our practices? What does the federal government have to say about these chemicals and what is the research behind the movement to limit or eliminate our exposure?
The Federal Food, Drug and Cosmetic Act defines cosmetics as items intended to be applied to the human body for cleansing, beautifying, promoting attractiveness or altering one's appearance without affecting the body's structure or functions. This definition includes skin-care creams, lotions, powders and sprays, perfumes, lipsticks, fingernail polishes, eye and facial makeup, permanent waves, hair colors, deodorants, baby products, bath oils, bubble baths and mouthwashes, as well as any material intended for use as a component of a cosmetic product.
The products we use every day in our practices could fall under this definition. As you can imagine, we are exposed to hundreds of these products daily. How do we know if what we are using is harmful? That question would appear to be simple to answer. As it turns out, however, it's one of the most complicated issues we face today.
Several ingredients in our personal care products have come under fire recently thanks to the work of avid watchdog groups such as the Environmental Work Group (www.ewg.org). One chemical in particular comes from the family of "phthalates" (pronounced THAY-lates). This one has prompted the state of California to ban its use in toys and baby products beginning in 2009. This is important to you because it can be hidden in the products we use.
In general, phthalates are known as plasticizers. There are eight members of this family, and they are used in just about every industry in the world to make plastic pliable. Another important thing they do is make scents last longer in products. This characteristic puts them in our personal care products: makeup, nail polish, body washes, lotions, air fresheners, laundry soap, dryer sheets and shampoo, just to name a few.
But here's the catch - you won't see phthalates listed as an ingredient. They often are included as a part of the fragrance ingredient, which is exempt from the same labeling laws. Full disclosure of "fragrance" may jeopardize company trade secrets, so a company doesn't have to divulge that information. The real problem here is that this loophole can be used to "hide" other potentially harmful ingredients. Reproductive and birth defects are the main concern for people highly exposed. Some advocates are trying to get phthalates removed from all cosmetics and products that fall under the personal care definition. The loophole is under investigation.
Another area of concern is the use of preservatives such as "methylparaben" and "proylparaben" in cosmetics. The same preservatives often are used in foods. The food supply is under even greater scrutiny. As you can image, it affects everyone, not just those who use personal care products. If you eat a lot of processed foods, you could be increasing your exposure. According to most scientists, we just don't know the long-term effects of many chemicals. While there still is no concrete evidence they pose a health threat, there is some supportive evidence that they can elicit an allergic response in some people.
The Cosmetic Ingredient Review Board (CIR) Expert Panel issued an amended final report in 2006, concluding, "Methylparaben, ethylparaben, propylparaben, isopropylparaben, butylparaben, isobutylparaben, and benzylparaben are safe as used in cosmetics." The CIR provides information on the safety of chemical ingredients and issues safe recommended percentages of each chemical it tests. Some chemicals will be banned altogether, while others must be used only within certain levels. Formulating chemists use these guidelines when they make certain products.
Some factors in daily living can complicate the exposure issue. For instance, people exposed to "toluene" (a harmful chemical found in nail polishes) are at higher risk of toluene toxicity if they drink large amounts of alcohol or take over-the-counter pain-relieving salisylates such as aspirin or acetaminophen. Toluene is processed in the liver (as are most chemicals), which then overworks the liver. The overburdened liver can no longer do a good job and toxicity can occur.
Healthy people with healthy lifestyles are better equipped to deal with the onslaught of chemicals to which they are exposed. Unfortunately, people with certain diseases or sensitivities are at greater risk of having adverse reactions. Most adverse reactions are classified as allergic reactions. Regulations from other countries actually may put U.S. companies on the fast track to changing their ingredients. The worry is that the substitutions used may be as harmful as the ones they remove. We may not know about their toxicity until they start showing up in tissue samples a few years down the road.
So, what's a body to do? Here are some tips to help minimize your exposure to chemicals in the products you and your clients use.
Learn to Read Labels
Now is a good time to start reading cosmetic labels, if you don't already. The list of ingredients must appear on the label in descending order of predominance. The lower an ingredient is on the list, the less there is of it in that product. I have seen "fragrance" listed as high as ingredient number 22 out of 45, and I have seen it as the last ingredient. The same concept is true for parabens as well.
You don't have to be a chemist to figure out that either the raw product smells really bad and the manufacturer used a lot of fragrance to cover it up, or the fragrance may be hiding other chemicals. While it might not be an exact science, it's still your best defense in the cosmetic aisle.
Watch for "Greenwashing"
Some companies are trying to jump onto the green wagon train when it comes to naturals and organics. You'll see them supporting cancer research and yet continuing to offer some of the most toxic cosmetics on the market. Again, www.ewg.org has listings of products and companies. Watch out for the color green and natural scenes in ads. It's an attempt - and an effective one - to get you to see them as part of the natural movement. Their ad may say one thing, but their ingredients could say another. It's becoming increasingly difficult to pick out green abusers.
Check Out Other Sources
Be open-minded and look at all sides of the story. The Environmental Protection Agency and the Centers for Disease Control & Prevention have Web sites with consumer-friendly information. You'll also find links on their sites that will lead you to lists of known and probable carcinogens. Look to current research from other countries, as the U.S. government doesn't exactly lead the pack on these changes.
Get Healthy and Stay Healthy
Make healthier choices about the foods you eat. Reducing your overall exposure is key. Get plenty of exercise. Reduce your use of perfumed and dyed laundry soaps. Use dryer balls instead of dyer sheets. Dryer sheets coat your clothes with chemicals. By the way, this also makes your towels less absorbent. Wear less makeup. Become aware of the chemicals in your home and work to reduce their impact on you, your family and the environment. And share all this information with your clients. We may not be able to control what goes in products, but we can control what products we use.
Click here for previous articles by Rita Woods, LMT.
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