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News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
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.
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.
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%.
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.
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.
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.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
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.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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).
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.
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.
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.
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.
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.
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).
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.
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.
July, 2008, Vol. 08, Issue 07
Suffering for Profit
By Ralph Stephens, BS, LMT, NCTMB
Never has the direction of our profession been brought into focus more clearly than by the recent legislative activities of our major professional associations. With little, if any, understanding of the professional regulatory mechanism, our associations are working hard to pass massage licensing laws, state by state. They obviously only have themselves in mind, not the profession and certainly not the public.
At one time, the AMTA was the association working for regulation and the ABMP was the association working against it. Times have changed. The two have now teamed up against us. Most professions, through their associations, are constantly working to expand their scope of practice to better serve the public. Not our associations. They are working for themselves so they can say, "We passed a law." Never mind the laws they are passing are deeding away huge portions of our traditional scope of practice. Who cares about joint mobilization, stretching and exercise? We'll trade them for a new law. One new law defines what a massage parlor is relative to us. Great - we've just legally defined adult entertainment as a part of massage.
On pessimistic days, I see our profession merging into adult entertainment, with the boundary being very unclear and no one really caring. How many hours does it take to train a prostitute? What anatomy must they know?
Of course, there is no set amount of anatomy a massage therapist must know. One hundred hours sometimes is specified, but 100 hours of what? According to the recently passed law in Massachusetts, therapists are forbidden from doing exercise, period. Better not be seen in a health club if you are a therapist in that state. A new law being proposed in a major northeast state will forbid us from doing joint mobilization, among other things. This precedent will now be the standard demanded by the dark forces of allopathy for all future laws and, of course, they will now add even more demands to limit us. The physical therapists have been given the charge to negate us. We're letting them win.
Any muscle-head in a health club, with no qualifications whatsoever other than large biceps, can give the public stretches and exercise, but massage therapists can't. Thanks, AMTA and ABMP - great job. You've done a great job of selling us down the river.
If you like the laws being passed by your associations, you should let them know. However, if you don't, it's even more important to let them know. Call the AMTA at (877) 905-2700 or the ABMP at (800) 458-2267. No law is always better than a poorly written or bad law. Laws that restrict our traditional scope of practice are bad laws.
Who is the winner and who is the loser when bad laws are passed? The associations and the schools win. The schools get to keep grinding out minimally trained therapists and the associations keep signing them up. As usual, the public loses because they are denied the full potential of massage therapy care in the name of profit for schools and associations. It's amazing the human suffering we justify in the name of profit, isn't it? At one time, this profession offered an alternative to the profit-driven allopathic model. I fear that time is nearly gone. Only you, through your involvement, can save alternative health care. Do you care?
More Sauce, Please
Do you know what the massage lubricant you're using is made from? There is some very dangerous stuff being sold as massage oil, lotion and gels. As lotion gets cheaper and cheaper, do you really think it's getting better and better? You put it on your patient/client for an hour or so at a time, now and then. You put it on yourself every session. Many colleagues are developing skin reactions to massage products. Worse, some are developing liver problems. Even clients are reacting negatively to some of the products being put on them. Read the labels on your massage products. If you see terms such as Quaternium-15 (or any of the Quaterniums), which are harsh; skin-sensitizers; BHA/BHT, which are linked to cellular changes in lab experiments; or maybe glyceryl cocoate ethoxylate (a water dispersant that can cause skin irritation/sensitivity), you should seriously consider why you're exposing yourself and your patients to these chemicals, and maybe find a cleaner, more natural product.
By the way, just because something says it's natural or even organic on the front label doesn't mean it really is. For example, Splenda, the artificial sweetener, starts with pure sugar, but there is little resemblance to the natural substance once it is processed. It's buyer beware, as it should be. However, that places the responsibility on you, the buyer, to become educated and aware of exactly what you are buying or using.
Even More on RLS
Interesting information continues to come in on restless leg syndrome (RLS). The following comes from Valerie Whiting, MS, OTR/L, LMT, in Knoxville, Tenn. I find it quite insightful, as it correlates with some qigong information I have come across recently that says a lot of our problems come from lack of walking in a full and correct gait pattern. "The RLS folks have habitual short stride length, so the limit may be from hip, knee or even ankle injury, but the problem is that stretch doesn't occur as it does naturally in a long, easy walking stride. Personally, I find that with people sitting on the job, tight quads limit the stride length. That concept is the base of my assessment for RLS complaints." Send in any RLS information you would like to share and I will pass it along in a future issue.
As this is the July issue, Happy Birthday, America! Have a great 4th of July. See you in September.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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