Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Q&A With the First VA Chiropractic Residents
As you may have read previously, a major step forward for the profession occurred in July 2014 when the Department of Veterans Affairs began piloting a chiropractic residency program at five locations.
Creating Relationships at Southwest Symposium
The month of May brought many interesting activities. As I have said in many previous columns this year, this profession is moving in a very exciting direction. Make sure you are getting involved. If you're not, you just might get left behind.
An International Life: An Interview with Mary Elizabeth Wakefield
I met Mary Elizabeth Wakefield during her class last summer in Seneca Falls, New York at the Finger Lakes School of Chinese Medicine.
Nomenclature and Classification of Lumbar Disc Pathology: Version 2.0
The Nomenclature and Classification of Lumbar Disc Pathology consensus, published in 2001 by the collaborative efforts of the North American Spine Society, the American Society of Spine Radiology and the American Society of Neuroradiology, has guided radiologists, clinicians and the public for more than a decade.
Chinese Doctors Poke Holes in Australian Study
A recent Australian clinical trial, published in the Journal of the American Medical Association (JAMA) in 2014 by Rana Hinman, et el., evaluating the effectiveness of both needle and laser acupuncture for chronic knee pain.
The Three Heater Official
This Official, belonging to the element Fire, is responsible for maintaining and regulating the heating system of the body, mind, and spirit. It is named for its function. The trunk is divided into three "burning spaces" or "jiaos."
Desert: A Metaphor from the Study of Genetics
In most of the human lives I know about, there are stretches of time which feel stagnant, or worse. We can feel adrift, or wounded and sidelined, and these times don't seem to carry much usefulness while they are unfolding.
Key Changes and Updates to the 7th Edition CNT Manual
Acupuncture Today recently interviewed Jennifer Brett, ND, L.Ac. regarding the updates to the CNT manaul.
Should You Change an Athlete's Natural Running Form?
Once past the ankle, impact forces travel at about 200 mph into the knee. In addition to allowing the quad to absorb force, bending the knee (E) prevents the hip and pelvis from moving up and down too much (F), which is important for injury prevention and efficiency.
Leg-Length Inequality and Pelvic Fixation: A New Approach to the Negative Derifield (Part 3)
A patient with sacroiliac fixation and dysfunction ordinarily demonstrates a noticeable leg-length inequality when placed in the prone position on the adjusting table.
Free Yourself From the Pocketbook Practice
Let's take a journey together; there's an important lesson to be learned. Imagine a town or city just like yours.
NCCAOM Video Contest
The NCCAOM is excited to announce the launch of the second annual video contest "Because it Works!" 2015.
The Risks I Took
We all take risks when we choose this profession. For some, it is not knowing if you can make a living practicing TCM. For others, it is parental or cultural disapproval.
Going On-Site With Chiropractic Care
The Foundation for Chiropractic Progress has released a position paper highlighting the financial, clinical and patient-satisfaction benefits of providing chiropractic care at on-site corporate health clinics.
Integrative Medicine for the Underserved: A Seat at the Table
Numerous organizations have risen to the challenge of providing care to medically-underserved populations and here we feature one such group.
News in Brief
Investigating the Cellular Impact of Mechanical Force; National Board Seats (Not-So) New Officers at Annual Meeting.
Meet Cheyenne: Your Future Colleague
Allow me to introduce you to Cheyenne (Chey), the daughter of some of our family's closest friends. We attend and serve at the same church together, and have known each other for many years.
Treatment of PTSD: An Opportunity for the Practice of Integrated Medicine
PTSD is widespread across America today. Not only do many of our honored men and women in uniform bring it home with them from the war zones they have been active in, but it often follows any life-threatening event people go through when their lives have been in danger.
Marketing with a Microphone
When given an option, it stands to reason that people prefer to do business with those they know, like, and trust.
Sports Medicine 101: Surgery or No Surgery?
In the world of sports medicine, many careers are saved by surgeries that correct traumatic damage to the body. Muscle tears, ligament damage, fractures, spinal disc herniations, and joint instabilities are a few of the issues frequently addressed with surgical intervention.
I was sitting in a Pizza Hut in Peoria, Ill., with my friend Reggie, sometime in the spring of my senior year in college, when he started doodling on his paper placemat. In those days, the company had a picture of U.S. on the mats, showing all the locations of the "Huts" in the country.
August, 2008, Vol. 08, Issue 08
A Definition of Medical Massage
By W.D. "Peter" Lane, LMT, CNMT, NCTMB
There is a need to define the frequently used term "medical massage." One proposed definition would require a medical massage therapist to have significantly more training to qualify for licensure.The curriculum for medical massage would include cadaver studies, chemistry and nutrition, as well as an internship. The state would provide a separate license for a medical massage therapist, which would allow the practitioner to bill insurance. The insurance component would compensate a therapist for the additional required education. A medical massage therapist would work with a patient's primary care physician to provide optimum health for the patient.
One of the most vexing issues facing the massage therapy industry today concerns the term "medical massage." All health care professionals know what it is, yet few are able to define it. Yet, when we as bodywork practitioners answer the question of what medical massage is, we will further the goal of legitimizing and establishing advanced bodywork in the health care environment.
Why is "medical massage" creating such a stir in the massage and medical community at large? Who should be allowed to practice medical massage and how? When is it indicated and when is it not? I attempt to answer these questions from the standpoint of a licensed massage therapist and a certified neuromuscular therapist who has been treating patients in New Mexico for the past 12 years. My opinions are based on practicing in both the massage and medical environments.
I have come to these opinions based on a sincere desire to see the perception, understanding and appreciation of bodywork advanced throughout the U.S. with some degree of uniformity. More importantly, the bodywork industry needs a universal definition so when a patient seeks out the services of a medical massage therapist he or she will know that therapist is licensed and properly trained to treat their pathology. It's important to define medical massage to both eliminate imposters and to protect legitimate medical massage therapists.
In my opinion, medical massage should:
These days, many other definitions of medical massage are floating around the country. Some serve the limited financial gain of a person or organization promoting a particular definition. Some definitions state medical massage should only be practiced in a doctor's office under the absolute control of an MD or DC. If practiced in a PT clinic, it must be under the domain of a PT. One organization states only students who take their "national certification examination" in medical massage should be recognized as a medical massage therapist.
From an insurance billing perspective, there has been recent litigation attempting to prevent a bodyworker from filing insurance unless they are a "medical massage therapist." Fortunately, when the judge asked for a definition of medical massage and none could be offered, he ruled in favor of the massage therapist. It has become quite clear these definitions do not have at their core the benefit of the patient.
Under the definition I propose, an LMMT (licensed medical massage therapist) should be someone who has received training requiring more than the universal 500-hour training threshold that has become the norm for massage therapists. The curriculum should require more hours in anatomy and physiology, pathology, patient assessment, kinesiology, musculoskeletal anatomy, including cadaver studies, chemistry and nutrition. The curriculum would include alternative therapy electives, a segment on business and ethics, practice management and insurance billing.
I also propose a significant clinical practicum and internship. Included in this formula is a continuing education requirement that exceeds the current eight to 16 continuing education units required biannually by many states. The extra education can be accomplished within the context of a 2,000 to 2,400-hour program similar to the structure of training programs in place in Canada where 2,200 to 3,000-hour programs are standard.
An LMMT would have the option of practicing in a controlled environment such as an HMO, working in private practice or something in between. The state would be required to adopt separate licensure for LMMTs. Furthermore, the LMMT automatically should be included in the mix of approved therapies for insurance billing.
The benefits for patients and therapists are obvious. The patient will know his or her therapist is properly trained, qualified and competent to treat the condition they have been referred for. The therapist will have the satisfaction of knowing their training will bring measurable results to the patient and they will be compensated for their work by insurance. The insurance industry benefits by knowing an LMMT is ethically and legally following a standard of treatment and documentation. By arriving at a national consensus about the definition and training of an LMMT, the U.S. will have gained a cost-effective tool in containing spiraling health care costs.
A quality-driven, credible medical massage therapy program should be predicated on proper program development and organization complimented by a competent and experienced teaching staff and utilized in an active clinical environment. Too often, education and competency have not paralleled each other and curriculum has not been problem-centered and patient-based.
The following curriculum outline is designed to assist preeminent institutes for higher education in the medical massage industry. The medical massage program can be implemented in stages as instructors are trained and certified or offered as a comprehensive second-tiered advanced program.
Medical Massage Therapy Curriculum Outline
Anatomy and Physiology:
ACI-Cell anatomy and physiology
The chemistry and physiological processes of the body.
Musculoskeletal pathology and related disease processes.
Nutrition and your patient. Pharmacological and nutritional interactions and outcomes.
Medical Massage Theory and Disciplines:
Assessment Procedures and Protocols
Advanced Musculoskeletal Palpation:
Cadaver Dissection I-V
Medical Massage Clinical Practicum
Medical Massage Externship Program
Business and Ethics:
Insurance billing for the medical massage therapist.
History of Medical Massage
W.D. "Peter" Lane is director of the NeuroMuscular Therapy Center of New Mexico in Albuquerque, N.M. He is an instructor of anatomy and physiology and maintains a private practice treating patients who present with a variety of soft-tissue dysfunctions. For more information about the NeuroMuscular Therapy Center of New Mexico visit www.salubria.org.
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