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News In Brief
A "Modern" Business Model. Acupuncturists may have a new professional atmosphere to consider, as a new concept is on the horizon - at least for one business.
The First (Only) Choice for Spinal Pain
The study on NSAIDs for spinal pain summarized on the front page of this issue is intriguing on a number of levels, the most obvious being the conclusion that "compared with placebo, NSAIDs do not provide a clinically important effect on spinal pain, and six patients must be treated with NSAIDs for one patient to achieve a clinically important benefit in the short-term."
Good Works at the Canandaigua VA
Faculty and students of the Finger Lakes School of Acupuncture and Oriental Medicine (FLSAOM) of the New York Chiropractic College have provided acupuncture to veterans at the Veterans' Administration Medical Center (VAMC) in Canandaigua, New York since September of 2007.
The Qi Focus: A Guide to Managing Stress
Stress, are you experiencing heightened stress levels? Your own, and your clients? Is Trumpitis getting to you? I recently polled a cluster of acupuncturists, Asian Bodywork Therapists (ABT) and psychotherapy colleagues on the issue.
Scope of Chiropractic Practice: Why Now Is the Time to Expand
In my January article, "Scope of Chiropractic Practice: Is It Time for Change?" I discussed the use of the term primary spine care practitioner, the loss of privileges to diagnose in Texas, and the fact that the definition of "chiropractic" varied from state to state.
What's Bugging You? Probiotics and Your Health
An estimated 100 trillion microorganisms representing more than 500 different species inhabit every normal, healthy bowel. Gut-dwelling bacteria keep pathogens in check, aid digestion and nutrient absorption, and contribute to immune function.
How to Correct a Cuboid Subluxation
Cuboid subluxation is a poorly recognized condition, even though it is not uncommon. It has been described in the literature under various names: cuboid subluxation, cuboid syndrome, locked cuboid, dropped cuboid, cuboid fault syndrome or peroneal cuboid syndrome.
Toxicity & Kids: The Importance of Environmental Intake
The old adage is true that children are not little adults. Traditional Chinese medicine (TCM) has long known that the physiology of children is unique, as are the diseases that plague them.
The Chiropractor's Guide to CRISPR
Science magazine's "Breakthrough of the Year" award for 2015 was described as "the gene-editing tool called CRISPR." CRISPR stands for "clustered regularly interspaced short palindromic repeats."
Treating the Terrain of Chronic Sinus Infections
Chronic sinus infections can be stubborn to treat, but the therapeutic path forward can be simplified when utilizing three distinct treatment principles which take into account the terrain of the body, and the way in which microbes grow.
Chiropractic: A Great Fit for the White House
Dr. Eric Kaplan is a New York Chiropractic College alumnus; a No. 1 best-selling author whose books include Awaken the Wellness Within and The 5 Minute Motivator; a chiropractor for professional sports teams and elite athletes; and even served as an advisor under the Clinton Administration to the President's Council on Sports & Physical Fitness.
Give Your Patients the Ergonomic Advantage
Prolonged sitting contributes to low back pain and is a health risk. When I discuss my POLITE technique practice recommendations with patients, ergonomics may be last, but not least!
Treating LBP the Right Way: Think Natural
An updated clinical practice guideline from the American College of Physicians (ACP) recommends spinal manipulation and other non-invasive, non-drug therapies as first options for acute, subacute and chronic low back pain, rather than pain medications, as stipulated in the original 2007 guideline.
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
Shedding Light on the Benefits of Heliotherapy
I can't imagine anyone not feeling good strolling in the sun on a beautiful spring day. The sun is responsible for all life on earth and is best illustrated along the equator touting the richest biodiversity on the planet, in stark contrast to the Arctic Circle and South Pole.
Insomnia Treatment Based on the Yu Theory
In recent years, acupuncture has risen in popularity as a form of alternative or supplemental medicine for the treatment of many different types of disorders.
Waist Circumference: A Conversation Starter (Part 2)
Now let's discuss the clinical approach to reducing WC and implementation in today's chiropractic practice. The primary intervention centers around dietary modification and lifestyle habits aimed to reduce adiposity, improve insulin sensitivity and ultimately, diminish systemic metabolic dysfunction.
Caring for Refugees in Greece
At the beginning of 2016 I had no idea what was in store for me, but I was looking forward to a personal retreat on the Greek island of Paros; a graduation gift to myself after 22 years of motherhood, and four-plus years of Chinese medicine school.
Help Save an Important Chiropractic Landmark
The chiropractic profession has a splendid and varied history. Sadly, many landmarks have been lost to bulldozers and wrecking crews, such as the Ryan Building, Little-Bit-O-Heaven, Spears Chiropractic Hospital, and Clearview Sanitarium.
NSAIDs No Better Than Placebo for Spine Pain
A meta-analysis of randomized, placebo-controlled trials comparing the efficacy and safety of NSAIDs with placebo for spinal pain concludes that among 6,065 spine pain patients, "NSAIDs reduced pain and disability, but provided clinically unimportant effects over placebo."
5 Ways to Enhance Your Family Practice
Every practice has a personality style. A practice that caters to athletes, PI cases or adults, for example, projects differently to patients than a family wellness practice.
September, 2008, Vol. 08, Issue 09
The Ethics of Learning
By Elaine Stillerman, LMT
I got an e-mail the other day from a massage practitioner interested in my MotherMassage home study program. She also wanted the name of a practitioner in her area who had taken my three-day workshop so my student could teach her the hands-on techniques.Or, she asked, could she just learn prenatal massage from the videos on You Tube?
I subsequently logged on to the prenatal massage videos posted there and was horrified. After viewing many of them, I can see how the misinformation by these self-appointed "experts" can be confusing and misleading for practitioners and outright dangerous for expectant mothers. There was only one clip (shown on CW11-TV) that demonstrated accurate and appropriate massage techniques.
I am not shocked at this anymore. I have become inured to these cheap shots. I get this all too frequently in my classroom when massage practice managers send one or two employees to take my class for the sole purpose of teaching the rest of the staff the prenatal protocol when they return. I hear this same scenario from other presenters as well. For any facility to offer specialized treatments by unqualified practitioners is unethical and irresponsible. I ask you: Would you want to receive a medical procedure from a doctor who was shown the procedure once from someone who just learned it themselves? Or perhaps from a doctor who watched the procedure on a video or read about it in a book? I don't think so.
While one certainly is more extreme and potentially life threatening than the other, the same conceit remains: The only way to learn a technique and receive the on-site supervision of a trained professional is to attend a workshop in the preferred modality offered by a qualified practitioner.
I am confounded that massage professionals who mostly go into this proud profession because they want to help people and believe in natural healing processes, would cheat the very people whom they claim to care about. What does this say about the state of our profession? Are a few rotten eggs going to spoil it for the rest of us who do take the time, expense and care to come to a class?
I recognize the majority of massage practitioners are conscientious and eager to learn new modalities to enhance their professional and personal growth. But there still are too many out there who think buying and watching a video or reading a book qualifies them to practice a new technique and charge their clients a premium for their new skills.
Home study courses or textbooks alone can't teach hands-on training even if a video is part of the package. Those practitioners who take the easy way out and avoid attending workshops and pursuing continuing education courses, do themselves and (worse) their clients a great disservice.
Approved programs are offered all over the country by qualified professionals. Determined and interested massage practitioners have numerous opportunities to enjoy these stimulating workshops. Motivated practitioners might have to travel far distances (and incur steep expenses) in order to receive the training they seek, but the education and experience are well worth the trouble. I have had students from Europe, America and the Caribbean, and even students with young children attend my classes. So these difficulties don't have to become road blocks.
Hopefully, advanced education courses are taken because of interest in the subject matter, not simply to fulfill statutory or national continuing education requirements. Regardless of the impetus, attending hands-on classes still remains the only effective way to learn hands-on modalities.
Massage videos or reading a book can serve useful purposes. They can reiterate and reinforce techniques that already have been learned in the classroom and they can remind practitioners of body-saving and hand-saving mechanics. But they should not serve as the primary source of training. You can't ask a video/book questions and the video/book cannot provide feedback as to whether or not you are doing the techniques correctly.
Home study courses also fill a void. They provide fundamental information about a modality to offer an overview of a specific technique. From that, students can determine if they want to pursue the subject further and attend a class. These home study courses don't - or shouldn't - qualify anyone as a specialist in a specific modality. Nor should anyone assume proficiency in a technique because they passed a home study program. To call yourself an "expert" in a modality after a home study program or video presentation is dishonest at the very least and borders on consumer fraud.
Massage practitioners and bodyworkers must embody high standards of training and professionalism. Watching a video (whose sources are sometimes questionable) or reading a book (also sometimes questionable) and considering oneself adept and competent are not the ways to set and uphold these standards.
Click here for previous articles by Elaine Stillerman, LMT.
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