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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.
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.
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.
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.
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.
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.
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%.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
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.
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.
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).
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.
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.
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).
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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.
April, 2009, Vol. 09, Issue 04
Legislative Alerts in New Mexico and Arkansas
Bills Target State Boards
By Christie Bondurant
Pending legislation in Arkansas and New Mexico threatens the authority of state boards currently charged with oversight of massage therapy regulation in those two states. While the bills differ in substance, both are considered serious threats to the existing bodies that regulate the practice of massage including: the Arkansas State Board of Massage Therapy and the New Mexico Massage Therapy Board. Both the Associated Bodywork and Massage Professionals (ABMP) and the American Massage Therapy Association (AMTA) have put the bills on the massage community's radar.
Arkansas: House Bill 1162
Arkansas House Bill 1162 is of particular concern as it calls for the transfer of authority now assigned to the massage therapy board to the Arkansas Board of Health. HB 1162 is "an act to abolish the Arkansas State Board of Massage Therapy and to transfer all duties to the Department of Health; and for other purposes" effective July 1, 2009. Introduced on Jan. 22, 2009 by Rep. Beverly Pyle (R), the bill has passed first and second reading and was referred to the House Committee on State Agencies and Governmental Affairs. The legislative intent of the bill is stipulated in Section 1: "Improve the health of the citizens of Arkansas in an effective and efficient manner; and provide effective administration of the delivery of massage-related programs. It is the intent of the General Assembly to provide an orderly transfer of powers, authorities, duties, and functions of the Arkansas State Board of Massage Therapy to the State Board of Health and the Department of Health with a minimum disruption of government services and functions and with a minimum expense."
Dena Tabor, executive director of the Arkansas State Board of Massage Therapy, confirmed that the state board is opposed to the bill and said that there was no warning prior to the introduction of the legislation that the state had any issues with the board's competancy or efficiency. In an interview, Tabor said that Rep. Pyle has offered no factual basis as to why this law was introduced.
The bill also includes language to amend the Arkansas Massage Therapy Practice Act and replaces the Arkansas State Board of Massage Therapy with the State Board of Health and The Massage Therapy Technical Advisory Committee, consisting of 7 members appointed by the State Board of Health (not the Governor).
As of press time, the office of Rep. Pyle did not respond to inquiry from Massage Today. The bill is still in review. To read the bill in its entirety: www.arkleg.state.ar.us.
New Mexico: House Bill 664
In New Mexico, the Massage Therapy Practice Act, passed for the protection of the public regarding regulation and rules of practice, has been administered successfully by the New Mexico Massage Therapy Board for more than 15 years. But House Bill 664 threatens the current oversight of the board by implementating the "Unlicensed Health Care Practice Act," which moves "bodywork, massage and therapy," into an unlicensed category called "complementary and alternative health care services." To view the entire bill visit: www.nmlegis.gov.
This bill, introduced by Rep. Ken Martinez, came with heavy opposition including a legislative alert put out to the massage community by the Associated Bodywork and Massage Professionals (ABMP) and responses from the New Mexico Board of Massage Therapy and the American Massage Therapy Association (AMTA).
In a letter addressing Rep. Martinez, Bill Brown, AMTA government and industry relations director, states the serious implications this bill would bring to the profession. "The inclusion of this language will circumvent the Massage Therapy Practice Act and promote the unlicensed practice of massage therapy. This, in turn, will significantly lower the professional standards of education, professional conduct and ethics and provided penalty to licensees in violation of these standards."
According to Peter Lane of the New Mexico Board of Massage Therapy, the sponsors have backed off of the specific language that would include "bodywork, massage and therapy" under an unlicensed category after reminder of the thousands of massage therapists, and registered voters, who would be disappointed if a bill with this language passed.
Lane encourages therapists in every state to voice their concerns to their representatives in regards to legislation, and speculates that language like this can "spread like a bad disease," if not remedied immediately.
Just as the New Mexico Board of Massage Therapy has taken action, the Arkansas State Board of Massage Therapy has opposed HB 1162, and contacted Rep. Pyle for a meeting to discuss the details and reasoning behind this bill, according to Tabor. As of press time, Tabor has not heard back from Rep. Pyle. Susie Byrd, president of the Arkansas massage board, asks massage therapists to contact their representatives to oppose HB 1162.
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