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Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
May, 2009, Vol. 09, Issue 05
The Politics of "Free": The Dichotomy of Doing Good
By Raymond Blaylock
Massage therapy is growing by leaps and bounds. Over the years, we have employed several approaches to nurture this growth pattern. In the mid-1980s our tool was "sports massage." We took massage, via sports events, into a very public forum with a high level of success. Doing this permitted people to view massage happening in a favorable light, the light of day, in fact.
In 1985, the American Massage Therapy Association (AMTA) National Sports Massage Team was formed, co-founded by myself along with Bob King of Illinois and Tom Fink of Pennsylvania. In those early days and for years to come, we gave away our services at sports massage events all over the country. Our first national event series was the Bud Light U.S. Triathlon Series. This early work with sports massage catapulted our message of massage all over the country into the media and the positive press began in earnest.
However, the dichotomy of doing all of this good for massage therapy and our profession as a whole is that people began to assume massage in a public forum is free. Massage schools and practitioners continue to perpetrate this image today. Have you ever been giving a massage at an event, where someone asked you if the massage was free? Why do you think they ask? I would be truly surprised if any other health profession gives away more hours of their service than we, as massage therapists, do.
It is a fact of human nature that which we receive for free is valued less than things we have a vested interest in. If you have ever been to a convention or a trade show you know what I am talking about. You walk around picking up items that you may or may not need or want. You bring a bag full of "stuff" home and you may or may not ever use any of those things. But if you purchased an item you would keep track of it and use it as soon as possible.
Politics of Free
The politics of free are affecting our function as massage therapists especially with respect to seated massages. Being in a very public system, we constantly have people asking, "Is this free? We respond with something like, "No, this is a professional service that we have provided for this event." We have been told seated massage is a great public relations/marketing tool, which it is. We have also been told seated massage is great for stress relief, which it is. However, do you ever see your dentist or your internist out in the park on a Sunday doing free work? Why would you expect to see any other health care provider out offering free service?
Massage therapy has several public image issues; and this misperception that our services are free is one that directly effects our ability to make a living, and needs to be addressed immediately. A very simple solution will correct this misperception: remind the public that our work is valuable.
Whenever I do seated massage at a function that is not a revenue producing event, I take donations for a worthy cause. This has multiple positive outcomes. First off, it continues to allow us, as massage professionals, to use seated massage to promote our practices and profession. It also allows us to give people that initial massage experience and allows them to show their gratitude and be vested in the experience by making a donation to a good cause, such as a homeless shelter, SPCA, or UNICEF.
Additionally, people begin to realize that they need to make that energy (and value) exchange with their massage therapist. The massage therapist expends their energy giving a massage. The client then gives their massage therapist some "green energy" that is used to do energy exchanges with other people in their lives. Or, as in the instance of the fundraiser the massage therapist takes that green energy and gives it to a worthy cause that can turn that green energy into good works, and so on. This is the best of all possible outcomes a win-win-win scenario. Plus the massage therapist is connected to something in the community that the community holds in high regard.
Another way you, as a massage therapist, can deal with this is when you rent a booth at a show or festival, where you expect to charge for a massage. First be clear with the exhibit coordinator that no one is going to be there giving away free massage. Put it in your contract for the event. Talk to your massage school if they are out there doing events and giving away massage at events. Your massage school should support you in the education of the public.
Important to Note
Make sure whether it is a revenue producing event or a fundraiser that you get the names of everybody you work on for legal reasons to show who you worked on and who did the work. With a revenue event (where we are charging for each massage) collect the money before they get on your chair. This avoids any possible "confusion of free" before they get on the chair. If it is a fundraiser, get their name before they get on your chair and after they receive their massage you tell them, "I hope you enjoyed your massage. If you would like to make a donation to this event you may do it at the sign-in desk." If you are working with a charity or a not-for-profit group, it is nice to have a representative at the event to talk about what they do and how the money will be used.
In my opinion, all massage therapy events are either fundraisers or revenue producing events, and it behooves us to participate as this educates the public about the benefits of massage therapy as a necessary part of their health care. That said, please know that I do not feel that all massage must incur some form of money exchange. I know and understand that if you and I go to the women's shelter, for example, to give a massage, we are not charging or taking donations. And if we are at an emergency scene, we are not charging. If we are doing any form of "give-back," we are not charging for the massage.
We can do good and do well for ourselves at the same time. Ben Franklin called it "doing well by doing good." We can improve the public's perception of massage therapy by getting them invested in the outcome by creating an energy exchange via green energy. An interesting note to end on -- green in the color spectrum is the color of harmony, balance and growth! In many cultures, the color green denotes growth, learning, healing, abundance, fertility, and prosperity. It is believed to augur great success in any new venture. Any of those sound like a place you would like to be?
Raymond Blaylock, practitioner and educator, is the director of education at the Touch Resource Institute. He may be contacted by email
or through his Web site: www.mytouchresources.com.
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