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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.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
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.
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.
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.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
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.
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.
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.
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.
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.
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.
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.
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.
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?
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.
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?
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.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
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.
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.
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.
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.
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.
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.
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.
May, 2009, Vol. 09, Issue 05
An Opportunity and a Double Cross
By Ralph Stephens, BS, LMT, NCTMB
The recently passed stimulus bill has lots of interesting stuff in it. Several clauses of the bill deal with health care. There is $1.1 billion allocated to "comparative effectiveness research," looking at outcomes of different medical procedures.Will this research embrace, or at least include, alternative therapies such as massage? Boy, could we score big if the studies are set up fairly. Who is representing our profession, and advocating that we be included?
The American Massage Therapy Association's (AMTA) government relation's person told me that they have a legislative tracking service in relation to massage. But she was unaware of HR 676 (see previous article, MT March 2009, for my discussion on this bill) or any clauses of the bailout or stimulus bills. However, they are sending a representative to a National Institutes of Health (NIH) meeting soon.
An Associated Bodywork and Massage Professionals (ABMP) spokesperson said they are very aware of the legislation and are closely monitoring the situation. They are optimistic that changes in health care regulations will include us and other alternative disciplines. They do not have a formal action program or policy in place at this writing but they are ready to work for us when they see an opportunity to do so. At least they are in the building and in the right room, taking notes.
A new kid on the block with great potential is the Integrative Healthcare Policy Consortium (IHPC). It will be interesting to see what this group will be doing for us and other alternative disciplines in the future. They are already at the table, hard at work. Kudos to ABMP and IHPC! (More on IHPC in the July column.)
The transition to nationalized medicine will take several years, maybe longer. Will we be allowed into the new system? If not, will we be allowed to exist outside the system and still do therapy? How will the computerization of everyone's medical records affect us? Will we be part of it? Will we have access to it? Can our profession maintain its first-door provider status? Massage therapy as a wellness-based, alternative discipline cannot thrive if placed under gatekeeper supervision. (Access by prescription, and limited to only what is prescribed.) The PTs are already there, so where would we fall in the hierarchy?
The public is looking for alternatives to the current sickness-care system. The government is looking for more cost effective procedures since they are going to be picking up the bill. This is a perfect storm for our profession (and all the alternative professions) if we can get to the table and be heard. Massage therapy is the premier wellness modality and the most cost-effective, soft-tissue, pain-management therapy there is. It would be a crying shame if we get left out of the coming nationalized system as it is created just because no one was able to speak up and represent us. It is imperative that we get in on the early stages of any new health care system's development. Not just for the thousands of massage therapists, but for the millions of people we could help.
The Sucker Punch
While it is important to play ball in good faith with the government and the allopathic sickness-care industry, we must be aware at all times what the bureaucracy is up to so we can hopefully protect and defend our freedom to practice. Our profession has made a huge (for us) investment in research trying to validate what we do. It is important to study how massage works and its best applications. However, research is a double-edged sword, as this next report shNew FDA regulations are now threatening to ban any food supplement that has been researched in clinical trials. Currently, Section 201 of FDA regulations already prevents the marketing of dietary supplements which have been subject to published clinical studies, but only when they have also been the subject of an Investigational New Drug (IND) application.
The FDA's unprecedented, controversial and ambiguous changes to regulations, may mean that all food products, including dietary supplements, could be barred from being marketed if they have been the subject of published clinical studies. Gretchen DuBeau, executive director of the American Association for Health Freedom (AAHF), explains further: "This would strangle innovation. It would create a 'Catch 22' situation in which supplement producers who undertake scientific research on new supplements will find that their very research will lead to a ban on the proposed supplement."
It appears they are going after Stevia initially, a natural, zero-calorie sweetener, which is considered a threat by the giant sugar and artificial-sweetener industries.
See how we are being sucker-punched here? We are told that claims of effectiveness cannot be made without research to back it up - never mind clinical observation for several hundred years. It has to be current valid "research." They thought that would prevent the alternative health community from being able to make any claims because we could not afford to do the research. Now that research is being done that threatens pharmaceutical sales, they will ban the sale of products proven to be effective, classifying them as "drugs" that must be controlled for the "safety of the public." We are in a period of time where the mindset will be that the sacrifice of the individual for the good of the group is considered necessary. That's all well and good, unless you are an individual.
How does this apply to massage? Glad you asked. Those of us in alternative therapies such as massage and acupuncture are told we need research to validate what we know to be true. Research is now proving us right. Will they now take our research and ban us from doing procedures with which we get positive results? Would they do that? Will we get sucker punched by research, like the supplement industry just has been? Let's hope not. However, they justify human suffering in the name of profit. Where is the profit? Not in massage or other alternative therapies. We cannot follow the allopathic model and be an alternative to it at the same time. Health care freedom is something we will be able to tell our grandchildren that we once had.
All conditions in the physical begin as discordant thoughts and emotions in the mind. The physical condition distracts us from perceiving and recognizing the mental disturbance. For true healing to take place, the mind must be illumined to its part in the condition. Until the causative thought pattern, usually subconscious, is changed, the symptoms will return. Mind-body healing is the cutting edge of health care. Massage can bring about awareness on more than just a physical level. Be a teacher, particularly of awareness of the self.
We live in interesting times. See you in the July issue for America's birthday.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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