resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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?
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
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.
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.
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.
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.
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.
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.
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.
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.
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?
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.
December, 2009, Vol. 9, Issue 12
Year-End Observations of Our Profession
By Ralph Stephens, BS, LMT, NCTMB
Kudos to Dr. Janet Kahn, PhD, and the Integrated Healthcare Policy Consortium (IHPC) for their successful efforts to ensure that alternative practitioners have a place in the new national health care legislation.They managed to get an amendment into the Senate health care take-over bill that adds the language "licensed complementary and alternative medicine providers and integrated health care practitioners" to the definition of the health care workforce. This is huge.
At least someone is working for us in this stampede toward socialized medicine, which may be a done deal by the time this article reaches the printing press. I hope not. I hope it is completely defeated and the country can start over on a simple, understandable plan that will improve people's health care instead of increasing politician's power over us.
The work of IHPC is ground-breaking and they deserve our support. They are the only organization of which I am aware that is actively engaged in the debate in Washington, D.C. Hopefully their amendment will survive the process as the various bills move through the legislative process. I am confident they will stay on it. Sadly, in several states where massage therapists are not licensed, we are going to be excluded. Registration, certification and other bogus forms of regulation enacted in some states will not count. The shoddy, patchwork quilt of massage laws passed by our major associations will be put to the test if (when) the draconian health care regulation bills in Congress are enacted.
Fortunately, there is one group that has the potential to salvage the mess made primarily by AMTA, and by ABMP to a lesser degree. By "mess," I mean the state massage laws that have been passed with no uniformity, model, or intent of protecting and expanding our scope of practice and facilitating portability. After all, these are the main purposes of professional regulation. For the most part, good meaning people who have no understanding of professional regulation have written our laws. This has created portability nightmares for therapists and in several states sold out and given up our historic scope of practice. Our regulation "system" is so discordant that it is mostly a burden on therapists. And our associations are so proud of their "work" that there is little hope of them working to change anything for the better.
However, the Federation of State Massage Therapy Boards (FSMTB) has the opportunity and the potential ability to create model practice act legislation and have it enacted uniformly in every state. There are a lot of pieces in the puzzle that must come together, but FSMTB is the only hope I see for uniform regulation and thus easy portability.
This organization is already moving ahead with an ambitious plan to bring about reciprocity for therapists moving from one state to another ("portability"). Other standardization language will also be developed. FSMTB has the potential to raise the standards for our profession, something our associations and massage schools have no financial incentive to do. FSMTB deserves our support; they need volunteers who care about our profession for committees.
Less Than Good Stuff
The National Certification Board for Therapeutic Massage and Bodywork (NCB), which has continually refused to accept its real purpose of being a certification agency, has now decided to become an insurance vendor and a pseudo-professional association. This will be interesting. I wonder if it will use the same tactics to keep its insurance customers that it uses on its primary certification exam customers: the state regulatory boards, which is lawyers and intimidation? Threatening clients has never been an effective marketing tool for customer retention, except maybe for the Mafia. NCB has sealed its fate and will not be around much longer. Its poor service, legal actions and legislative tactics have created incredible ill will against it in the regulatory arena. You can never win a war against the bureaucracy. Maybe a battle or two, but eventually the bureaucracy will have its way. NCB's days as a licensing exam are over once the lawsuit agreements expire. The ongoing transition of our profession to a trade will minimize the demand for a certification credential. NCB was initially a good idea. Too bad it didn't live up to the high expectations. Oh by the way, I actually hope I am wrong about this observation. It would be such a waste of time, money and energy if NCB was lost. Time will tell.
Speaking of insurance vendors, there are two principles being demonstrated in the massage world at this time. The first is that obscene profits bring ruinous competition. AMTA once had a monopoly on the professional massage practitioner insurance package. Then along came ABMP. Now there are many vendors, the newest being NCB. Most are competing on price. The icing is melting off the insurance cake and the big two are losing business and thus, profit.
The second principle being demonstrated is the Third Law of Thermodynamics. This law of physics says that a system tends toward entropy (chaos) as its energy becomes disorganized over time. However, the practical application of the law also provides that local order can be produced while increasing overall entropy. This is what is happening. Smaller groups are bringing a more localized order to the massage community. However this is at the expense of increased chaos (less order) in the overall group. This may be a good thing internally, but who is going to represent the entire massage community externally in issues like state legislation and the new national health care system, whatever that turns out to be? This increase in overall entropy will probably not help us as a profession unless it somehow evolves to separate the profession from the trade in a way that elevates the profession. At this time, it is probably helping the good to get better. We need the good to get larger, to be an ever-increasing percentage of the whole. At this time, that is not evident. But hey, there is always hope for change we can believe in.
Merry and Bright Stuff
It is hard to believe that the holiday season is already upon us again. Hope you sell lots of gift certificates! However you celebrate it, remember there is a bigger reason for all these special and sacred days than just shopping. May all the various holidays bring you joy and peace. Here's to a better year in 2010! I wish a healthy and very Happy Holidaze to all. See you back here in January.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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