resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
Making Sense of Liver Regulation
In Chinese medicine, the liver has the function of moving and storing qi and blood. In its moving function, the liver smoothly distributes qi and blood to the tendons, muscles and flesh through microcirculation.
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."
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.
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.
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.
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.
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.
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."
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!
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.
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.
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 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.
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.
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.
December, 2009, Vol. 9, Issue 12
Year-End Observations of Our Profession
By Ralph Stephens, BS, LMT, NCBTMB
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, NCBTMB.
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