resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Targeting the Bad Apples in the Bunch
While everyone was focused on the conversion to ICD-10, the Office of Inspector General for Health and Human Services released a new report on chiropractic titled "CMS Should Use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services."
North Carolina Acupuncture Board Files Dry Needling Lawsuit
In early September, the NCALB filed a complaint against the North Carolina Board of Physical Therapy Examiners over the issue of dry needling, a form of acupuncture that uses solid needles to puncture the skin and muscle tissue to relieve pain.
Your Billing Questions Answered
I hear a lot of the following questions: I am afraid I may doing something illegal. I have heard I cannot have different fees for the same service.
Pro-Con: Swaddling for Newborns
The practice of swaddling has been used for thousands of years and was popular until the 1700s, when it was slowly abandoned by many cultures that considered it old-fashioned or barbaric.
Designing a Fitness Plan (Part 1)
It doesn't matter if you come to my practice for pain relief, weight loss, healthy aging or something else. The formula I talk about for each patient's fitness strategy is pretty much the same.
Mechanism: Experimental Approaches to Understanding Acupuncture, Part 1
The clinical benefits of acupuncture are difficult to ignore, but also can be difficult to explain to a Western audience. For nearly 50 years, relentlessly inquisitive scientists and physicians have been working toward a conceptual model to explain acupuncture.
The Modern Application of Ancient Mei Rong
Chinese Medical Cosmetology (Mei Rong) has a well-documented and venerated history dating back to the Qin (221-206 BC) Dynasty.
Tailor-Made Knee Pain: The Sartorius Muscle
A patient was referred to my office after receiving treatment from various providers with no results. The patient was training for the Olympics as a marathon runner and was unable to run or walk without severe medial knee pain.
It's Time to Review
It is amazing to see the changes that are occurring in the acupuncture profession. Let's look at some of the news and events that have contributed to this growth and awareness.
Footsteps of the Sages: An Apprenticeship with Dr. Kezhan Zhang
When I met Dr. Kezhen Zhang in May 2013, I was his translator and the integrity, creativity, and passion he demonstrated as a practitioner and advocate of the medicine convinced me to travel to Beijing to study with him.
F4CP Making a High-Impact Impression
The Foundation for Chiropractic Progress has released details of its 2016 strategy, certain elements of which are already in play. The strategy includes ads, posters and other resources available to all F4CP members.
Dietary Fat and Prostate Cancer: An Important Update
K.M. Di Sebastiano and M. Mourtzakis published a review paper examining the role of dietary fat on prostate cancer development and progression late last year that does a stellar job of summarizing the available data on fat and prostate cancer.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 2
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
Omega-3 Fish Oil: An Underappreciated Element of Men's Health
As a clinician with many male patients -- and as a man myself -- I am all too aware of the fact that we like to convince ourselves that we are doing great, when that may be the farthest thing from the truth.
Born to Energize the Human Spirit: Recollections of Sig Miller
Sig Miller, longtime executive director of the Association of New Jersey Chiropractors (ANJC), passed away on Sept. 17 after a long battle with cancer.
Too Many to Remember: Tips to Revive Your Ortho / Neuro Test Skills
When I was at Palmer in the mid-1980s, we were given a set of notes in one of our diagnostic courses. The notes covered approximately 70 orthopedic and neurological tests for various regions of the body.
Diagnose Sprain Injuries in MVA Cases With Dynamic X-Rays (Pt. 1)
Am I the only person to notice hospitals are doing a seemingly insufficient job lately in their initial radiological workup of motor vehicle accident (MVA) victims?
Which Way is the Energy Going? Are You Burning Yourself Out?
One of the simple methods that I use to define Yin/Yang theory to patients is to ask the question, "Which way is your energy going?"
Chinese Herbs and Pulmonary Fibrosis: A Case Study
"Mary M."* recently celebrated her 90th birthday. Even the former sheriff dropped by to kiss the hand of this diminutive retired teacher, to honor the years she interpreted for him during interviews with Latinas and Latinos.
Making Sense of an Increasingly Obvious Conclusion
Where's U.S. health care heading? Like it or not, the list of telltale signs is growing to a point that stands out to even the most myopic observer. Consider this list of facts as you look into the future of health care in the United States:
Syncretism: Acupuncture and Public Health in Cuba
"Syncretism" is defined as a union of diverse tenets or practices. On a recent trip to Cuba designed to demonstrate the integration of Traditional Medicine and biomedicine, our group witnessed this union firsthand.
One Size Does Not Fit All: Exercise and Nutrition According to Your Yin/Yang Body Type
There are countless new exercise and nutrition plans out there, emphasizing the latest ground-breaking research and claiming to revolutionize the way we view health.
The Concussion-Subluxation Complex
In the Aug. 1, 2014 issue of Dynamic Chiropractic, I reviewed some of the literature demonstrating the role of the chiropractic adjustment in post-concussive care.
January, 2010, Vol. 10, Issue 01
Heart on the Bottom Line
By Ralph Stephens, BS, LMT, NCTMB
Happy New Year! I have observed with fascination and wonder as our professional associations have willingly given away huge chunks of massage therapists' traditional scope of practice. Most professions have associations that hire lawyers and lobbyists to fight tooth and nail to expand their scope of practice.Not ours. We give up more and more every year. Look at the state massage laws passed by our associations in the last few years. We have given up traction, stretching, exercise and joint mobilization, and saddled ourselves with establishment licenses in some states. No other health care providers have to obtain establishment licenses. Why are we doing this to ourselves? At times, I've surmised it was just desperation to get some law, any law passed. That coupled with ignorance of the professional regulation "game."
In collusion with our associations, when it comes to giving up scope of practice are the majority of our schools. Not all schools of course. There are a few good ones left, and you know who you are so do not take offense. I have lamented this sad situation before. However, I have never been able to understand why our associations and schools are giving up the rightful, historical scope of our profession. Finally, while lost deep in nature in Massachusetts during an extended teaching tour this past fall, the truth was revealed to me. It is so simple and obvious, yet so sad.
It's in the financial interests of schools to give up and dilute as much of our scope or practice as possible. The less they have to teach, the less it costs them. Just teach the simple, basic stuff. Sadly, we have set a lowest common denominator with national certification and licensing exams, and all schools need to do is "teach to the tests". Thus in legislation battles, it's easy for the opposition to say something is not in our scope as it's not taught in entry-level programs, even though it's being very thoroughly taught in our continuing-education courses. So, they turn on continuing-education instructors and try to suppress and restrict them from teaching the advanced work and/or restrict therapists' ability to perform it even if they know it. As sad as it is, I can understand the schools' part in this. It's simply the easiest way out and makes them the most profit.
But why the associations? Why are they not working to increase our opportunities to help the public by fighting to expand our scope? This is the big revelation: They are insurance vendors. They make their money from the insurance they provide their members. The less scope they have to insure, the more money they can make and the less claims they might have to defend. It's in their interest to give up scope, especially any advanced work. The less we can do, the better for our insurance vendors. The less they have to teach, the better for our schools.
The two groups that historically lead a profession to greater scope of practice, less restrictive regulation and higher levels of income are leading the massage profession in the opposite direction. Maybe it's not quite as malicious as it seems. Maybe it is just that they are not aware of the full potential of soft-tissue therapy and the historic scope of practice of massage. The effect is the same. They are depriving the public the potential of soft-tissue care and limiting the opportunities and incomes of massage professionals. This is what we get when the heart is on the bottom line. Anybody care? We pay an incredible price for ignorance. On a positive note, Florida should be our national model. Their licensing law gives them a great scope of practice and it hasn't yet been dismantled by the tyranny of the minorities or political correctness.
I cannot wait to read the reactions and outcries from the schools and association to this column. Pay no attention to what they so righteously will say. Look objectively at what they're doing. What are the measurable outcomes? Follow the money trail. What economic incentive do they have to expand our scope? When threatened, how hard have they fought to maintain it, let alone expand it? Never believe what politicians and sales/marketing/media people say. Only believe what they do. Actions speak louder than words.
We get so emotional. We want to believe so badly in some principle, group or politician that we only hear or read words that support our beliefs, and seldom compare words to actions. You can hope all you want but you will eventually find it is a poor strategy to accomplish anything. When you find yourself desperately wanting to believe something, stop and check it out. We pay a huge price for ignorance.
Alternative Health Care News: Flu
The good flu news is they cannot force people to be vaccinated if they don't have the mercury-laced vaccine to inject. I would much rather battle the flu than mercury poisoning. If you don't know the symptoms, you should look them up, especially if you consume high-fructose corn syrup and get vaccinated for the flu. You don't want mercury in your body.
In its attempt to prevent you from being well and avoiding the flu, the FDA is attacking any source for alternative information. Dr Andrew Weil was warned to change his Web site because he was offering an immune-boosting supplement. Read the FDA letter here: www.fda.gov/ICECI/EnforcementActions/WarningLetters/ucm186837.htm.
It's frightening how hostile our "new" government is becoming toward alternative health care and health in general. Its new appointees are working to dilute all organic standards. See: http://salsa.democracyinaction.org/o/642/campaign.jsp?campaign_KEY=27042. It's going to be a long, bleak winter, especially politically. I will be back on a more positive note in March. Bring your kites!
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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