resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
June, 2010, Vol. 10, Issue 06
Heating Up Your Practice Safely: Feedback From Readers
By Dixie Wall, Contributing Editor
After receiving many compelling comments to the two-part series, "Heating Up Your Practice Safely," I was inspired to publish some of the common questions and insightful comments I received. As always, I appreciate your questions and comments and am always open to being educated by my readers.
"Thank you for the much-needed article on safety while using heat during massage therapy. I would just add multiple sclerosis to your list of conditions in which to avoid heat. Though it is considered to be an auto-immune condition, some may not know that and cause great harm. Thank you so much."
Thank you for your response to my article. Multiple sclerosis is an important addition to the list of diseases contraindicated for heat therapies. Multiple sclerosis is a chronic, often disabling auto-immune disease that attacks the central nervous system, which is made up of the brain, spinal cord and optic nerves. More specifically, the body's own defense system attacks the myelin sheath (the fatty substance that surrounds and protects the nerve fibers in the central nervous system) leading nerve fibers vulnerable to damage. The injured myelin forms scar tissue (sclerosis), which gives the disease its name. When any part of the myelin sheath or nerve fiber is interrupted by scar tissue, nerve impulses traveling to and from the brain and spinal cord are distorted or incomplete, producing the variety of symptoms that raise a red flag for heat therapies. Among these are numbness, tingling, weakness, spasticity and unsteadiness of a limb. Fever, hot baths, sun exposure, and stress have all been associated with triggering or exacerbating an attack. Thanks for your contribution.
"I enjoyed your article in this month's Massage Today on hot stone therapy. I practice in Florida and as of March of this year my liability carrier (International Massage Association) announced that due to the increase in claims due to burns, they will no longer cover hot stone therapy. I have talked to other massage therapist with different carriers and they have had the same response. I've also noticed in various spa advertisements that they have dropped hot stone therapy from their ads as well, and one has changed from hot stone to warm stone.
"I have wanted to take a course for some time now but am shying away from doing so because of the change in policy. My question to you is, if the client signs a consent form and ends up with a burn and the therapist is not covered, what the legal ramifications would be. Of course this would have to happen now! Thanks for your input and I look forward to your forthcoming articles."
It appears as though your current massage malpractice insurance policy no longer meets your individual needs. I don't give legal advice, but I do know it's never wise to gamble with one's livelihood by carrying a policy that does not cover all the modalities you practice. It may be time to switch insurance carriers.
"I think you have pointed out a lot of great things in your article about hot stones. I would have liked to have seen something about the hygiene, i.e., how to care for the stones, cleaning and sanitation, since the stones are kept in the perfect environment for bacteria to flourish."
Thank you for your response. You bring up a crucial issue. Due to the increase in bacterial and virus outbreaks over the last decade, the Centers for Disease Control & Prevention (CDC) has put a major emphasis on hand washing and routine sanitary procedures, especially in health care settings. Hospital and clinical settings are a major cause of the spread of many of these "super bugs." Unlike the common cold or a flu virus, these new super bugs spread by direct skin-to-skin contact or with contaminated objects. Carelessness or lack of proper sanitation procedures may make the massage therapist a perfect route for transmission of infection.
According to the South Carolina MRSA Infection Protection Act: "Methicillin-resistant Staphylococcus aureus (MRSA) is a common staph infection which is resistant to many antibiotics and which is increasingly prevalent in health care settings. A study published in the 2007 issue of the Journal of the American Medical Association, found that MRSA infections occur in approximately 94,000 persons each year and are associated with approximately 19,000 deaths; approximately eighty-six percent are health care associated."
In our practices, we have an obligation to ensure each client is protected from these "super bugs" with the safest routine clinical procedures. Different practitioners have their own unique way of sanitizing and/or cleaning their stones and massage tools. Some boil their stones in salt water or wipe with alcohol, others scrub the tool with soap and hot water. I've even heard of therapists using the dishwasher to sanitize the stones. With all the different methods of sanitation what is the safest standard procedure?
One of my teachers, Jenny Ray at Sacred Stone Therapy, has provided me with the latest information on sanitary procedures from the Geothermal Therapy Association (GTA). According to Ray, "The CDC has recently approved GTA recommendations as sufficient for protecting the client from H1N1, HIV AIDS, MRSA and other staph infections. The recommendations are as follows:
Stones should be washed as soon as possible after treatment, as the longer the oils and bacteria stay on, the harder they may be to remove. The critical issue is that the antiseptic routine must be done between each individual client. For more information, refer to the GTA Web site at www.stonewalkersassociation.com which will soon be moving to www.geothermaltherapy.com.
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