resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
July, 2010, Vol. 10, Issue 07
Marching Toward Therapeutic Irrelevance
By Ralph Stephens, BS, LMT, NCTMB
Editor's Note: To read Ralph's previous articles, go to: www.massagetoday.com/columnists/stephens.
From previous articles, I have been accused of being irrational and needing to do more homework. Seems I pushed too firmly on a few buttons. Homework will be forthcoming along with a softer touch. Once again, I will state that my purpose here is to provoke thought and constructive debate. I am not being critical of anyone or anything just for the sake of "stirring the pot." It is not my intention to be negative or to create fear. I am sharing my view, in hopes of having a positive effect. Sadly, even the most constructive criticism or observation can be perceived as threatening to the "leadership," who I know really do mean well. I know them. I love them. I am just questioning the outcomes that I see resulting from their actions that I feel are detrimental to those of us who take the word "therapy" seriously, or should I say, "to a deeper level."
Actions and outcomes are much more meaningful to me than intentions and words. I am trying to defend and protect the rights of massage therapists and bodyworkers to practice clinical, therapeutic massage and bodywork.
I stand in the river shouting for the sake of suffering humanity that desperately needs the benefits of skilled, specific, therapeutic touch from well-trained professionals with tears in my eyes as I believe the scope of practice, the necessary level of education and thus, the public's access to the care they need and seek is being washed away.
In every state that has gained massage licensure, a sudden explosion in the number of schools has occurred. There has not been an adequate supply of trained massage teachers with years of successful practice experience, so these schools recruit needy therapists with minimal experience off the street, and put them into classrooms in many cases with little or no preparation. In many schools, one instructor is burdened with teaching an entire massage curriculum. There are few, if any requirements for instructors in massage schools to be trained and proficient in the core competencies of teaching.
The competency of the profession is eroding as a result. The national average pass rates have been dropping on the NCE over the past decade (down to 61 percent at last report). Is this the way to improve our image with either the public or the medical professions?
Research Without Education
I love research. Nothing wrong with better understanding what we do. "Evidence-based massage" is a new mantra. Like evidence-based medicine this will support orthodoxy, stifle innovation, and force providers to treat conditions, not people. We are counting on research to be our key to acceptance by the "integrative medicine" community. Yet there is no guarantee that when we have every single aspect of massage documented and validated by research, that they will embrace us. Especially when our entry-level of education and competency is laughable to them. It is not what we say we are, but what we can actually deliver, consistently, to the public that will put massage on the map as a profession.
The Massage Therapy Body of Knowledge (MTBOK) project had potential to be a positive force in our professional development. Instead it has become an instrument to effectively suppress clinical massage. Any therapeutic scope of practice that is left in our massage laws is being defined out of our scope by MTBOK. You can see this document at: www.mtbok.org. You can get more of my take on this project on my blog at: http://ralphstephens.tumblr.com.
Losing the Future
The less we can do, the less valuable we will become in the health care system of the future. If we legislate and educate ourselves into therapeutic irrelevance, we will not have time to resurrect the full potential of massage therapy and will be passed by.
My colleagues, what do you want for your profession? Or do you care? If you do, make yourselves heard. I am trying to preserve our right to perform "therapy." Where are my fellow educators? PC got your tongues?
See you in September when I will begin a series of historical columns to show the lessons our profession failed to learn and appears to be repeating. Be Well.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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