resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
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.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.