resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
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?
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.
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.
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.
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.
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.
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.
February, 2011, Vol. 11, Issue 02
Time for Change
By Ralph Stephens, BS, LMT, NCTMB
A new year can bring so many changes. Just so you know, my column will only appear four times this year. So many great authors out there, I'm sharing the ink. I have also decided that 2011 will be my "Farewell Teaching Tour" and I will significantly cut back on travels after 2011.So, come study with me when I am near your town as this could be the last time.
I'll still be around; I have lots left to share and do. But after 20 years on the road as an instructor and 13 as a musician, the road has lost most of its charm.
Change is the only constant, so watch for the changes and join in when and where you can. As always, I will be posting regular editorials on my blog: http://ralphstephens.tumblr.com, and others.
Speaking of change, a major change must occur in our profession and soon. That brings me to the feature topic of this column.
The biggest problem with massage is that almost anybody can do it with minimal training to some degree. Friends and lovers can learn to give a very enjoyable massage by reading a short article or watching a video. It takes very little to train someone to give a relaxation massage that feels reasonably good to consumers who have minimal expectations and even less awareness of the true potential of massage as therapy. I am not discounting the benefits of the parasympathetic response. My point here is that turning out thousands of massage school graduates who struggle to pass a very basic licensing exam and can hardly give a decent non-specific massage, then "placing" them in low-pay, high-turnover jobs is not going to gain us acceptance by other healthcare professions and may create a backlash against us by consumers, especially at rates of more than $100/hr.
In the short run, this is a cash cow for schools and associations but it is no way to build a profession.
So, how did we get to this place? Well, to ponder this, we have to go back into the past.
I love this quote: "When the past no longer illuminates the future, the spirit walks in darkness." Alexis de Tocqueville
During the last century, when massage was having its renaissance in the 1970s and 1980s, the vast majority of people entering the profession were in their 30's, had college degrees and/or significant business and life experience. They had discovered alternative health and had a passion to learn how to better help themselves as well as to help others. Most were seeking a more desirable way to earn a living, "outside the box" where they were in control, in a much healthier environment and lower stress situation. It was rare that anyone came to massage school right out of high school, but those who did had a burning passion to learn the profession and to help people.
There were only 50 or so schools in the entire U.S. in the mid-1980s. Massage schools of that time were started by experienced, successful, professional therapists who had a passion for what they did, a knack for teaching and either wanted to share their knowledge and skills with other like-minded individuals or needed to train people to help them in their clinics. This worked rather well, because the instructors were accomplished professionals and the student base was highly motivated, self-funded (for the most part) and possessed the life experience and skills to create an alternative healthcare practice in whatever situation they chose.
These individuals could be turned into massage therapists with six months to a year of training (500 - 1,000 classroom hours) very easily and effectively. They were also acutely aware their school education was insufficient and invested in advanced continuing education at every opportunity. Because they could make a good living doing massage, they could afford this investment in advanced training, which brought huge returns in increased business as they learned how to help more people and conditions.
Today, we have a very different group of people entering the profession. Students are being recruited from the lower income, lower academic strata of high schools with promises of easy work, high pay, and guaranteed loans. These students may or may not have a passion for massage or health, for that matter.
I recently asked a student why she was in massage school. She said her guidance counselor told her she better go to massage school because it was easier than cosmetology - so she did. That is a sad perspective of massage: "It's the easiest school you can go to." The 500-650 hours of education might turn a 30-year-old, degreed professional into a massage therapist, but it will not turn the majority of today's 18-year-old, high school graduates into one.
Times have changed and we must too.
What We Must Do
The time has come to raise educational standards. Hours must increase to include more comprehensive life skills and much better massage skills. Hours in and of themselves are not the answer; curriculum and outcomes must be changed to turn out a healthcare professional that is literate in the language and techniques of the profession. It is time that we not only increase the scope of our training programs, but set significant competency standards for who can teach massage. The "if you can't do it, you can always teach it" philosophy must be abolished. Further, a good therapist does not necessarily make a good teacher, especially to today's students.
I know both these proposals are threats to the cash flow of our current school system, especially in the short run. However, for-profit schools using Title IV funding are coming under increased government pressure to increase placement and lower loan defaults.
A better-trained graduate would help with both those issues, and the only way to do that is to have better trained instructors who actually know how to teach. Most other professions have teacher training/competency standards. It is time we do too. Why? For the primary reason we should do anything: to provide better massage therapy to the public.
Of course, this will have to be a ramp up, not a jump up. Such a change will require the cooperation of all the major "stakeholders" in the profession. A proposal to create standards for instructors has been placed on the table by the Alliance for Massage Therapy Education. It deserves serious consideration and support of all. You can view the proposal at http://www.afmte.org/archives/1419.
We have to start somewhere and the best place to improve education and, thus, the profession is improving the quality and abilities of the instructors teaching the work.
Keep warm. Be Well. See you this spring!
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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