resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
May, 2011, Vol. 11, Issue 05
Massage in Decline
By Ralph Stephens, BS, LMT, NCTMB
The universe being in a constant state of change drags the massage therapy profession along with it. As much as we love to hang onto the past, we have to accept the reality of now, or go neurotic. Too many people chose the later. I do not mind change, but I prefer it to be for the better. Change in and of itself is not always a positive.
My previous column struck an emotional chord with many of you. Thanks for taking the tine to write in and share your experiences and feelings. Your feedback is always appreciated.
By the way - I am not retired yet, but thanks for the happy retirement wishes. I am working a very full schedule this year. Next year I will become scarce and 2013 seldom seen. So come out and share the fun, excitement and education while it lasts.
One theme that stood out in your responses was the disappointment of experienced therapists (over 10 years in practice) with our declining levels of professionalism. This is not a positive trend and is no a way to build a healthcare profession that is based on customer satisfaction. Most massage is still paid for out-of-pocket. That means our profession is competing for ever dwindling discretionary dollars. Consumers are being more selective with their purchases. Massage can be one of the most cost effective forms of healthcare available and can help prevent or manage many conditions. However, it has to be preformed professionally and competently to do so. My personal experience and the reports from reader responses indicate it is becoming less common to find massage therapists who are as good as the quality of the office decor.
Some interesting trends are forming in our profession. As I have been predicting for some time, the public is finally backing away from massage. The latest AMTA survey (2010) indicated that the usage of massage has dropped off for both men (-5%) and women (-1%). One can blame the economy - it is the scapegoat for everything these days - but is that really the cause or just a catalyst? Is the public backing away from massage because they are tired of paying outrageous fees for a rubdown that is little, if any, better than what they could receive from their unskilled but caring mate? Suppose people are giving up on getting massages in four and five star spas for $125 or more that do not include the abdomen and buttocks? Do you think maybe people are tired of having the therapist show up at the office after they, the patient, is already there, then set-up the room and short the patient time? A colleague who travels regularly and gets massage wherever possible confided that she now considers a good massage one where she did not get injured. Think the public that hears about all the wonderful thing massage can do, but when they bring their complaint to a massage therapist they get the same routine done on them as every other person the therapist sees is going to continue with massage? Who can afford that, or will even if they can?
As consumer dollars become scarce, our profession must deliver better value and higher quality. Are we achieving that? Are we even trying? Do you believe the competency of the average entry level therapist today is as good, better or worse than the average graduate of 20 years ago? How about 10 years ago? Is our level of professionalism rising or falling? I would love to have your opinion and your experience on this.
It seems to me that the emphasis of our professional associations has been on gaining acceptance for massage from the medical and scientific communities. Actually, the biggest push is probably to gain acceptance from the insurance industry. I have always felt this was totally mis-guided. Who do we serve? We serve the public. I have always felt massage was an alternative to the existing medical-insurance cartel. I believe our profession should be directing its outreach to the public. If we gain the public's acceptance, their demand will force insurance and medical acceptance.
How can we earn the public's acceptance? Do you really think the way to promote our profession is to recruit new therapists with unrealistic promises of easy work and high pay? Do unskilled teachers, who may be good therapists but are unskilled as teachers train better and better practitioners? Do instructors who cannot make a living in the profession doing the work as therapists so they teach, turn out improved therapists? You know these things, while not universal, are quite common. As we try to reach the public and the medical community, an effort that should require ever increasing competence and professionalism, we seem to be going backwards. Our entry-level screening instruments are lowest common denominator devices that only test recognition of intellectual knowledge, not recall or hands-on skills. As our entry-level gene pool has become less literate and experienced in life, have we compensated for this in our educational programs?
Do you really believe the economy is going to get better any time soon? Let me know how that hope works out for you. Everything points to a worsening economy for some time. Historically, there is a blip up for presidential elections. What a coincidence. Let's hope that pattern continues. In the meantime, as the competition for healthcare dollars intensifies, what is the profession of massage/bodywork doing to become more competitive? It is something we had better start considering. 5% down a year doesn't leave much after 5 - 10 years, a relatively short time.
Round-Up's Times Up
A top soil and plant researcher is pleading with the Obama administration to stop the approval of any more Genetically Modified Organisms, specifically GMO plants that are Round-Up Resistant as it appears Round-Up is associated with a new micro-fungus that has the potential to destroy U.S. agriculture and possibly humanity. It causes diseases in plants and abortions and sterility in mammals. (People are mammals - YOU are a mammal!) Do you realize what this means? A potential end of humanity.
Environmentalist are probably delighted as getting rid of man - the scourge of the planet - could bring back the garden of Eden; Once Wall-E cleans up man's mess. (Of course man's, women don't make messes, do they?) Oh lighten up. This is so serious it needs a bit of levity. If you care, and you should, check this out and get involved. Help stop GMOs before they kill us. See my blog for more on this. This link has the complete letter to Sec. of Agriculture Tom Vilsack: http://www.organicconsumers.org/articles/article_22625.cfm
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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