resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Is the EHR Ship Setting Sail Without Us?
The numbers are in: As of July 2014, 10,253 doctors of chiropractic have received $123,059,868 in EHR stimulus funds – and yet that represents less than 15 percent of our profession.
News in Brief
Major Organizations Announce Joint Conference; Fighting for Section 2706; New Vice President of Chiro. Program at Parker; Two Families, One Chiropractic Dynasty.
Overcoming Barriers to Exercise Compliance
One of the most common questions other practitioners ask me is, "How do I get patients to do their exercises?" I am not frustrated by my patient compliance, as many doctors are; in fact, I am actually happy with my patients' involvement and commitment.
We Get Letters & E-Mail
Not All Evidence Is Equal; An Abundance of Misinformation; A Well-Researched Decision; Far Too Dangerous.
Defending With Vitamin D: Helps Prevent Progression to Diabetes
A 2014 clinical trial published in the American Journal of Clinical Nutrition provides additional evidence that optimal vitamin D nutritional status may be important in preventing the progression of prediabetes to diabetes in prediabetic adults.
Love a Nurse – and They'll Love You Back
According to various sources, there are about 3 million registered nurses in the U.S., and according to the American Nurses Association, they are under serious pressure in today's health care reality.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
Billing for Same-Visit Extraspinal and Spinal Manipulation
Q: I have always been under the premise that when billing 98943, extraspinal chiropractic manipulation, on the same visit as spinal manipulation, 98940-98942, that the extraspinal manipulation requires modifier 51.
Women's Health: Herbal Formulas to Help Patients With Dysmenorrhea
Chiropractors have long treated women for menstrual pain (dysmenorrhea). Since roughly 60 percent of all chiropractic patients are women and 30-50 percent of women have a history of menstrual cramps, the vast majority of doctors of chiropractic will inevitably see patients with dysmenorrhea.
The Art of Day-to-Day Assessment and Treatment: Clinical Pearls
Let's focus on the day-to-day process of assessing and treating the patient. I am proposing a particular attitude; a way of looking at the patient. This often evolves over a few treatments and then changes as you figure out what is significant.
The Wisdom of the Second Office Location (SOL)
There are some things I never want to do again, like riding a motorcycle 100 mph. I call these things my "negative bucket list." Other things I have on that list include water skiing, riding a roller coaster and eating habanero peppers.
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
Image Is Everything: The Power of Branding
Successful businesses use color and design to attract people to their service. They understand how important image is and hire experts to create an attractive package. Starbucks works hard to create an atmosphere that is warm and inviting.
State by State: Comparing Chiropractic Scope of Practice
"The issue of 'scope of practice' has been a bugaboo ever since our early quests for legal recognition for chiropractic," according to Dr. Claire Johnson, editor in chief of JMPT and National's other two chiropractic journals.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
A Chinese Medicine Story: An Interview with Mazin Al-Khafaji
Mazin Al-Khafaji's work has interested me for years. In February 2014, we invited him for the second time to speak at the Southwest Symposium in Austin, Texas.
A Dream Come True for Chiropractic: Funding Prevention and Public Health
Back in 2005, Sen. Tom Harkin (D-Iowa) said: "Let's face it, in America today we don't have a health care system, we have a sick care system.
Are Your Work Orders in Order?
There are times when a patient's occupational duties will delay or prevent them from recovering. These circumstances create the need for the doctor to recommend modified duty or remove the patient from work.
June, 2011, Vol. 11, Issue 06
Are we all on the same playing field?
By James Waslaski
I just returned from attending an incredible seminar sponsored by Performance Health. Manual therapy participants included industry leaders and pioneers from the fields of Chiropractic, Physical Therapy, Occupational Therapy, Athletic Training, and Massage.Many of the participants had multiple certifications, such as chiropractors that also had degrees in physical therapy and personal training That was followed the very next week by teaching a seminar in Drogheda Ireland, just outside Dublin, to an international group of manual therapists.
The awesome thing is that most of the people, from both groups, left their titles and egos aside, to learn and share manual therapy techniques that would benefit all of our patients. Presentations were designed to bridge the gap within the manual therapy profession, for the best interest of every client that walks though our door suffering from a musculoskeletal problem.
So this article has been written to not only help bridge the gap between all manual therapists in the health care system, but bridge the gap and give respect to all advanced disciplines in the massage industry.
This year we are releasing a book with Pearson Publishing to share the work that has positively changed the lives of thousands of patients throughout the world with musculoskeletal pain. Therapeutic work that blends multiple advanced massage therapy modalities, with other manual therapy disciplines. We avoided the word medical massage in the title, because we felt a need to honor other great advanced modalities that have an amazing effect in eliminating complicated medical conditions including: Posturology, Myoskeletal Alignment, Visceral Manipulation, Lymphatic Drainage, Cranial Sacral Therapy, Structural Integration, Anatomy Trains, Myofascial Release, Neuromuscular Therapy, Energetic Therapy, and this list goes on.
We realized that although the term medical massage is one of the biggest buzz words in the massage industry, it is also one of the most controversial words in our industry. Some industry leaders would tell you we are not doing medical massage unless the client we are treating is referred by a physician. That would mean that the majority of the clients that recovered from complicated musculoskeletal medical conditions from my work in the past 20 years did not get medical massage. At least one state has told their therapists they cannot call what they do medical massage unless they are certified in neuromuscular therapy. I love neuromuscular therapy, but there are a whole lot of medical conditions that respond better to other modalities. What good can we do if the medical client has a visceral, lymphatic, and/or cranial problem if we limit our work to just one modality?
So, to respect the many great advanced disciplines in the massage therapy industry, we chose to call our new text book Clinical Massage: A Structural Approach to Pain Management. Throughout, it stresses the importance of combining science, with presence in therapy, intention, and intuition. We also talk about the importance of knowing when to refer certain clients to therapists in other modalities, and to medical practitioners in other disciplines. Since I have received advanced training over the years in many other modalities such as Functional Assessment, Posturology, Myoskeletal Alignment, etc., I realize the importance of blending multiple modalities and multiple disciplines to better treat the wide array of medical conditions we see in our offices and clinics.
I also found out that the more we know, the more we realize we don't know. We need to align with leaders in the manual therapy industry for the best interest of each client. We also need to combine eastern and western philosophies of medicine. Clinically based practitioners need to stop putting down energy healing, just because of their lack of knowledge, or insufficient training in that particular area. There is a lot of scientific proof out there in regard to our negative thoughts and negative energy creating pain, disease, and illness all the way to the level of the DNA.
It really bothers me when I hear a massage therapist say things like "What does the doctor or physical therapist know?" Or that energy work is "woo woo stuff." It is time we all put our egos aside, and work together in the best interest of the clients we serve.
In summary let me share a medical condition we see with our clients. Let's look at a client that presents with thoracic outlet or adhesive capsulitis (frozen shoulder). Is that a neck problem, a shoulder problem, compensation from a true leg length discrepancy problem, or an emotional problem? Will it benefit more from manipulative therapy, posturology, massage, or energy work? What muscle groups are pulling bones onto nerves and blood vessels? Will the client benefit more from a flexibility program or a strengthening program? Should we work on balancing the muscle groups of the neck and shoulder first, or release the fascial adhesions in the joint capsule? What modality or discipline will have the greatest effect on resolving the clinical symptoms? Can the client completely recover if they just get treated with manipulative therapy, and not have the muscles in the neck and shoulder balanced out? Is there an emotional component to this condition that could benefit from energy work?
The training with Performance Health, and the six day training in Ireland, focused on function, form, balance and movement. Assessment and clinical reasoning was important. Blending of disciplines was important. It was also crystal clear that each manual therapist had to teach the client better postural awareness and proper ergonomics. The client needed to get involved in a self care program to help themselves.
I have always encouraged therapists to constantly blend multiple massage modalities and manual therapy disciplines. Even just in the area of Orthopedic Massage, Whitney Lowe and I have decided to blend our uniquely complimentary certification programs in Orthopedic Massage, to raise the bar, and make a Master Level Orthopedic Massage Certification available. It will still be just considered one branch of the medical massage umbrella. It scares me knowing our industry is moving towards an advanced certification in massage. I wonder which advanced manual therapy disciplines will make it into the exam. Maybe we should back up a bit and first come to agreement on what medical massage is?
The time has come that manual therapists need to be on the same page when treating clients with complicated clinical conditions. I believe if we took all the incredible healing modalities in the massage or manual therapy profession and put them in one big toolbox, we would revolutionize medicine.
For now, let’s work together in the manual therapy profession, without turf wars. Stop criticizing other medical practitioners and start sharing the brilliant modalities they got in medical or PT school for the best interest of clients who have been given no hope for pain-free living.
Artwork furnished by Pearson Publishing from the book Clinical Massage Therapy: A Structural Approach to Pain Management.
Click here for more information about James Waslaski.
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