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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.
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.
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.
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 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.
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.
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.
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.
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.
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.
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.
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%.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
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).
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.
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.
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.
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.
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.
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.
June, 2011, Vol. 11, Issue 06
In the Shadows: Human Trafficking, Fraud and the Cost to the Massage Profession
By Kathryn Feather, Senior Associate Editor
For decades, the massage profession has battled the stereotype that it is a front for prostitution. While the occasional bad apple can still be found in the bunch, the profession has made significant strides in recent years to combat this false belief.Hospitals and health care centers nationwide have begun to embrace massage as a compliment to their traditional medical practices and most states have established licensing criteria for professionals who have the proper education and skills to become legitimate practitioners.
Nevertheless, criminals have continued to sully the profession's good name and in California an investigation by the state's certification board has unconvered their latest tactic: phony massage school transcripts.
Amazingly, prior to the investigation by California Massage Therapy Council (CAMTC), it was legal to sell a fake transcript in the state. Transcripts - along with criminal history records - are key credentials in the state's massage therapist certification system that allows therapists to practice legally.
The investigation began when the CAMTC discovered patterns in which certain "schools" seemed to have large numbers of graduating student with prostitution arrest records. Armed this and information from other sources, the CAMTC brought in an undercover investigator who would discover that these "graduates," mostly women of South Asian and South American descent, were part of a vast network of human traffickers profiting from prostitution.
The undercover investigator found that human traffickers were selling phony massage school transcripts so prostitutes could pose as legitimate therapists and work or operate massage parlors that are nothing more than fronts. The investigator told Massage Today that these suspected bogus "schools" were targeted based on tips, police information and an analysis of data collected by the CAMTC.
"Police departments who work with us, gave us every prostitution arrest along with the name of the schools they claimed they had gone to," said the investigator. Information was also obtained from the National Certification Board for Therapeutic Massage and Bodywork, as well as states like Texas that maintain close records of prostitution arrests.
Visit To a "School"
At a visit to one of these "schools," the investigator was taken to the back to meet with the Assistant School Director. "This one in particular looked nothing like a school. It was an ordinary house. Not to be stereotyping, but she looked like a madam with very provocative clothing and makeup. I told her I was interested in (buying a transcript) and she said 'yes, no problem' and asked me to come back in a few days with a check," said the investigator. "Some operated that way, at others, I was in and out with a transcript in two hours."
On another occasion, the investigator met with the director of a school whose ramshackle "office" was cluttered with what were clearly transcript templates and "stacks and stacks of photos of girls."
The investigator told Massage Today that in one waiting room, there were "many young women of Asian descent dressed provocatively." The investigator also said several of the bogus schools that came under scrutiny were also clearly houses of prostitution. "At this one place, it was pretty obvious they were conducting prostitution on the premises. The men who ran the place were lecherous and disgusting and had no qualms about commenting on my appearance," the investigator said.
"In one of the schools, I was in an office with a sliding door to the exterior. Men kept coming in that way saying they were there for massage appointments, but they looked and acted like johns," the investigator said.
Many of these "schools" not only created fake paperwork, but took fingerprints and included a photo of the "student" which the school then sent directly to the CAMTC for certification. Transcripts cost anywhere from $1,000 to $2,500 depending on the "school."
The CAMTC was established by the legislature in 2008 to provide a voluntary certification process for therapists. To obtain legal certification from the CAMTC as a Certified Massage Therapist in California, a person must prove they have 500 hours in classroom training from an accredited school and have a clean criminal record. They must also provide fingerprints and a photo as part of the application process. There are additional means of obtaining CAMTC certification. For a full explanation go to the to CAMTC website.
The Profession Acts
Urged on by the CAMTC and with major support from the Orange County (CA) District Attorney's Office, California State Senator Lou Correa has introduced legislation that would make providing fraudulent transcripts a misdemeanor subject to specific penalties. Meanwhile, the CAMTC is now refusing to accept transcripts from schools identified in the investigation as nothing more than diploma mills.
As introduced, Correa's Senate Bill 285 states: "This bill would provide that a person who provides a certificate, transcript, diploma or other document, or otherwise affirms that a person has received instruction in massage therapy knowing that the person has not received massage therapy instruction consistent with that documentation or affirmation is guilty of a misdemeanor and is subject to specified penalties. By creating a new crime, the bill would impose a state-mandated local program."
"The bill would require a law enforcement agency, for any person that is criminally prosecuted for a violation of law in connection with massage therapy, to provide to the Massage Therapy Organization information concerning the massage therapy instruction received by the person prosecuted."
SB 285 was referred to the Senate Committee on Public Safety and was scheduled for a hearing just as this issue went to press. Massage Today will continue to follow SB 285 as it makes its way through the legislative process.
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