resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Treating LBP the Right Way: Think Natural
An updated clinical practice guideline from the American College of Physicians (ACP) recommends spinal manipulation and other non-invasive, non-drug therapies as first options for acute, subacute and chronic low back pain, rather than pain medications, as stipulated in the original 2007 guideline.
Scope of Chiropractic Practice: Why Now Is the Time to Expand
In my January article, "Scope of Chiropractic Practice: Is It Time for Change?" I discussed the use of the term primary spine care practitioner, the loss of privileges to diagnose in Texas, and the fact that the definition of "chiropractic" varied from state to state.
5 Ways to Enhance Your Family Practice
Every practice has a personality style. A practice that caters to athletes, PI cases or adults, for example, projects differently to patients than a family wellness practice.
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
News In Brief
A "Modern" Business Model. Acupuncturists may have a new professional atmosphere to consider, as a new concept is on the horizon - at least for one business.
Waist Circumference: A Conversation Starter (Part 2)
Now let's discuss the clinical approach to reducing WC and implementation in today's chiropractic practice. The primary intervention centers around dietary modification and lifestyle habits aimed to reduce adiposity, improve insulin sensitivity and ultimately, diminish systemic metabolic dysfunction.
Good Works at the Canandaigua VA
Faculty and students of the Finger Lakes School of Acupuncture and Oriental Medicine (FLSAOM) of the New York Chiropractic College have provided acupuncture to veterans at the Veterans' Administration Medical Center (VAMC) in Canandaigua, New York since September of 2007.
Chiropractic: A Great Fit for the White House
Dr. Eric Kaplan is a New York Chiropractic College alumnus; a No. 1 best-selling author whose books include Awaken the Wellness Within and The 5 Minute Motivator; a chiropractor for professional sports teams and elite athletes; and even served as an advisor under the Clinton Administration to the President's Council on Sports & Physical Fitness.
What's Bugging You? Probiotics and Your Health
An estimated 100 trillion microorganisms representing more than 500 different species inhabit every normal, healthy bowel. Gut-dwelling bacteria keep pathogens in check, aid digestion and nutrient absorption, and contribute to immune function.
Treating the Terrain of Chronic Sinus Infections
Chronic sinus infections can be stubborn to treat, but the therapeutic path forward can be simplified when utilizing three distinct treatment principles which take into account the terrain of the body, and the way in which microbes grow.
Shedding Light on the Benefits of Heliotherapy
I can't imagine anyone not feeling good strolling in the sun on a beautiful spring day. The sun is responsible for all life on earth and is best illustrated along the equator touting the richest biodiversity on the planet, in stark contrast to the Arctic Circle and South Pole.
Making Sense of Liver Regulation
In Chinese medicine, the liver has the function of moving and storing qi and blood. In its moving function, the liver smoothly distributes qi and blood to the tendons, muscles and flesh through microcirculation.
NSAIDs No Better Than Placebo for Spine Pain
A meta-analysis of randomized, placebo-controlled trials comparing the efficacy and safety of NSAIDs with placebo for spinal pain concludes that among 6,065 spine pain patients, "NSAIDs reduced pain and disability, but provided clinically unimportant effects over placebo."
Toxicity & Kids: The Importance of Environmental Intake
The old adage is true that children are not little adults. Traditional Chinese medicine (TCM) has long known that the physiology of children is unique, as are the diseases that plague them.
Caring for Refugees in Greece
At the beginning of 2016 I had no idea what was in store for me, but I was looking forward to a personal retreat on the Greek island of Paros; a graduation gift to myself after 22 years of motherhood, and four-plus years of Chinese medicine school.
The First (Only) Choice for Spinal Pain
The study on NSAIDs for spinal pain summarized on the front page of this issue is intriguing on a number of levels, the most obvious being the conclusion that "compared with placebo, NSAIDs do not provide a clinically important effect on spinal pain, and six patients must be treated with NSAIDs for one patient to achieve a clinically important benefit in the short-term."
Insomnia Treatment Based on the Yu Theory
In recent years, acupuncture has risen in popularity as a form of alternative or supplemental medicine for the treatment of many different types of disorders.
The Chiropractor's Guide to CRISPR
Science magazine's "Breakthrough of the Year" award for 2015 was described as "the gene-editing tool called CRISPR." CRISPR stands for "clustered regularly interspaced short palindromic repeats."
The Qi Focus: A Guide to Managing Stress
Stress, are you experiencing heightened stress levels? Your own, and your clients? Is Trumpitis getting to you? I recently polled a cluster of acupuncturists, Asian Bodywork Therapists (ABT) and psychotherapy colleagues on the issue.
Help Save an Important Chiropractic Landmark
The chiropractic profession has a splendid and varied history. Sadly, many landmarks have been lost to bulldozers and wrecking crews, such as the Ryan Building, Little-Bit-O-Heaven, Spears Chiropractic Hospital, and Clearview Sanitarium.
Give Your Patients the Ergonomic Advantage
Prolonged sitting contributes to low back pain and is a health risk. When I discuss my POLITE technique practice recommendations with patients, ergonomics may be last, but not least!
September, 2011, Vol. 11, Issue 09
Embracing the Future of Integrated Care
By Whitney Lowe, LMT
There is no shortage of complaints about the health care system, whether in this country or abroad. Unfortunately, we don't get as much press attention for those things that actually are innovative and working well.There is a movement afoot where practitioners are looking at ways to offer the most optimum means of treatment in a patient-centered healthcare approach. This method of integrated care is an exciting departure from what we have seen previously as the dominant model in our health care system.
While there are many situations in clinics where health professionals in different fields work together, as a general rule, our professions work and exist in separate silos. Each of our professions has a unique culture, literature, attitude, and perception. We tend to view the other professions through the lens of bias created by our own profession.
Yet, for any patient or client to derive the best care, in many situations the skills of different professionals are needed. For this to work we must get out of our silos and learn more about each other as healthcare professionals. I have had the great fortune to work with two different organizations that are doing this in very inspiring and unique ways and there is much that we can learn from them in providing the most effective patient- or client-centered care.
Several years ago, I began working with the Academic Consortium for Complementary and Alternative Health Care (ACCAHC). This is one of the most passionate and interesting groups I have ever worked with. I first met many of these individuals prior to ACCAHC's formation at the National Education Dialogue (NED) held at Georgetown University in 2005. The purpose of NED was to bring together physicians and deans of academic medical centers with leaders in the alternative health care professions, to talk about educating future practitioners so we could learn more about what we do in each other's professions. It was simply amazing to sit at the table with physicians and mainstream medical academics who were eagerly interested in learning about what we do in massage therapy and alternative healthcare.
ACCAHC grew out of the NED and is an organization of representatives from alternative health care professions. The primary focus of ACCAHC is to encourage a patient-centered healthcare model that includes integration of all healthcare modalities to find the most effective and appropriate care for each individual. In order for this to occur effectively, the practitioners, educators, and researchers from each of these professions must first learn a great deal about what others in different fields do. While I thought I had a pretty good understanding of the other alternative healthcare professions, it became very clear early on that there was so much I didn't know about how care was delivered in these other fields.
One of the major projects currently underway for ACCAHC is a focus on interprofessional education (learning about what other professions do). When you think about referring a client to someone else for care, it is really essential that you have a thorough grasp of the treatment approaches used for that individual. We must understand how massage interfaces with those other treatments. Similarly, when a client is referred to us from some other practitioner, we need to understand the approaches that have been used previously and why they may or may not have been effective. Interprofessional education is at the core of this understanding and the initiatives of ACCAHC are highly valuable in bringing massage therapy forward.
Unfortunately, not all of the organizations in the massage therapy profession have recognized the crucial importance of ACCAHC's work. We have had good representation from educators, clinicians, and researchers, but in order to move forward as a viable profession within this organization we must also have a strong and proactive participation from our accreditation and certification bodies.
The second group that illustrates a great model of integrated care is one that I've very recently become involved with. It is called TRIARQ and is headquartered in New York. TRIARQ was started by a number of physicians and physical therapists who recognized that they were both working with the same patients, but in many instances not benefiting from a thorough and comprehensive understanding of the treatment approaches they were each using. As the TRIARQ website states:
"Healthcare for patients with musculoskeletal injuries is fragmented among physicians, physical therapists, occupational therapists and patients. Historically, there has been limited communication or coordination of care amongst these groups. We are seeing fundamental changes in the philosophy of patient care including stress on continuity, quality, scientific-based treatment and performance of healthcare professionals. The success of treatment, measured by patient satisfaction, needs to improve."
Because musculoskeletal injuries make up a huge segment of healthcare expenditures, it is essential that we encourage greater collaboration between those professionals who treat musculoskeletal injuries. TRIARQ has recently opened up their membership to massage therapists and actively encourage the participation of massage professionals in this interprofessional dialogue. After speaking at a recent symposium with them in New York, I was once again thoroughly impressed by the degree of respect and mutual collaboration amongst all the individuals representing their own unique perspectives. It is this type of integrated healthcare that will provide clients and patients the most effective opportunities to enhance their health and well-being.
I would encourage all massage therapists to seek out not only these organizations, but any opportunities to enhance your own understanding and awareness of what people in other healthcare fields do so you can best understand how to integrate those practices with your own. We are at a place in our health care system where we must get out of our individual silos and find ways to deliver optimal integrated care. The more we learn about each other the better we will be in our own approaches.
Click here for more information about Whitney Lowe, LMT.
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