resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Older Patients, Stroke Risk and Manipulation
The first population-based study in the United States to evaluate stroke risk following spinal manipulation – and the first involving older adults – suggests that "[c]hiropractic cervical spine manipulation is unlikely to cause stroke in patients aged 66 to 99 years with neck pain.
Viewpoints: Massage Reduces Nonspecific Shoulder Pain, Improves Function
While seemingly universal, pain and stiffness in the shoulders can be a significant cause of disability. Often a pain that does not go away on its own, shoulder complaints tend to linger, sometimes for 12 months or longer.
How We Can Help the Injured Brain
The majority of patients with mild traumatic brain injuries recover within seven to 10 days. If concussion signs and symptoms continue beyond seven days, the diagnosis changes from acute concussion to post-concussion syndrome.
Pain Is Only a Piece of the Puzzle
More often than not, when a patient presents to the office, it is for a pain complaint: headache, neck pain, low back pain, sciatica, carpal tunnel, etc.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Striking a Blow to the Medical Monopoly
The U.S. Supreme Court has issued a landmark ruling in North Carolina State Board of Dental Examiners v Federal Trade Commission.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Managing Tibialis Posterior Tendon Injuries
The tibialis posterior is the deepest, strongest and most central muscle of the leg, with fibers originating from the tibia, fibula and interosseous membrane.
Treating GERD and Incontinence: Focus on Trigger Points
Gastroesophageal reflux disease (GERD) is defined as the regurgitation of stomach acid in the esophagus. Previously, it was thought that GERD was caused by a hiatal hernia, but recent trials suggest the cause is an inability of the hiatal sphincter to contract normally.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
What Do You Know About Physician Compare?
Physician Compare is a website that allows consumers to search for and obtain information about physicians and other health care professionals who provide Medicare services.
News in Brief
ACA Exec. Vice President Out, Acting EVP In; F4CP Executive Director Retires; New ED Named.
Keep Seniors Safe: Age-Proofing the Home
I want to give Dr. Claudia Anrig kudos for her Dec. 1, 2014 column, which highlighted safety issues youngsters might encounter in the home.
God and the Chiropractor
My wife went to church last Wednesday night and brought home a CD of the pastor's message. As she handed it to me, she said, "You should listen to this; you'll like it." Our family regularly goes to church and our faith plays a major role in our lives.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
Joint Supplements for Athletes (Part 2)
A fairly recent discovery in nutrition supplemental medicine has proven to be a breakthrough in maintaining athletic joint health. Research suggests a combination of undenatured type-II collagen and tetrahydro-iso-alpha acids helps revitalize joint function and performance in athletes.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
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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