resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
News in Brief
ACA Exec. Vice President Out, Acting EVP In; F4CP Executive Director Retires; New ED Named.
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.
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!
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.
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.
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.
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.
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.
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."
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.
February, 2012, Vol. 12, Issue 02
Challenging Sacred Cows, Round Two
By Ralph Stephens, BS, LMT, NCTMB
Part I of this column in November 2011, rang a bell with many of you, mostly positive. I sincerely appreciate all the responses. I hope even more of you sent your input to the governing bodies of our profession. They need to hear the roar of the crowd in their boardrooms.
I want to clear up something before I go forward. First, an esteemed colleague and visionary of our profession wrote to me asking if I did not believe in science because of my comment, "While I am not a fan of evidence-based medicine..." Of course I believe in science. In fact, I believe Science is Golden. However, I am a seeker of truth and, quite often, science has become the seeker of political expediency. There is too much pseudo-science going on out there that's being accepted as truth. I am a huge fan of research and science. However, I do not see that evidence-based medicine and the resulting standards of care protocols have improved the health of the public. I do not believe that if we go to evidence-based massage protocols (for this you shall do that), we will serve the individual client better. It is an allopathic paradigm, based on obsolete Newtonian physics, desperately trying to protect allopath's Central Dogma. If we are going to base massage on research, it should be quantum physics-based, a new paradigm that treats the individual holistically. Sometimes I am probably too idealistic.
We have this deep longing to validate our profession through research. Yet, our profession is based on totally arbitrary standards, established out of expediency or consensus with no evidence or research to support them what so ever. Still, we defend them as if they had validity. Where did the 500-hour entry level standard come from? It was chosen in about 1985, primarily for the economic benefit of schools and to create more massage therapists faster. It was a down to a price instead of an up to a standard decision.
The National Certification Board for Therapeutic Massage and Bodywork (NCBTMB) institutionalized the 500-hour standard with its job task analysis. This was a classic case of "research" stacked to produce a desired outcome. The resulting certification exam degenerated into an entry-level licensing exam because that was where the money was. Yes, it was partly because it was the only "legally defensible exam" available and making it a licensing exam (forcing people to take it) generated the money to launch the organization successfully. However, it was a bastardization of the original vision, which was to elevate the profession with a meaningful certification. Instead, it set the lowest common denominator and institutionalized it.
There has been no scientific competency research to justify any of our various entry-level hour standards, 500, 650, 750, 1000 or whatever. Before we set any more standards based on arbitrary numbers of hours, we need competency-based criteria as to what is a required skill-set to provide excellent massage to the public. Work soon to be published by the Alliance for Massage Therapy Education (AFMTE) will clarify the MTBOK and map its knowledge, skills and attitudes into specific learning objectives. It is time we stopped picking our standards because some number looks or feels good. It is even more important that we stop picking hour numbers because that is how many it takes to get student aid, or maximize school efficiency or other greedy financial reasons. It is time we put the good of the massage consuming public first and focus all our efforts on serving them the best we can, with the highest quality and competency reasonably possible at entry level.
Where did 12 hours of mandated continuing education a year come from? It, too, is a dartboard number with no basis in reality. Is a day and a half a year really going to elevate anyone's skills? Is an unsafe therapist going to be made safe by 12 hours a year of forced attendance at some course or by purchasing a home-study program?
Since we so lust for research to validate what we do, how about validating our own standards with some? What proves that three hours of ethics every four years has any effect on the ethical behavior of our profession? Prove 12 hours (or however many hours) a year of mandated continuing education protects the public or brings about professional development. If you can't prove it, drop the mandate. What proves a provider approval process improves the quality of continuing education? All provider approval does is create cash flow for organizations and state regulatory boards. It does nothing to insure quality. It is another lowest common denominator process because if it is not, lawyers will tear it down. That is the society we live in. (Other times I am a realist.)
I am a continuing education provider. It is in my best economic interest to work for standards that force more people to take more continuing education. However, money is not my motivator. Providing the public with the best possible massage is. I do not think people forced to take continuing education necessarily learn a thing, practice safer, or utilize what they might learn. People should take continuing education because they want to better serve their clients, to become more successful, to grow and lots of other positive reasons.
As our various organizations attempt to improve our status by raising arbitrary standards, the new students, practitioners and providers are being "taxed" to death. As I look over the landscape of our profession, the most glaring inadequacy I see is the lack of standards and qualifications for massage instructors. While I am not a fan of following the allopathic model, in this case, I think it is time we follow the lead of nurses (and primary/secondary schools) in establishing qualification for massage educators. We need more quality in education, not necessarily more quantity. The time has come for this stage of advancement in the massage profession.
A new organization has been created and is working toward this and other improvements in massage education. It is the Alliance for Massage Therapy Education. You need to support this group immediately and help bring about this important plank in the professional development of our profession – the establishment of standards and training programs for massage therapy instructors at all levels.
We need to demand our standards for educational hours and continuing education hours be based on quality, scientific, non-politically or economically influenced research instead of "dart board numbers." If we can't prove it, why do it? Here is a great job for The Massage Therapy Foundation and a good reason to support and donate to them, too.
Membership organizations should be encouraged to contribute and support these efforts, but have little or nothing to say in the process. Their primary interest is more members, which is the main reason we have the mess of regulatory incongruences and arbitrary standards we have today.
As The World Turns
Meanwhile, the FDA is posed to take away food supplements. If you value your access to supplements, check out my previous article at www.massagetoday.com/mpacms/mt/article.php?id=14523. We are in the economic and political mess we are in because of the Ruling Class in Washington, DC. They write the laws, not Wall Street. As we enter this election year, remember it is all the fault of incumbents. Vote against every incumbent, of either party, every election. It is our only hope of breaking the Ruling Class and restoring freedom, which brings prosperity.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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