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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.
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%.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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).
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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).
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.
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.
February 15, 2012
Change in Obscure Tenn. Law Targets Profession
By Editorial Staff
BREAKING NEWS UPDATE: The Tennessee bill currently before the state legislature that previously sought to move the classification of massage therapy from the Department of Health Related Boards and place it under the Department of Commerce and Insurance, has now been amended to remove all references to the massage therapy profession. According to AMTA-TN Chapter President, Maj-Lis Nash, after being inundated with e-mails and phone calls, the Governor's office told her, "it was never the intention of the office of the Governor to imply that massage was not health related, and that the bill would be amended to completely remove the sections pertaining to massage therapy. Our massage board will remain under the Health Related Boards."
A statement released by the national office of the AMTA stated: "AMTA and the AMTA-TN Chapter would like to thank Governor Haslam for his willingness to work with massage therapy stakeholders to ensure an outcome that benefits everyone involved. We applaud the Governor for his commitment to massage therapy as a health-related profession and to protect both the public and our profession."
The state of Tennessee now has a bill before its state legislature that will have a significant impact on the massage therapy profession and its standing with consumers.
The current bills before the Tennessee General Assembly (HB2387/SB2249) would change the current law which classifies massage therapy under the Department of Health Related Boards and move massage therapy under the jurisdiction of the Department of Commerce and Insurance. The change is difficult to detect if looking to find this information on the General Assembly web site. Even the language in the bill refers readers back to other state codes to hunt for the change.
They key change appears in Sections 11 and 12 of the bill where it states, "Tennessee Code Annotated, Title 63, Chapter 18 is transferred in its entirety to Title 62, Chapter 45." The change is buried beneath other changes and even the summary makes the bill sound harmless. "As introduced, decreases the size of the board of directors for the Duck River Development Agency from 17 to 12; authorizes the commissioner of environment and conservation to appoint an executive to carry out the purposes of the Tennessee Heritage Conservation Trust Fund Act of 2005; revises other various provisions governing certain state agencies, committees, boards and commissions..."
Kris Bour, a massage therapist and instructor for Anthem Education Group in Nashville believes massage therapists, "need to be regulated by the board of health because we are a health care provider. This devalues us and everything we as a profession strive for. Moving us will make it impossible for us to ever bill for insurance and could have an impact on massage therapists working in hospitals. It may also make us a taxable service, putting massage that much further out of the public's reach and could have a higher attrition rate for therapists who just don't want to deal with getting nickeled and dimed to death anymore."
Laura Allen, who posted this and other important legislative information on the Massage Today Women in Business Blog, believes therapists must communicate their opposition to this bill with their legislators. "What this does is basically reclassify massage therapy from being a health profession to a ‘trade.' Insurance companies don't pay tradespeople; they pay health care professionals. I cannot urge you enough to pay attention to this, no matter where you are. When something detrimental like this happens, it just paves the way for other states to follow the leader."
At this time, no amendments have been added and the AMTA Tennessee Chapter has posted a sample letter that massage therapists can send to their elected representatives to ask that sections 11 and 12 be removed from this bill. At this time, it's unclear how massage therapy was included in this bill. To find your Tennessee legislator or read the bill summary and text, visit www.capitol.tn.gov/.
Editor's Note: There are additional legislative actions being taken in Iowa and Florida that will impact the massage therapy profession. Look for additional coverage of this legislation in the next issue of Massage Today.
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