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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.
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.
Talking to Patients About Lumbar Facet Denervation (Medial Branch Neurotomy)
Lumbar facet denervation, more appropriately termed medial branch neurotomy (MBN), is a procedure that may be considered when patients suffer from recalcitrant non-radicular axial back and/or leg pain.
Turning a Blind Eye to History – and Reality
The American Medical Association is taking the Supreme Court's Feb. 25, 2015 decision exactly as it always does – by turning a blind eye to history, legal precedent and reality.
Sleep, Less Sleep or No Sleep?
I had a dream I wasn't getting enough sleep. It was a very realistic dream, even though I was probably slightly awake and not really deep dreaming. Most likely I had been dozing, caught in that twilight of sleep and wakefulness.
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.
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.
Low Back Pain in Professional Golf: A Common Muscular Relationship
Every sport creates its own unique demands on the body. Some sports require such a myriad of body positions that assessing pathology is often difficult and unpredictable.
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.
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.
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.
A View From the ER
The University of Western States has inked an innovative agreement with local nonprofit health system Legacy Health whereby UWS sports-medicine fellows can experience observational clinical rotations in emergency-room settings within the Legacy system.
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.
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.
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!
Applying the Thin Skull Principle
The "thin skull" principle, also known as the "you take your victim as you find them" principle, is a legal principle that can be summed up by the following statement.
A House Divided?
The American Chiropractic Association's House of Delegates voted on 30 resolutions at its annual business meeting in Washington D.C., but two in particular took immediate center stage due to their controversial nature.
Optimism = Compassion = Trust
A randomized clinical trial recently published online in JAMA Oncology examined how patients viewed their doctor based upon how the practitioner presented bad news to the patient.
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."
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.
Functional Hip Impingement (Part 1)
Every time I sit down to write an article, I realize how much more there is to know about musculoskeletal pain. I also learn something new every time. (I want to give special thanks to Lucy Whyte Ferguson for assisting with this article.)
April, 2012, Vol. 12, Issue 04
Legislative Changes in Several States
Bills In Tennessee, Iowa And Florida Have The Profession Taking Action.
By Kathryn Feather, Senior Associate Editor
A series of bills across the nation have put the spotlight on massage therapy and the profession is making its voice heard.Massage therapists in Tennessee, Iowa and Florida are getting involved in the legislative process. As of press time, here are the updates to the legislative battles happening in each of these states.
The Tennessee bills 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, have 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."
Iowa House File 2342 has generated quite a bit of discussion regarding education requirements and how those requirements effect portability. In its current form, the bill states that: "In order to be licensed under current law, a massage therapist must complete a massage education curriculum at a school approved by the board of massage therapy requiring at least 600 hours of supervised academic instruction. This bill eliminates the 600-hour requirement and substitutes specific educational requirements and requires approval of massage therapy schools by the board of massage therapy."
The bill is sponsored by Representative Matt Windschitl and at this point the language doesn't make it clear why the change in educational requirements and what this change seeks to accomplish. It doesn't spell out what those new specific requirements will be and without a benchmark, how does a school obtain "approval by the board?" Without a specific hour requirement, would it be possible for anyone who can learn to take a national certification exam to obtain a license without having many hours actually performing massage therapy? These and other questions have been swirling around social media and massage therapy blog sites. Massage Today will continue to follow this legislation and provide updates as it progresses.
Keith Eric Grant, a board member of the California Massage Therapy Council said he "doubts that the original intent of the bill was to eliminate the educational requirements. On the other hand, legislators often don't realize how sensitive such issues are within the massage community. There's been too many instances of massage bills being pushed that didn't have prior consensus. There is certainly naivete, at best, in considering pushing for legislation without getting all massage stakeholders aware and onboard."
The bill was submitted to the commerce committee for a reading where it currently sits. To read the bill in its current form and to track its progress, visit http://coolice.legis.state.ia.us/Cool-ICE/default.asp?Category=billinfo&Service=Billbook&frame=1&GA=84&hbill=HF2342. To find our who your state representative is and contact them to share your thoughts on this bill, visit https://www.legis.iowa.gov/Legislators/house.aspx.
Massage therapists and acupuncturists have been drawn into the battle over Florida's personal injury protection (PIP) insurance fraud problems. PIP fraud costs Florida drivers hundreds of millions of dollars annually and Gov. Rick Scott has made reforming this problem one of his top priorities. The Florida House passed the bill (HB119) on Friday, March 2, 2012, and it was under debate in the state Senate as this issue goes to press. Senate Bill 1860, in its current form, puts no time limit on treatment but eliminates massage therapy and acupuncture, now covered under PIP, after an accident.
Massage Today columnist and massage therapy insurance expert, Vivian Madison Mahoney believes "excluding massage therapy is not only discrimination, but will not solve the fraud, accident staging and money making schemes caused by organized criminals." Mahoney believes this bill further limits the health care options for Florida residents without really addressing the loop holes used by those engaging in fraudulent insurance practices. To view the bill as it was debated, visit www.flsenate.gov/Session/Bill/2012/1860/BillText/c2/HTML.
As this issue goes to press, SB1860 is scheduled for a vote on Friday, March 9, 2012. Visit www.massagetoday.com for the latest on this legislation and how it will impact Florida massage therapists.
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