resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
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.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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%.
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.
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).
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
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.
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.
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.
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.
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).
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.
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.
August, 2012, Vol. 12, Issue 08
Massage Profession Growing Up
By Christy Schumacher, NCTMB
Thanks to integrative medicine and the growing inclusion of massage therapists in conventional medical and health care treatment protocols, there is a growing segment of professionals who call themselves massage therapists, but provide services and expertise that go beyond either the delivery or teaching of massage therapy.We are business consultants, entrepreneurs, authors, marketers, academics and otherwise substantial contributors to varying industries that go beyond luxury and personal services to include medicine and health care, exercise and sports, among others. With these advancements, we are able to influence the politics, economics and delivery of health care in ways that advocate on behalf of patients and expand our options as professionals.
A little over a decade ago, I began studying massage therapy, nutrition, herbology and other means of "natural" healing. By 2003, I was practicing as a licensed massage therapist and obtained my National Certification in 2005. After developing a love of massage and integrative medicine (acupuncture, chiropractic, naturopathic medicine, etc) I decided to design my bachelor's degree around patient advocacy and the ethics of integrative health care. However, the love I had for practicing massage therapy was striking compared to my other endeavors. Even after graduating from a great university with a self-designed degree, I chose to continue on as a massage therapist at the spa where I worked for more than two years. However, in 2008 I found myself abruptly on disability with little chance of re-entering the massage profession. I began to wonder: if one cannot physically provide massage full-time (or even part-time, in my case), how can they call themselves a massage therapist?
After recovering from a number of orthopedic surgeries, almost two years on disability and facing a faltering economy, I decided to re-enter the integrative health care field through volunteer work. It was important to me to help an organization that understood how necessary it is to expand access to massage therapy and other integrative health services to under-served and low-income populations. My time in school revealed that the overwhelming majority of consumers of massage therapy (and other complementary and alternative health care services) are people that mirror several of the following demographics: white, middle to upper-class, college-educated and female. My contention is that massage therapy can provide an extraordinary contribution to the health care system of the 21st century for all communities regardless of status. And after going through an extensive orthopedic disability, with limited to no ability to access these services through my insurance, I became overwhelmingly committed to working to advance the massage profession for all patients.
At the end of 2010, I made contact with Alternative Healing Network, a 501(c)(3) non-profit in San Diego. The organization itself has three main endeavors: free weekly clinics in under-served neighborhoods, special events such as a Healing Arts Festival and an integrative health and wellness center called Adams Avenue Integrative Health. As soon as I began volunteering, I realized how special this organization was. This was the perfect opportunity to utilize my expertise in integrative medicine and contribute to the evolution of our health care system.
Alternative Healing Network is close to reaching sustainability through its storefront wellness center, the Adams Avenue Integrative Health. Profits subsidize services on a sliding scale, allowing access to almost all income levels, but more importantly, the storefront provides the means to provide free services each week in under-served neighborhoods. In 2011, an additional monthly clinic was started to provide services to survivors of domestic violence (and the employees who work at the shelter). This system of community service through internal sustainability is quite unique; most non-profits rely primarily upon grants and donations. It was an intriguing concept and one that I saw much potential in.
As the Chief Executive Officer, I have novel ideas about how to run Adams Avenue Integrative Health and make it truly sustainable while providing a template for the future of health care. One of the first changes I made was to announce that gratuity was included in our existing prices. Obviously not an easy sell to my staff, this has proven to be an incredible means for improving access to those who would otherwise not utilize massage for regular wellness care. My reasoning behind this: when do you tip your nurse, your doctor, your physical therapist or your phlebotomist? These are respected professionals who are considered legitimate health care providers. Why should we give our patients or clients another reason to not consider us similarly? Allowing consumers/clients/patients a means to access massage without the stress of not knowing how much to pay or tip, has been a powerful incentive to sustain their patronage.
One of the most interesting facets of my time at the center, is drawing upon my expertise in patient communication, compliance and ethics. I fully credit my education and work as a massage therapist in my by ability to speak to these issues. Every massage therapist knows that when someone gets on your table, they feel apt to reveal anything and everything to you. Often times, this bumps up (or even crashes) against our scope of practice as therapists. We have all been asked questions about things that are completely beyond our scope of practice and we must learn effective ways to answer these questions. Now that my job is to manage a team of varied clinicians, it is clear that this is not unique to massage therapists. In fact, all health care providers encounter this and benefit from knowing where their scope ends and their colleague's scope begins.
Leading a team of complimentary and primary health care providers is an incredibly fulfilling way to continue a career as a massage therapist. The technical education, the professional experience and the people I meet and work with have made it all worthwhile and unspeakably fulfilling. There are many ways to call yourself a professional massage therapist and pursue your ultimate dreams of helping those around you reach and maintain health and wellness.
Christy Schumacher is a medical ethicist and massage therapist who works with integrative health care practitioners to improve access to and utilization of professional massage therapy within conventional medicine. She has a strong background in public health, evidence-based medicine and outcomes-based models of care.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.