resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Treating LBP the Right Way: Think Natural
An updated clinical practice guideline from the American College of Physicians (ACP) recommends spinal manipulation and other non-invasive, non-drug therapies as first options for acute, subacute and chronic low back pain, rather than pain medications, as stipulated in the original 2007 guideline.
Scope of Chiropractic Practice: Why Now Is the Time to Expand
In my January article, "Scope of Chiropractic Practice: Is It Time for Change?" I discussed the use of the term primary spine care practitioner, the loss of privileges to diagnose in Texas, and the fact that the definition of "chiropractic" varied from state to state.
5 Ways to Enhance Your Family Practice
Every practice has a personality style. A practice that caters to athletes, PI cases or adults, for example, projects differently to patients than a family wellness practice.
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
News In Brief
A "Modern" Business Model. Acupuncturists may have a new professional atmosphere to consider, as a new concept is on the horizon - at least for one business.
Waist Circumference: A Conversation Starter (Part 2)
Now let's discuss the clinical approach to reducing WC and implementation in today's chiropractic practice. The primary intervention centers around dietary modification and lifestyle habits aimed to reduce adiposity, improve insulin sensitivity and ultimately, diminish systemic metabolic dysfunction.
Good Works at the Canandaigua VA
Faculty and students of the Finger Lakes School of Acupuncture and Oriental Medicine (FLSAOM) of the New York Chiropractic College have provided acupuncture to veterans at the Veterans' Administration Medical Center (VAMC) in Canandaigua, New York since September of 2007.
Chiropractic: A Great Fit for the White House
Dr. Eric Kaplan is a New York Chiropractic College alumnus; a No. 1 best-selling author whose books include Awaken the Wellness Within and The 5 Minute Motivator; a chiropractor for professional sports teams and elite athletes; and even served as an advisor under the Clinton Administration to the President's Council on Sports & Physical Fitness.
What's Bugging You? Probiotics and Your Health
An estimated 100 trillion microorganisms representing more than 500 different species inhabit every normal, healthy bowel. Gut-dwelling bacteria keep pathogens in check, aid digestion and nutrient absorption, and contribute to immune function.
Treating the Terrain of Chronic Sinus Infections
Chronic sinus infections can be stubborn to treat, but the therapeutic path forward can be simplified when utilizing three distinct treatment principles which take into account the terrain of the body, and the way in which microbes grow.
Shedding Light on the Benefits of Heliotherapy
I can't imagine anyone not feeling good strolling in the sun on a beautiful spring day. The sun is responsible for all life on earth and is best illustrated along the equator touting the richest biodiversity on the planet, in stark contrast to the Arctic Circle and South Pole.
Making Sense of Liver Regulation
In Chinese medicine, the liver has the function of moving and storing qi and blood. In its moving function, the liver smoothly distributes qi and blood to the tendons, muscles and flesh through microcirculation.
NSAIDs No Better Than Placebo for Spine Pain
A meta-analysis of randomized, placebo-controlled trials comparing the efficacy and safety of NSAIDs with placebo for spinal pain concludes that among 6,065 spine pain patients, "NSAIDs reduced pain and disability, but provided clinically unimportant effects over placebo."
Toxicity & Kids: The Importance of Environmental Intake
The old adage is true that children are not little adults. Traditional Chinese medicine (TCM) has long known that the physiology of children is unique, as are the diseases that plague them.
Caring for Refugees in Greece
At the beginning of 2016 I had no idea what was in store for me, but I was looking forward to a personal retreat on the Greek island of Paros; a graduation gift to myself after 22 years of motherhood, and four-plus years of Chinese medicine school.
The First (Only) Choice for Spinal Pain
The study on NSAIDs for spinal pain summarized on the front page of this issue is intriguing on a number of levels, the most obvious being the conclusion that "compared with placebo, NSAIDs do not provide a clinically important effect on spinal pain, and six patients must be treated with NSAIDs for one patient to achieve a clinically important benefit in the short-term."
Insomnia Treatment Based on the Yu Theory
In recent years, acupuncture has risen in popularity as a form of alternative or supplemental medicine for the treatment of many different types of disorders.
The Chiropractor's Guide to CRISPR
Science magazine's "Breakthrough of the Year" award for 2015 was described as "the gene-editing tool called CRISPR." CRISPR stands for "clustered regularly interspaced short palindromic repeats."
The Qi Focus: A Guide to Managing Stress
Stress, are you experiencing heightened stress levels? Your own, and your clients? Is Trumpitis getting to you? I recently polled a cluster of acupuncturists, Asian Bodywork Therapists (ABT) and psychotherapy colleagues on the issue.
Help Save an Important Chiropractic Landmark
The chiropractic profession has a splendid and varied history. Sadly, many landmarks have been lost to bulldozers and wrecking crews, such as the Ryan Building, Little-Bit-O-Heaven, Spears Chiropractic Hospital, and Clearview Sanitarium.
Give Your Patients the Ergonomic Advantage
Prolonged sitting contributes to low back pain and is a health risk. When I discuss my POLITE technique practice recommendations with patients, ergonomics may be last, but not least!
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.
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