resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
February, 2013, Vol. 13, Issue 02
Encouraging a Call for Cure in the New Year
By Ralph Stephens, BS, LMT, NCTMB
If you are reading this, the world did not come to an end or significantly awaken in December. Sorry about that, but there is still hope, so onward we go into 2013.
Change Continuing Ed
In the spirit of full disclosure, I am a continuing education provider. I have been since 1988, way back in the last century when continuing education was not required by any organization. Only a few states had massage licensing laws and not all of them required continuing education for license renewal. In those ancient, more civilized times, therapists took continuing education courses because they knew full well their entry level massage school training was limited and inadequate and they desired to learn more to be able to better help their patients through the power of touch. That is still why therapists should invest in continuing education (CE) - to learn more than they currently know. This enables therapists to help more people and thus make more money. Good CE doesn't cost; it pays. It should be it's own incentive. Sadly, the reason way too many therapists take classes these days is to get CE hours, as quickly and cheaply as possible, because CE hours are required to renew a license. In so doing, many therapists then lack the resources to invest in courses that will truly advance their career. This is another example of the unintended consequence of over-regulation. It is time to end mandatory continuing education requirements for license renewal.
There is nothing to indicate or prove that massage therapists are endangering the public, and if they are, nothing proves that random CE courses provide any protection. Let's get back to encouraging, but not requiring, therapists to take CE courses that they are actually interested in to enhance their practices through more skills to help more patients. CE Hours should only be a means to improve skills, increase income and to be accumulated toward voluntary advanced certification programs or membership in organizations that promote increased and continued learning.
I know all about the argument that our entry-level is so low we need to force therapists to learn more, but are they learning more or just meeting a requirement? If they want to learn, they will invest in courses that attract them. If they do not want to learn more, they just go through the motions, taking the cheapest, quickest or most convenient course available. Some wait until the last minute and then take whatever is being offered that weekend, not caring what it is and just being there. A therapist told me she took an online, 24 CE hour, hands-on modality course that took her four hours to complete and she did not learn a thing. Is this advancing the profession or protecting the public? I think not. What do you think? Let your state board know.
Clinical Talk: Stimulus-Response
Every active movement your body makes utilizes a neurological process called reciprocal inhibition. When you flex a joint, the nervous system "automagically" tells the extensors of that joint to relax and allow themselves to be elongated. This is recognized in one of Dr. Sherrington's laws, The Law of Reciprocal Inhibition. For a brief moment during a movement, the antagonist muscle(s) is "turned off." What if we could utilize this mechanism, but make it last? We can.
Massage as well as stretching, is much more a stimulus-response effect on the body than a mechanical one. We apply a stimulus to the body's nervous system through pressure and movement and hope to elicit a relaxation or parasympathetic response either locally, systemically or both. Each massage stroke provides a different stimulus to the nervous system. Do you know what stimulus is being applied by each stroke you do? If not, you are working blindly and your results will often be unpredictable. How can you expect to create a deep relaxation response if you are applying an invigorating stimulus? The stimulus – response of each massage stroke is seldom taught.
More and more we are learning that massage is affecting the mechanoreceptors of the nervous system. If we cause pain, we activate the nociceptors which, once triggered, fire for some time. This is not desirable if you are attempting to achieve relaxation. We should be trying to only activate mechanoreceptors that cause relaxation of muscles.
What if we could activate mechanoreceptors in such a way that we elicited reciprocal inhibition to a target muscle or muscle group that would last for more than moments and would, in fact, "reset" the target muscle's tonus, allowing it to elongate as well as reducing the painful sensations? That would be pretty slick wouldn't it? I am now learning a new way of applying the law of reciprocal inhibition, which does just that. Called Neural Reset Therapy (NRT) it has been developed by a very accomplished, insightful therapist. NRT is the most amazing, fastest, easiest way of reducing pain and increasing range of motion I have ever experienced. Even more amazingly, he has discovered how to get the same effect on the opposite side of the body you are working on, all done without manipulating the dysfunctional muscle. Six technique applications based on neurological laws and kinesiology are used to stimulate various mechanoreceptors resulting in the "re-set." This is treating cause (dysfunctional tonus) at the brain level, not just the symptom at the segment level. Seminars in NRT begin in 2013. If you are curious, visit the NRT Facebook Page or my website at www.ralphstephens.com.
End Insanity or Ban It?
In 2013, we have experienced multiple events of ultra-violence, each one seemingly more horrific than the last. The allopathic mindset of the day reacts to address the symptoms. We say we abhor death and must eliminate its causes. Sadly, we are very selective in which causes of death and injury we are concerned about. We only address causes that are politically expedient and agenda advancing. Societal violence is a disease. Disease cannot be banned. Its symptoms can be suppressed or it can be cured. When symptoms of disease are suppressed, the condition arises somewhere else, usually with increased severity. We have to change the awareness of society and focus it on healing - treating causes, not symptoms. Awareness and self-love must be taught and nurtured. Compassionate touch is essential in this process. To commit acts of violence against humanity, individually or institutionally (much more horrific but not as noticeable or newsworthy) is committing violence against the Self, as we are all One.
If the massage profession could just elevate itself to its potential, instead of being content just pushing oil around, we could be the premier wellness modality on the planet. The world is waiting for us to get our act together. Will we, or will we sell out to the failed allopathic paradigm, it's brainwashing educational system model, and the myth that research on the treatment of symptoms will improve the care we provide thus gaining us "acceptance?"
If wellness were to break out it would be an economic disaster. Will we help the existing healthcare system prevent this outcome? Will we continue to help society justify human suffering in the name of profit? We have the power to change hearts and minds, to bring about wellness through the power of touch. Will we step up and use that power constructively or hide and suppress it out of our fear of being different? Different is desperately needed unless we want more of the same.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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.