resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
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.
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