resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
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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