Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
July, 2013, Vol. 13, Issue 07
It's Time to Start Bursting the Education Bubbles
By Ralph Stephens, BS, LMT, NCBTMB
Changes are upon the education community in the U.S.A. Massage education is no exception. In the mid-1980's, we had relatively few massage schools, best guesses are around 100 total. Massage schools peaked in 2009 at about 1,600.Now, the number is down to about 1,300. We have gone from about 74,000 students enrolled in massage therapy programs in 2005, to just over 40,000 in 2013. Talk about a bubble bursting - the trend is down with only 26.2% of massage schools reporting growth in enrollment since 2010. It is still amazing how we train more than 40,000 people a year, yet our profession has only grown 181,600 therapists in the past 14 years.
Something is very wrong with our educational system to produce that degree of dropout and failure. Are we as a profession in decline? (These numbers are from the recently released ABMP biennial massage therapy school enrollment census for 2013 and previous therapist surveys. Thanks to ABMP for this incredible work and for permission to share it here.)
There is also a lawyer bubble. Law schools became huge profit centers for colleges and the number of law schools increased from 175 in the 1980's, to 201 in 2013; however, the number of law school applicants is down 38% in three years. Reasons given are interesting. Seems law school deans are less than honest about the legal profession when recruiting. Seems most law students arrive at school misguided about the nature of legal practice. There are twice the graduates as there are jobs. Anything here look familiar? Both professions need a bit more honesty in advertising and recruiting.
The higher education bubble has also burst. The Wall Street Journal reported in May that the average "tuition discount rate" offered incoming freshmen last fall by private colleges and universities has reached an all-time high of 45%. At the same time, the "sticker price" tuitions at both private and public colleges increased by the smallest amount in 2012-13 than any of the last dozen years. Is higher education a worthwhile investment if it entails five, even six-figure college loan debt that cannot be discharged in bankruptcy?
Educational institutions have been awash with federal cash for decades. Federal Title IV funding has driven massage school expansion and enrollment, especially in for-profit corporate and chain schools. Now Americans owe more in student loan debt than we collectively owe on credit cards. What have students been getting for the money they owe, as well as the money the Feds are paying their schools on students' behalf? More administrators and more bureaucracy. "The scariest number I've seen is that in the Cal State system between 1970 and 2008 ... the number of faculty only went up 3%, but the number of administrators went up 237%," said Sean Flynn, a Scripps Economics professor. "The entire educational system has had massive amounts of money thrown at it and most of it has gone to things that have not improved the actual educational outcomes."
If the profession of massage is going to thrive and be an active participant in the healthcare community, either allopathic/traditional, alternative or hopefully both, some serious changes must be made in our educational system and they must be things that improve educational outcomes. Otherwise, we will be in a continuous down trending decline.
We need better screening of students, more honesty in marketing and trained, professional educators in the classrooms. This must start with the adoption into state laws or rules of teacher training standards for massage school instructors, phased in of course, but as quickly as possible. We need comprehensive teacher training programs and to bring them about we need the commitment and financial support of the major membership associations.
The beginnings of such programs have been created and published by the Alliance for Massage Therapy Education (AFMTE) as the Teacher Education Standards Project (TESP). Phase One of the TESP is now published and the development of the other phases is beginning.
Educators – Get Involved
The Alliance is the only stakeholder organization in the massage/bodywork profession that represents and advocates for our educators – schools, school instructors and CE Providers. If you care about the future of massage education, you need to belong to and participate in The Alliance. There is so much to be done. It needs to be done by our own educators.
The Alliance is hosting its annual conference this month, July 18 – 20, 2013, in St, Charles, Mo. (St. Louis). It is not too late to register and attend. If you want to join and be part of the greatest "brain trust" in massage education, if you care about the future of this profession, if you care about the direction of massage education and if you want to help raise the quality and abilities of massage teachers, you need to attend. Register now at www.afmte.org and help create a "Culture of Teaching Excellence."
The Bigger Picture
Setting standards is a great first step. Next we have to develop curriculum to train teachers to teach the lineage of our profession with both heart and mind. The dirty little secret here is that we need to develop the standards to create a group of teacher trainers – a group qualified to teach teachers how to teach. So it is a three-tiered process: training trainers, who train teachers, who teach students.
It is time our massage educators become active, yes vocal, in supporting The Alliance, creating the TESP and implementing changes in our massage educational system that brings about improved educational outcomes.
Until we can consistently turn out well-trained, skilled therapists, we will never be able to deliver the full potential of massage to the public. If we want to take our rightful place in the forthcoming integrative medicine system or even be accepted by the public as a reliable therapy for relaxation (or more), we must expedite the development of teacher standards. To my fellow educators at all levels - get involved and be a part of bringing our profession to its next level. It is educators that must lead the way.
Background Checks? Just say "NO!"
The National Certification Board for Therapeutic Massage and Bodywork (NCBTMB) is trying to impose background checks on therapists and even on continuing education providers. Somebody over there own an interest in a background check company? The problem with continuing education in the massage profession is not that criminals have become CE providers and are perpetrating crimes on CE course attendees. It is insulting and degrading that one of our stakeholder organizations thinks so little of us. Many of us fought for years to get out from under discriminative, degrading local ordinances requiring police inspections, STD tests, chest X-rays and generally treating us like prostitutes until proven otherwise. Now our own stakeholder is throwing us back into that era. Shame on you NCBTMB. I support your Board Certification Program, but not if it requires us being treated as criminal suspects. Background checks have no place in an advanced credential for a healthcare/wellness profession.
Click here for more information about Ralph Stephens, BS, LMT, NCBTMB.
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