resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
January, 2014, Vol. 14, Issue 01
Massage and the Medical Community: MD Provides Answers
By Sharon Puszko, PhD, LMT
A lot has changed in the field of massage therapy since I entered it 30 years ago. We now have specialty areas to focus in, continuing education to pursue, conferences and workshops to attend and many wonderful products to support and sell.Most importantly, massage therapy is now viewed by the majority of healthcare practitioners as a viable method of treating and managing health issues. Massage therapists are now on staff at hospitals, doctors' offices and assisted living facilities. And I do believe in my lifetime, we will see health insurance start to cover massage therapy for certain health issues.
In fact, one of my most loyal clients, Sara McCracken, happens to be a doctor. She retired from her position as the Director of the Breast Center at Methodist Hospital in Indianapolis after having a double mastectomy due to breast cancer. After experiencing the benefits of massage, she encouraged her mother (who was also a doctor) to start getting massages for herself as well. I decided to interview her, for a medical practitioner's view of massage in today's world. Below is part of our conversation.
Dr. M: Weekly, since 1996.
SP: Has your opinion on the benefits of massage changed over the years?
Dr. M: Yes, I used to see it as a mechanism for just pleasure and relaxation. However, after I had breast cancer and a year of chemotherapies, surgeries and radiation, I was too exhausted to do any exercise. I started getting massages soon after that on a regular weekly basis. It improved my circulation and really increased my energy levels which were abysmally low. I developed significant arthritis and joint pain from some of the drugs I was still taking to keep the cancer at bay. Massage helped me remain more flexible. After a few years, the radiation caused significant tightening of the musculature in my chest on the left side, as well as the left side of my neck. This caused significant imbalance of the intercostals and paraspinal muscles. I did have physical therapy for many months as well as therapeutic massage each week and the massage helped to slow down the contracture of the muscles.
SP: For what conditions/problems do you recommend massage to your patients?
Dr. M: I recommend it especially for people who have had radiation and many patients on cancer medications, both for stress relief and physical pain. I also suggest massage for people with arthritis and other joint problems.
SP: In your experience, what has been the most "misunderstood" concept about massage in the medical community?
Dr. M: That it has no medical benefit – that it is more like a pedicure or facial because so many therapists happen to be housed in beauty salons or spas.
SP: Do you have any thoughts on whether or not massage should or should not be covered by health insurance?
Dr. M: YES! I hope it is covered for therapeutic massage, such as geriatric massage, sports injuries and for conditions like arthritis and numerous other chronic health conditions.
SP: Anything else you would like to say about massage and its benefits?
Dr. M: My mother Margaret, now deceased, was a retired doctor with significant arthritis and poor circulation. Massage therapy really helped her circulation and arthritis pain. Again, she would not have risked a "salon" massage targeting the younger, healthier population. But after seeing my success with it and finding a massage therapist with continuing education skills that had a private practice, she was willing to try it, and ended up fully supporting it. We both frequently had leg cramps. Massage therapy helps to release the lactic acid build up. Some of my medications also give me quad and hamstring muscle cramps that can hurt for many days unless I get my massage. It seems to be the only thing that helps manage that pain. I just cannot stress enough how much massage has helped me and my mother. I whole heartedly recommend it to people suffering from chronic pain.
I didn't realize I had been working with Dr. Sara for almost 20 years until we started this interview! That is one of the many perks of this career: clients that end up becoming respected colleagues, good acquaintances or personal friends. As I reflected upon this, I realized how fortunate I am to have entered this career field. I have spent the past 30 years helping people feel better on a daily basis and now I get to teach the next generation of therapists to do the same!
Sharon Puszko is the owner/director/educator for Day-Break Geriatric Massage Institute. She may be contacted at
or through her Web site: www.daybreak-massage.com.
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