resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
May, 2014, Vol. 14, Issue 05
Understanding Stimulus Response by Engaging with Readers
By Ralph Stephens, BS, LMT, NCTMB
I open this column with a sincere thank you to all who responded to the last three columns. The responses and discussions have been thoughtful and inspiring. Many of you asked how you could help bring about or implement the suggestions.In a word, get involved. Oops, that was two words, sorry. Some of you forwarded the columns to your State Massage Boards. Great, keep the heat on. Show up and let them hear your concerns. You will be heard, as very few care enough to show up to give Boards input and without your input, they do the best they can think of at the time. They are good meaning, dedicated volunteers who put in a lot of time and effort. They appreciate input. Get involved. Stimulus is the only way to get a response. Oh, and stay involved.
When our Stakeholder groups meet, they met in secret. The AMTA Board of Directors, who claim to be a member driven association, have kept their agenda secret from members for years now. When all the Stakeholders meet together, it is in secret. It is time we demand transparency and openness from all our Stakeholders and organizations. If what they are doing is so good for us, why can't we know about it? If you have to hide and work in secret you are not serving the profession or the public, you are serving yourselves. Leaders should never be blindly trusted, they must be held accountable, as history shows, power corrupts. Get involved and stay involved. Citizen involvement keeps societies free.
My volunteer time in the AMTA and on the Iowa Board of Massage was not only rewarding and productive, but a very valuable, career enhancing experience. Get involved and stay involved. You will get out of your profession what you put into it. A few passionate, driven people most often change the world. Become one of them.
To my fellow educators of this profession, it is time you get actively involved and lead. If you cannot or feel you dare not endanger your gigs or attendance, join the Alliance for Massage Therapy Education (AFMTE) and help support teacher standards and all the work the AFMTE is doing for you. Educators are the "Brain Trust" of our profession and need to be heard. The AFMTE can be your voice if you become active and no one will know it is you, because you become part of the voice of the massage education community. It is a great group to be a part of and to hang with. Get involved. Stay involved.
A generation of massage educators is reaching the age where they are passing the torch and even leaving the planet. This generation founded the modern massage movement in the U.S. Most are now in their 60's and beyond and many are still doing very well and are very active. Others are slowing down or retiring, and sadly, some are leaving us. For those of you who desire to study with the Masters and to learn from their true wisdom, don't put it off.
A Better Way
It is human nature to look for a better way and to resist changing to it. One of the delights of writing this column is the people who strike up conversations with me about the topics I write on. About 10 years ago, Lawrence Woods, a therapist from Indianapolis, challenged me on a therapy tip I had published. After several correspondences, we agreed we were both right. Our conversations continued and I found him to be quite an innovative therapist who had been trained by the best of the best around the world. As I travel through Indiana frequently, I decided to make an appointment with him and receive some treatment. His work was excellent and I continued to receive therapy from him whenever travel schedules allowed. About five years ago, he revealed to me what he had been researching and working on for a number of years. It was the perfection of a concept that has been around for decades, that I had seen in various forms from time to time, but it never worked consistently or predictably. If it worked, great, if not, you did something else. Lawrence had finally taken this concept and put together a system for treating soft-tissue that is predictable, consistent, painless to the patient and relatively easy on the therapist. Using Sherrington's Second Law, precise kinesiology and anatomy, a lot of insight and thousands of clinic hours of trial and error, he has developed a system that has completely changed the way I approach soft tissue therapy.
After decades of deliberately manipulating the painful muscular tissues of my clients, I found I no longer have to inflict discomfort on my clients to help them feel better or hurt myself in the process. There is no longer any need to cause pain or even "mild discomfort" to change the tonus of muscles. This other approach, which he calls Neural Reset Therapy® or NRT, seems to affect the hypertonicity of muscles much more profoundly than any other method that I'm aware of. I have been a therapist for 28 years and it's only been the past couple years, since learning NRT, that I have been enjoying treating people as much as I did in the beginning years of my career as a massage therapist.
I have felt and taught for some time that massage is a stimulus response mechanism, not as mechanical as some assume. We are stimulating mechano-receptors to elicit the inhibition response back to a target muscle or point. However, we have been walking a fine line between the mechano-receptors and the nociceptors, trying to keep our stimulus strong enough to elicit a response, which requires discomfort for the patient, but not so strong as to cause pain and the resulting protective contraction. I knew there had to be a better way to utilize the body's reciprocal inhibition mechanism in a way that would last beyond the moment of movement to "reset" the tonus of a muscle. Lawrence has achieved that with his NRT. Look interesting? Watch for more explanations of how to better address soft tissue faster and easier than ever before.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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