resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
May, 2014, Vol. 14, Issue 05
Understanding Stimulus Response by Engaging with Readers
By Ralph Stephens, BS, LMT, NCBTMB
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, NCBTMB.
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