resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
Sell Out: Using Research for the Wrong Reasons
The above chorus is from the ska band Reel Big Fish's 1997 hit song, "Sell Out," from their album, "Turn the Radio Off." In the song, the singer sarcastically relates the plight of a musician who is tired of "flipping burgers" and is willing to get "lots of money" by playing "what they want you to hear" in order to get a recording contract.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Do You Teach Patients How to Breathe Properly?
Spinal manipulation often produces quick results in terms of pain alleviation and improved range of motion. Unfortunately, once the patient is no longer in pain, they may discontinue therapy, only to be plagued by the same complaint at a future date.
The MRI: When and Why to Order One
As I lecture around the country to both chiropractors and medical specialists, it's clear one of the main disconnects between the two professions is that of an accurate diagnosis.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
News in Brief
A Winner in and Out of the Office; Ready for the "Have-A-Heart" Campaign? New Integrative Medicine Journal.
The Future of Functional Neurology
Functional is the hot buzzword in health care these days; witness the rising popularity of functional medicine, functional testing and yes, functional neurology.
The Amazing Clinical Versatility of Milk Thistle (Part 1)
Most of us know that the standardized extract from the seeds of milk thistle (Silybum marianum) is probably the best-proven herb for protecting the liver from chemical and inflammatory damage.
We Get Letters & Email
In the Dec. 1, 2015 issue, we have Donald Petersen reporting on "the adapting chiropractic practice," which includes multidisciplinary practice as an option; a ChiroPoll indicating 59 percent of DCs are seeing at least 21 patients per day and 27 percent are seeing more than 40.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
Elevated Shoulder? Check the QL
As you know, posture reveals a great deal about the body. Posture is a unique mental and physical landscape revealing compensations and adaptations to life. It's a classic mind-and-body story.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Top 10 Fitness Trends for 2016
The American College of Sports Medicine (ACSM) published its annual fitness trend forecast in the November / December 2015 issue of ACSM's Health & Fitness Journal.
Osteoporosis Isn't Always the Case
What is your diagnosis? The patient is a 58-year-old female with back pain. I am sure all of you see the compression fracture at L2; however, there are some findings that suggest this is not a compression fracture due to osteoporosis.
Preventing ACL Injuries in Female Athletes
For female athletes, the key to optimal athletic health lies in preventing ACL injuries. In medical terms, the anterior cruciate ligament (ACL) is the primary restraint to the anterior displacement of the tibia on the femur at all angles of the knee flexor.
Spine Surgery: A Tale of Greed and Corruption
All too often, where there's substantial money to be made, greed and corruption inevitably follow.
July, 2014, Vol. 14, Issue 07
The Existential Question and Talking the Walk
By Gerry Pyves
You don't need to be a psychotherapist to talk to your clients or find out why they are coming for a treatment. This is perfectly within your legal "scope of practice." By training to become a psychotherapist, I learned to say much, much less to my massage clients.I learned to let the touch really do the work. I also learned to let the client define their own reality.
You can get plenty of "psycho babble" at every coffee shop in the land. However, I do need to know just why my client is here.
Eric Berne, the founder of Transactional Analysis called this, "asking the existential question." He asked himself: "Why is my client here and not having fun doing sex, drugs and rock and roll?" He also asked himself: "Why am I here and not somewhere else, having fun doing sex, drugs and rock and roll?" It was the sixties, after all. But you probably get the point.
If the client has a tight shoulder, what difference will it make to their life if it is alleviated? How important is it to them? What caused that structural problem? They are made of soft tissue that is more affected by energy, emotion and thoughts than any other substance on the planet. Do we just ignore this fact? If they have a knee problem, what was happening when they injured it? Were they under stress? Was life hard?
Is any of this psychotherapy? Of course not - it is simple human interest. It only becomes invasive if it is done invasively. If you cannot tell the difference between a client keen to share their story and one who is uncomfortable talking about themselves, then it is time to take up another profession. The art of all healing therapy is to know when the time is right to invite the client to share more about themselves.
Symptomatic Or Causative?
Asking questions is how we care for another human being. It is also discovering the essential causative factors of their symptomatic pains. To simply accept a tight shoulder as a structural problem is no better than calling poverty "a shame." These things all have causes and history. Like Sherlock Holmes, we must trace each symptom back to its historical cause, if we wish to be more than some kind of "Mr Fixit dullard." That is not healing touch. It is squashing human beings into a tiny "physical only" box.
Every human deserves to be seen and heard and to be touched. Do you really know why they have invested this money and this time in coming to see you? Do you dare to ask the existential question? Likewise, at the end of the session, do you dare ask, "Did you get what you came for?" In my previous article, I talked about asking the client to walk around at the end of the session. To do this well, requires three basic protocols.
Getting Out The Way
The first protocol is to get myself out of the way both physically and psychologically. Some clients are uncomfortable at first with the idea that they should know anything at all about their own bodies. The harder they find it to put words to their experience of walking, the more important it is to both therapist and client that they do this. If they want you to be the expert on their body, you better plan on moving into their house and living with them, and help them get dressed in the morning.
Listen To The Body
The second protocol is to encourage the client to feel how their body wants to walk. Most illness and tissue compression simply arises out of "the head" dominating "the body." If people rested when they were tired and ate when they were hungry and stopped eating when they were full, we would have a much healthier nation. The key here, is to follow the body.
We encourage the client to feel from the inside just how their body wants to walk. Some clients have had such massive structural shifts from the massage, that they actually walk like babies learning for the first time. The cerebellum has not yet caught up with the changes in muscle, tendon and ligament configuration. Some wobble as they walk. Some notice that they are more than mere structure. Some will connect with their energy or their emotions. Others will feel their spirit or discover a new clarity of thought.
The Rest Of The Day
The third protocol is to ask, "How will this walk affect the rest of your day, compared to when you came in?" If our touch does not make a difference to people's lives then we should probably do something else. Touch done well always make a massive difference - if only we let the clients really feel the power of beautiful healing touch.
Soft Magical Tissue
Once clients start to "talk their body's walk," they start to describe how their body is actually feeling. It is very different from some kind of intellectual chiropractic structural analysis. It is a feeling thing. Nothing connects us with the truth of our deepest inner feelings better than massage.
Find out why your clients have really come. Challenge them if they think they are just a mechanical problem waiting to be fixed by experts. We are not cars. We are human beings made of the most incredible and magical soft tissue that will find its own balance if touched with gentleness and respect. So please stop prodding and poking me. I do not need fixing. I need respectful, gentle touch. Then I will release my compressions - if I am ready.
Whose life is it, anyway?
Gerry Pyves lives in West Yorkshire, in the United Kingdom. He holds an MA from Oxford University and qualified as a massage therapist in 1984. He became a UKCP registered Transactional Analysis psychotherapist in 1999. He is the founder and creator of NO HANDS® Massage. He is currently looking for instructors to teach NO HANDS® in the U.S. For more information, visit www.nohandsmassage.com.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.