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Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
August, 2014, Vol. 14, Issue 08
Legislative Changes Return Authority to Local Agencies
By Kathryn Feather, Senior Associate Editor
At a recent hearing before the California Senate Committee on Business, Professions and Economic Development, the latest amended version of Assembly Bill 1147 revealed some significant changes to the structure of massage certification; most notably a return of authority to local agencies to regulate and restrict the operation of massage establishments that might be engaging in illegal activity such as prostitution or human trafficking.
Assembly Bill 1147 would revise and replace Senate Bill 731 (passed in September 2008 and due to sunset this December), which established a two-tier voluntary certification system that allowed a massage therapist to practice lawfully throughout the state without being subject to city or county ordinances. It also established the CAMTC, a private nonprofit organization acting as the regulator of massage therapy certification. Prior to the passage of SB731, massage therapists in California were subjected to the ordinances enacted by individual cities and counties providing for the licensing and regulation of the business of massage. It was a patch work of various regulations many therapists were eager to see disappear as they were often paying multiple fees to practice in more than one city or county.
However, law enforcement agencies and city and county officials have come forward during this sunset review process to share their concerns and urge the legislature to sunset SB731 and the CAMTC, as they believe the current legislation lends to the proliferation of illegitimate massage establishments, prostitution and human trafficking. The League of California Cities was particularly vocal in a previous hearing in citing the reasons for a return to local control.
Bill co-author Chris Holden said that, "while the law that created the council, SB731, has helped legitimate massage businesses, it has had unintended consequences. These consequences have tied the hands of cities who want to keep illicit massage businesses out of their communities."
CAMTC CEO Ahmos Netanel shared the following statement with Massage Today in response to the hearings on AB1147.
"We believe it is important to work with state and local leaders, communities, law enforcement and businesses to achieve two goals:
"If enacted, the proposed bill that was recently amended July 1, 2014, would make significant changes to existing law and extend CAMTC's operations through the year 2016. Under the current law, cities and counties cannot impose land use rules, regulations, moratoriums, caps, etc., on businesses that use only CAMTC certified professionals to provide massage services for compensation, unless those land use regulations are also uniformly applied to all others that provide professional services. This proposed AB 1147 would remove that exemption and allow cities and counties to regulate massage businesses in any way that they see fit, as long as they do not:
"The proposed bill does not provide any transition from application of existing law to application of the new proposed provisions on January 1, 2015. This current version of AB 1147 will also add additional bases for denial of CAMTC applications and discipline of certificate holders such as engaging in sexually suggestive advertising related to massage; engaging in sexual activity on the premises of a massage establishment; engaging in sexual activity while providing massage for compensation; massaging the genitals, anal region, or female breasts unless the client consents in writing and the massage is supervised by a physician; and failing to fully disclose all requested information on CAMTC's application. The proposed bill would require passage of a CAMTC approved exam and 500 hours of education for CAMTC certification.
"We understand that local governments face real problems with illicit establishments, and CAMTC wants to help. Their goal is our goal – public protection. Over the past six months, CAMTC has been providing specialized training at not cost to local law enforcement agencies. Collaboration with these local agencies will make it easier for CAMTC to take action against applicants and certificate holders who violate state or local law and streamline the way to shut down illicit massage businesses.
"Professional standards must be extended to business establishments so that they will be held accountable. CAMTC supports legislation that will provide cities and counties the explicit authority to address establishments that use massage as a subterfuge for prostitution. AB 1147, with just a few additional amendments, will remove any ambiguity about the authority of cities and counties to close illegal massage establishments or to make their own decisions as to what constitutes a balanced business community."
In early August, AB1147 will go before the Senate Committee on Appropriations, where additional ammendments can be made. According to Netanel, "there are still a few issues that need to be corrected in the bill."
The last day for bills to pass the California Sentate and Assembly is August 31st and the Governor must sign or veto bills by September 30th.
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