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Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
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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