resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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%.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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).
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.
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.
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.
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.
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.
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.
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.
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.
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).
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.
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.
Chronic Pain and Opioid Dependency
Is there a benefit to providing massage therapy?
Contributed by Jolie Haun, PhD, EdS, LMT; Natalie Lorick, LMT; MK Brennan, MS, RN, LMBT
For many individuals, chronic pain impacts activities of daily living, results in increased health care utilization, and contributes to opioid addiction. Massage therapy has demonstrated chronic pain symptom relief however, there is little evidence published about the use of massage as an adjunctive therapy during opioid-replacement treatment despite its demonstrated use in relieving chronic pain symptoms in other populations.
This month's Massage Therapy Foundation article review focuses on a recent publication in the International Journal of Therapeutic Massage and Bodywork by Adams et al, which evaluated the efficacy of Swedish massage in pain reduction with a cohort of opioid-dependent patients with chronic pain undergoing methadone treatment.
The clinical trial was conducted at a nonprofit methadone treatment center serving low-income patients. A two group randomized clinical trial was conducted to test the study outcomes. Twenty-seven patients were selected to be in a group that received massage plus treatment-as-usual and 24 patients were randomized to a control group (treatment-as-usual only) for eight weeks, with a follow-up visit four weeks after completing the intervention. Those randomized to the massage plus treatment-as-usual group received a weekly 50-minute Swedish massage session. Eligibility criteria included a requirement that participants receive methadone treatment for at least 90 days since more than one third of patients at the clinic withdraw within the first 90 days. The chronic pain assessment done when new patients started at the clinic was used during the participant selection process and baseline data was collected before randomization.
The main outcome measures included pain, anxiety, depression, physical functioning, decreased substance use, and improvement in treatment engagement. Assessments were done weekly or monthly depending on the outcome being measured. All assessments were repeated at week 12 to evaluate the durability of the massage effect.
Participants from both groups were comparable at baseline for demographic, pain, physical, and emotional variables. The massage group reported improved pain scores with worst pain showing a clinically significant 2-point improvement while the other pain scores did not. Overall improvements were not observed in treatment engagement or levels of anxiety, depression, or physical functioning. A subgroup of the participants, who felt they could be pain-free, consistently reported improvements in pain from baseline to week 8, and this was most pronounced and clinically significant in the massage group. By week 12, this improvement was diminished and the massage participants reported the highest levels of being worse.
The findings of this study do not indicate a clinically significant positive effect of massage in pain reduction or improvement in anxiety, depression, or treatment engagement in a substance-using, opioid-dependent population with chronic pain. However, study limitations should be noted when interpreting the study findings, such as small sample size, absence of a true placebo, variation in types of chronic pain, restriction to one massage type, the role of belief in being pain-free, and potential self-activation characteristics. Authors suggest as future research efforts are planned the challenges and limitations faced in this project should be considered.
These study findings contribute to the field of massage therapy and practice. Massage therapists and bodyworkers should note the potential limitations of using Swedish massage when working with opioid-dependent patients with chronic pain. The study results also indicate the need to examine the use of massage in conjunction with other adjunctive therapies when addressing pain symptom management in an opioid-dependent population with chronic pain.
Are you interested in learning more about the uses of manual therapies to alleviate pain and promote quality of life for patients? To learn more about the effects of massage therapy, you can read the Massage Therapy Foundation review article archives, review accepted MTF Research Grant abstracts, or search PubMed for massage therapy studies.
The Massage Therapy Foundation Student and Practitioner Case Report Contests are intended to enhance professional development and research skills. The deadline to submit to the Practitioner Case Report Contest is October 3, 2016. Find out more information and who has won past case report competitions by visiting www.massagetherapyfoundation.org/student-practitioner-case-report-contests/.