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.
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.
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.
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.
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.
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...
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
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.
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.
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.
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.
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.
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.
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.
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.
May, 2007, Vol. 07, Issue 05
Survey of Florida Massage Therapists Provides Snapshot of Profession
By Tina Beychok, Associate Editor
As part of an effort to get a better handle on the current practices of licensed massage therapists in the state of Florida, the Florida Board of Massage Therapy within the Department of Health, in conjunction with the Florida State Massage Therapy Association, recently released a survey of 6,592 LMTs throughout the state.This is the first time that a government agency, rather than a professional association, has conducted such a survey.
Lauren Buzzelli, medical quality assurance (MQA) communications liaison for the Florida Department of Health, explained why the organization decided to conduct this survey. "One of the main areas of focus for the Board of Massage Therapy for the past several years has been to assist the department with the problem of unlicensed activity related to massage therapy. The Board has worked to provide information to licensees and consumers."
Respondents were asked various questions about various aspects of their professional lives. Categories were broken down into: demographics, work settings, employment, income, ailments treated, massage modalities and work injuries.
Demographics. The average Florida LMT has been in practice for less than five years and is likely to be a Caucasian woman between the ages of 45 and 54. The central Gulf Coast, in the Tampa, St. Petersburg, Sarasota region, has the most practicing LMTs in the state (23 percent). The Tallahassee/Pensacola region, along the panhandle, has the fewest LMTs (6 percent).
Work settings. For those who only work in one setting, the largest percentage works doing out-calls (18 percent), while only 1 percent of LMTs work exclusively in a gym/fitness center setting. For those who work in a variety of settings, 36 percent spend at least half their time doing out-calls, while approximately the same percentage never do out-calls. For those in multiple work settings, 90 percent do not work at all in a gym or fitness center.
Employment. Half of all the respondents stated they are self-employed for the majority of their massage work. By comparison, only 7 percent reported owning their own establishment.
In a typical work week, most LMTs work 20 hours or less, about evenly split between those who work one to 10 hours and those who work 11 to 20 hours per week. Forty-two percent see anywhere from one to three clients during an average week.
Income/insurance. Forty-three percent earn $51 to $70 per hour; 21 percent earn between $30 and $50; and 16 percent earn between $71 and $90 hourly. In terms of annual income, more than 80 percent of LMTs earn less than $40,000 per year and half earn less than $20,000 per year. Only 10 percent earn at least $40,000 - $60,000 per year. As expected, most LMTs (61 percent) do not bill via insurance. Less than 15 percent bill via insurance for at least half of their clients.
Conditions seen. LMTs spend the majority of their time performing massage for pain relief. Nineteen percent spend up to three-quarters of their time performing massage to alleviate pain, mostly for shoulder, neck or back pain. By comparison, 14 percent of therapists spend up to three-quarters of their time performing massage for stress reduction. At the other end of the spectrum, only 4 percent spend that amount of time performing massage for something other than pain, stress or sports injury.
Massage modalities. Overall, deep-tissue massage is the most common modality, performed by 38 percent of therapists. Swedish massage is the second most common modality, at 28 percent. Lynda Solien-Wolfe, vice-chair of the Florida Board of Massage Therapy, noted, "I think the most surprising finding from my point of view were that Florida therapists used deep-tissue massage techniques more than Swedish massage, but that deep tissue, Swedish and NMT [neuromuscular therapy] were the top three did not surprise me."
Work injuries. Half of all survey respondents reported some type of injury related to performing massage therapy. The most frequently reported injuries were back spasm (17 percent) and wrist injury (16 percent). Interestingly, three-quarters of therapists who reported sustaining some sort of work-related injury also reported they did not take any time off from work.
When asked how she believes the data from this report will be beneficial, Buzzelli said, "The focus for the Board is the benefit for the consumer. We believe that consumers will benefit by the Board's greater knowledge on how to provide more focused information to educate massage therapists, and even consumers, based on the survey answers we received. This survey has provided the Board of Massage Therapy and the Department of Health with much-needed information to help us in focusing our educational messages to massage therapists and consumers about regulation in Florida."
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